{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:46:08Z","timestamp":1777880768443,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"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 Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To compare the outcome after open carpal tunnel decompression by specialists versus a nurse practitioner.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Of 1361 cases of open carpel tunnel decompression under local anaesthesia from 1996 to 2008, 807 were performed by specialists (consultant, specialist registrar, or specialty and associate specialist) and 554 by a nurse practitioner (since May 2006). The 2 groups were compared in terms of surgical time, total theatre time, postoperative pain, and patient satisfaction with the service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean surgical time was shorter in cases performed by specialists (13 vs. 18 minutes, p&lt;0.0001), as was the mean total theatre time (26 vs. 29 minutes, p=0.0154). The rate of postoperative pain was higher in cases performed by specialists (31.5% vs. 24.5%, p=0.0125), as was the rate of patient dissatisfaction (1.6% vs. 0.18%, 0.0113). Nonetheless, since May 2006, outcome was comparable for specialists and the nurse practitioner. This could be due to the change from short-acting to long-acting\/mixed local anaesthetic, and the technique for infiltration. The waiting time for surgery reduced from a mean of 16 to 3 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Specialists and the nurse practitioner achieved comparable outcome after open carpal tunnel decompression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901502300319","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"349-351","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Open Carpal Tunnel Decompression by Specialist versus Nurse Practitioner"],"prefix":"10.1177","volume":"23","author":[{"given":"Nimesh","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Torbay Hospital, Torquay, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Roberton","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Torbay Hospital, Torquay, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Batten","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Torbay Hospital, Torquay, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy","family":"Millyard","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Torbay Hospital, Torquay, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Birdsall","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Torbay Hospital, Torquay, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"bibr1-230949901502300319","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199805000-00021"},{"key":"bibr2-230949901502300319","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199309000-00002"},{"key":"bibr3-230949901502300319","doi-asserted-by":"publisher","DOI":"10.1308\/003588406X114712"},{"key":"bibr4-230949901502300319","first-page":"372","volume":"43","author":"Murray WJ","year":"1998","journal-title":"J R Coll Surg Edinb"},{"key":"bibr5-230949901502300319","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7218.1193"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901502300319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901502300319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:21:41Z","timestamp":1777594901000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901502300319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1177\/230949901502300319"],"URL":"https:\/\/doi.org\/10.1177\/230949901502300319","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}