{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:49:19Z","timestamp":1777661359717,"version":"3.51.4"},"reference-count":86,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,3,5]],"date-time":"2011-03-05T00:00:00Z","timestamp":1299283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Previous research documents suboptimal preoperative or postoperative care for patients undergoing surgery. However, few existing quality measures directly address the fundamental element of surgical care: intra-operative care processes. This study sought to develop quality measures for intraoperative, preoperative, and postoperative care for carpal tunnel surgery, a common operation in the USA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We applied a variation of the well-established RAND\/UCLA Appropriateness Method. Adherence to measures developed using this method has been associated with improved patient outcomes in several studies. Hand surgeons and quality measurement experts developed draft measures using guidelines and literature. Subsequently, in a two-round modified-Delphi process, a multidisciplinary panel of 11 national experts in carpal tunnel syndrome (including six surgeons) reviewed structured summaries of the evidence and rated the measures for validity (association with improved patient outcomes) and feasibility (ability to be assessed using medical records).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 25 draft measures, panelists judged 22 (88%) to be valid and feasible. Nine intraoperative measures addressed the location and extent of surgical dissection, release after wrist trauma, endoscopic release, and four procedures sometimes performed during carpal tunnel surgery. Eleven measures covered preoperative and postoperative evaluation and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We have developed several measures that experts, including surgeons, believe to reflect the quality of care processes occurring during carpal tunnel surgery and be assessable using medical records. Although quality measures like these cannot assess a surgeon's skill in handling the instruments, they can assess many important aspects of intraoperative care. Intraoperative measures should be developed for other procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11552-011-9325-9","type":"journal-article","created":{"date-parts":[[2011,3,6]],"date-time":"2011-03-06T10:41:17Z","timestamp":1299408077000},"page":"119-131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical Quality Measures for Intraoperative and Perioperative Management in Carpal Tunnel Surgery"],"prefix":"10.1177","volume":"6","author":[{"given":"Teryl K.","family":"Nuckols","sequence":"first","affiliation":[{"name":"RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138, USA"},{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, 911 Broxton Plaza, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda Maggard","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA, USA"},{"name":"Olive View\u2014UCLA Medical Center, Sylmar, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil G.","family":"Harness","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Medical Group, Fontana Medical Center, Fontana, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter T.","family":"Chang","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Medical Group, Yorba Linda, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin C.","family":"Chung","sequence":"additional","affiliation":[{"name":"Section of Plastic Surgery, The University of Michigan School of Medicine, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven M.","family":"Asch","sequence":"additional","affiliation":[{"name":"RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138, USA"},{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, 911 Broxton Plaza, Los Angeles, CA, USA"},{"name":"VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The Carpal Tunnel Quality Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Chagnon","sequence":"additional","affiliation":[{"name":"Family Practice, Albany Memorial Hospital, Albany, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Harris","sequence":"additional","affiliation":[{"name":"Occupational Medicine, Kaiser Permanente, San Rafael, California, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Jablecki","sequence":"additional","affiliation":[{"name":"Neurology, La Jolla, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kilmer","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, University of California, Davis, CA, USA; recently deceased"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Mandell","sequence":"additional","affiliation":[{"name":"Orthopedics, Burlingame, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Mass","sequence":"additional","affiliation":[{"name":"Hand Surgery, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Masear","sequence":"additional","affiliation":[{"name":"Hand Surgery, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Melhorne","sequence":"additional","affiliation":[{"name":"Hand Surgery, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuong","family":"Pho","sequence":"additional","affiliation":[{"name":"Physical Therapy, Kaiser Permanente, Harbor City, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rick","family":"Strain","sequence":"additional","affiliation":[{"name":"Orthopedics, Hollywood, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,3,5]]},"reference":[{"key":"bibr1-s11552-011-9325-9","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90130-9"},{"key":"bibr2-s11552-011-9325-9","unstructured":"American Academy of Orthopaedic Surgeons (AAOS). Clinical Guideline on Diagnosis of Carpal Tunnel Syndrome: Guideline. Rosemont, IL 2007; Available at: http:\/\/www.aaos.org\/Research\/guidelines\/guide.asp and http:\/\/www.aaos.org\/Research\/guidelines\/CTS_guideline.pdf."},{"key":"bibr3-s11552-011-9325-9","unstructured":"American Academy of Orthopaedic Surgeons (AAOS). CTS Workgroup Approval Funding. 2007. Available at: http:\/\/www.aaos.org\/Research\/guidelines\/CTSWorkgroupApprovalFunding.pdf."},{"key":"bibr4-s11552-011-9325-9","unstructured":"American Academy of Orthopaedic Surgeons (AAOS). Clinical Practice Guideline on the Treatment of Carpal Tunnel Syndrome. 2008. 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