{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:39:55Z","timestamp":1787614795815,"version":"build-2736575974"},"reference-count":34,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"The Paulo Foundation","award":["2024, grant for KL"],"award-info":[{"award-number":["2024, grant for KL"]}]},{"name":"Vappu Uusp\u00e4\u00e4 Foundation","award":["2023, grant for KL"],"award-info":[{"award-number":["2023, grant for KL"]}]},{"DOI":"10.13039\/501100007083","name":"Orionin Tutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","award":["2024, grant for KL"],"award-info":[{"award-number":["2024, grant for KL"]}],"id":[{"id":"10.13039\/501100007083","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008577","name":"Avohoidon Tutkimss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","award":["2023, grant for KL"],"award-info":[{"award-number":["2023, grant for KL"]}],"id":[{"id":"10.13039\/501100008577","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003756","name":"Biomedicum Helsinki-s\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","award":["2023, grant for KL"],"award-info":[{"award-number":["2023, grant for KL"]}],"id":[{"id":"10.13039\/501100003756","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Finnish Research Foudation for Orthopaedics and Traumatology","award":["2023, grant for KL"],"award-info":[{"award-number":["2023, grant for KL"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,6,17]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>In this study, we evaluated the amount of public funds spent on the operative treatment of carpal tunnel syndrome (CTS) in Finland in 2011\u20132015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A registry-based cost burden study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The data were collected in primary and secondary care in both private and public hospitals, covering the whole population of Finland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We collected the total number of patients with new CTS diagnoses and the total number of patients undergoing surgery from the Care Register for Health Care, Finland\u2019s national register.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Open carpal tunnel release (OCTR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>We collected the costs of the OCTR procedure from diagnosis-related group prices. The Social Insurance Institution of Finland provided the total amount of euros reimbursed for sick leaves. We then combined the average amount of reimbursed sick leave with our estimated cost of the treatment chain to approximate the average cost per patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average amount of public funds used for diagnosing and surgically treating new CTS in 2011\u20132015 in Finland, including reimbursements for sick leaves, was \u20ac2759 per patient in 2015 currency. The average direct procedure cost was \u20ac1020. We found no clear trend in total cost per patient, but the proportion of surgically treated patients rose from 63.14% to 73.09%. The total annual cost of these treatments was between \u20ac18 128 420 and \u20ac22 569 973.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The average amount of public funds used to surgically treat one patient with new CTS in 2011\u20132015 in Finland was \u20ac2759, making the total annual burden \u20ac20.7\u2009million.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-080855","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T10:55:18Z","timestamp":1720004118000},"page":"e080855","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Registry cost description of carpal tunnel release in Finland in 2011\u20132015"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6263-1487","authenticated-orcid":false,"given":"Kaisa","family":"Lampainen","sequence":"first","affiliation":[{"name":"Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarni","family":"Hannula","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Miettinen","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorma","family":"Ryh\u00e4nen","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1127-4205","authenticated-orcid":false,"given":"Paulus","family":"Torkki","sequence":"additional","affiliation":[{"name":"Department of Public Health, Helsingin Yliopisto, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Hulkkonen","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,7,3]]},"reference":[{"key":"2025121514250178000_14.7.e080855.1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.203"},{"key":"2025121514250178000_14.7.e080855.2","doi-asserted-by":"publisher","DOI":"10.1097\/00019052-199910000-00014"},{"key":"2025121514250178000_14.7.e080855.3","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1212\/WNL.56.11.1431","article-title":"Carpal tunnel syndrome: complex issues with a \u2018simple\u2019 condition","volume":"56","author":"Olney","year":"2001","journal-title":"Neurology"},{"key":"2025121514250178000_14.7.e080855.4","article-title":"Pathophysiology of Carpal tunnel 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