{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:15:25Z","timestamp":1791249325738,"version":"4.1.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>\n                    We undertook a retrospective cohort study of a remote carpal tunnel syndrome assessment pathway created in response to limitations caused by the COVID-19 pandemic. Between July 2020 and September 2021, 702 patients referred from primary care (general practice) were assessed in a nurse-led telephone clinic using the carpal tunnel questionnaire of\n                    <jats:xref ref-type=\"bibr\">Kamath and Stothard (2003)<\/jats:xref>\n                    . Depending on their questionnaire score, patients were referred either for nerve conduction studies or a consultant hand surgeon review for diagnosis and treatment planning. Questionnaire scores of 3 and above accurately predicted a likely diagnosis of carpal tunnel syndrome in 83% of patients, and a diagnosis was unlikely in 90% of those with a score below 3. The pathway resulted in an estimated cost savings of \u00a324,436 (\u20ac28,862, US$30,945) in comparison with the pre-pandemic service. However, some limitations in the pathway may have impacted effective patient management and we suggest possible improvements.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    III\n                  <\/jats:p>","DOI":"10.1177\/17531934241270347","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T03:23:35Z","timestamp":1724297015000},"page":"357-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Use of a remote assessment pathway for diagnosis of carpal tunnel syndrome"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6040-7644","authenticated-orcid":false,"given":"Katie","family":"Macdonald","sequence":"first","affiliation":[{"name":"Hooper Hand Unit, St. John\u2019s Hospital, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh","family":"Pearson","sequence":"additional","affiliation":[{"name":"Hooper Hand Unit, St. John\u2019s Hospital, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina H.","family":"Frew","sequence":"additional","affiliation":[{"name":"Hooper Hand Unit, St. John\u2019s Hospital, Livingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"Rust","sequence":"additional","affiliation":[{"name":"Hooper Hand Unit, St. John\u2019s Hospital, Livingston, UK"},{"name":"Department of Anatomy, University of Edinburgh, Old Medical School, Edinburgh EH8 9AG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26810"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4598(200008)23:8<1280::AID-MUS20>3.0.CO;2-Y"},{"key":"e_1_3_4_4_1","doi-asserted-by":"crossref","first-page":"e005141","DOI":"10.1136\/bmjopen-2014-005141","article-title":"Prospective analysis of the accuracy of diagnosis of carpal tunnel syndrome using a web-based questionnaire","volume":"20","author":"Bland JD","year":"2014","unstructured":"Bland JD, Rudolfer S, Weller P. Prospective analysis of the accuracy of diagnosis of carpal tunnel syndrome using a web-based questionnaire. BMJ Open. 2014, 20: e005141.","journal-title":"BMJ Open"},{"key":"e_1_3_4_5_1","unstructured":"British Society for Surgery of the Hand. Carpal tunnel syndrome 2016. https:\/\/www.bssh.ac.uk\/patients\/conditions\/21\/carpal_tunnel_syndrome (accessed March 2023)."},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojtr.2014.22010"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00476"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00151-7"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193419866646"},{"key":"e_1_3_4_10_1","volume-title":"Clinical knowledge summary: carpal tunnel syndrome","author":"National Institute for Health and Care Excellence","year":"2022","unstructured":"National Institute for Health and Care Excellence. Clinical knowledge summary: carpal tunnel syndrome. London: NICE, 2022. https:\/\/cks.nice.org.uk\/topics\/carpal-tunnel-syndrome\/diagnosis\/assessment\/ (accessed March 2023)."},{"key":"e_1_3_4_11_1","volume-title":"National Tariff Annex A - Price Workbook 2020\u20132021","author":"NHS England","year":"2021","unstructured":"NHS England. National Tariff Annex A - Price Workbook 2020\u20132021. London: NHS England, 2021. https:\/\/www.england.nhs.uk\/publication\/2023-25nhs-payment-scheme\/ (accessed April 2024)."},{"key":"e_1_3_4_12_1","volume-title":"Outpatient Specialty Costs","author":"Public Health Scotland.","year":"2019","unstructured":"Public Health Scotland. Outpatient Specialty Costs. Edinburgh: PHS, 2019. https:\/\/www.isdscotland.org\/health-topics\/finance\/costs\/Detailed-Tables\/Speciality-Costs\/Outpatients.asp (accessed April 2023)."},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2019.02.001"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934241270347","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934241270347","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934241270347","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:34Z","timestamp":1777502854000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934241270347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,22]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/17531934241270347"],"URL":"https:\/\/doi.org\/10.1177\/17531934241270347","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,22]]}}}