{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T05:50:52Z","timestamp":1784094652336,"version":"3.55.0"},"reference-count":51,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/501100008986","name":"Sydv\u00e4stra Sk\u00e5nes Diabetesf\u00f6rening","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008986","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003252","name":"Lunds Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Swedish Diabetes Foundation"},{"name":"Sk\u00e5ne University Hospital Lund-Malm\u00f6"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,8,16]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To study patient-reported outcome after open carpal tunnel release (OCTR) for carpal tunnel syndrome (CTS) in patients with or without diabetes using national healthcare quality registries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      Data from the Swedish National Quality Registry for Hand Surgery (HAKIR;\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"www.hakir.se\">www.hakir.se<\/jats:ext-link>\n                      ) were linked to data from the Swedish National Diabetes Register (NDR;\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"www.ndr.nu\">www.ndr.nu<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We identified 9049 patients (10\u2009770 hands) operated for CTS during the inclusion period (2010\u20132016).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>Patient-reported outcome measures were analysed before surgery and at 3 and 12 months postoperatively using the QuickDASH as well as the HAKIR questionnaire with eight questions on hand symptoms and disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients with diabetes (n=1508; 14%) scored higher in the QuickDASH both preoperatively and postoperatively than patients without diabetes, but the total score change between preoperative and postoperative QuickDASH was equal between patients with and without diabetes. The results did not differ between patients with type 1 or type 2 diabetes. Patients with diabetic retinopathy scored higher in QuickDASH at 3\u2009months postoperatively than patients with diabetes without retinopathy. In the regression analysis, diabetes was associated with more residual symptoms at 3 and 12 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with diabetes experience more symptoms both before and after OCTR, but can expect the same relative improvement from surgery as patients without diabetes . Patients with retinopathy, as a proxy for neuropathy, may need longer time for symptoms to resolve after OCTR. Smoking, older age, higher HbA1c levels and receiving a diabetes diagnosis after surgery were associated with more residual symptoms following OCTR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-030179","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T08:09:35Z","timestamp":1567670975000},"page":"e030179","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":41,"title":["Open carpal tunnel release and diabetes: a retrospective study using PROMs and national quality registries"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9925-3838","authenticated-orcid":false,"given":"Malin","family":"Zimmerman","sequence":"first","affiliation":[{"name":"Department of Translational Medicine \u2013 Hand Surgery, Lund University, Lund, Sweden"},{"name":"Department of Hand Surgery, Sk\u00e5nes universitetssjukhus Malm\u00f6, Malmo, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"M.D, PhD","given":"Katarina","family":"Eeg-Olofsson","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Gothenburg, G\u00f6teborg, Sweden"},{"name":"Department of Medicine, Sahlgrenska University Hospital, Goteborg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"RN, PhD","given":"Ann-Marie","family":"Svensson","sequence":"additional","affiliation":[{"name":"National Diabetes Register, Centre of Registers in Region V\u00e4stra G\u00f6taland, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"\u00c5str\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Data Analytics and Register Centre, Region Sk\u00e5ne H\u00e4lso- och sjukv\u00e5rd, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Arner","sequence":"additional","affiliation":[{"name":"HAKIR, National Registry for Hand Surgery, Stockholm South General Hospital, Stockholm, Sweden"},{"name":"Department of Clinical Science and Education S\u00f6dersjukhuset, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Dahlin","sequence":"additional","affiliation":[{"name":"Department of Translational Medicine \u2013 Hand Surgery, Lund University, Lund, Sweden"},{"name":"Department of Hand Surgery, Sk\u00e5nes universitetssjukhus Malm\u00f6, Malmo, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,4]]},"reference":[{"key":"2025120600185933000_9.9.e030179.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2004.02.009"},{"key":"2025120600185933000_9.9.e030179.2","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.jhsa.2018.05.017","article-title":"Predicting Clinical Outcome After Surgical Treatment in Patients With Carpal Tunnel Syndrome","volume":"43","author":"Jansen","year":"2018","journal-title":"J Hand Surg Am"},{"key":"2025120600185933000_9.9.e030179.3","doi-asserted-by":"crossref","first-page":"E59","DOI":"10.1002\/mus.25633","article-title":"Neurophysiological recovery 5 years after carpal tunnel release in patients with diabetes","volume":"56","author":"Thomsen","year":"2017","journal-title":"Muscle Nerve"},{"key":"2025120600185933000_9.9.e030179.4","doi-asserted-by":"crossref","unstructured":"Watchmaker JD , Watchmaker GP . 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