{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T01:39:02Z","timestamp":1768268342227,"version":"3.49.0"},"reference-count":19,"publisher":"Royal College of Surgeons of England","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> Carpal tunnel syndrome is the most common compression neuropathy affecting the upper limb. Clinical diagnosis is not always clear and electrophysiological testing can be indicated when considering a patient for decompression surgery. The downside of electrophysiological testing is cost and increased time to surgery. Newer methods of performing nerve conduction studies in clinic have become available. <\/jats:p><\/jats:sec><jats:sec><jats:title>MATERIALS AND METHODS<\/jats:title><jats:p> We investigated the use of a clinic-based, handheld, non-invasive electrophysiological device (NC-stat\u00ae) in 71 patients with suspected carpal tunnel syndrome presenting to our hand clinic in a district general hospital. We compared this to a similar cohort of 71 age-matched patients also presenting to our unit in whom formal nerve conduction studies were performed at a local neurophysiology unit. Our outcome measures were time from presentation to carpal tunnel decompression, the cost of each pathway and the practicalities of using the device in a busy hand unit. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS AND CONCLUSIONS<\/jats:title><jats:p> The NC-stat\u00ae proved to be a successful device when compared with referring patients out for more formal nerve conduction studies, shortening the time from presentation to surgery from 198 days to 102 days (p&lt;0.0001). It was also cost effective with a calculated saving to the hospital of more than \u00a370 per patient. The device is easy to use and acceptable to patients and no adverse effects were noted. <\/jats:p><\/jats:sec>","DOI":"10.1308\/147870811x566385","type":"journal-article","created":{"date-parts":[[2011,4,4]],"date-time":"2011-04-04T16:27:32Z","timestamp":1301934452000},"page":"236-240","source":"Crossref","is-referenced-by-count":4,"title":["Clinic-based nerve conduction studies reduce time to surgery and are cost effective: a comparison with formal electrophysiological testing"],"prefix":"10.1308","volume":"93","author":[{"given":"Henry E","family":"Bourke","sequence":"first","affiliation":[{"name":"Kingston Hospital, Kingston upon Thames UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Read","sequence":"additional","affiliation":[{"name":"Kingston Hospital, Kingston upon Thames UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Kampa","sequence":"additional","affiliation":[{"name":"Kingston Hospital, Kingston upon Thames UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Hearnden","sequence":"additional","affiliation":[{"name":"Kingston Hospital, Kingston upon Thames UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A","family":"Davey","sequence":"additional","affiliation":[{"name":"Kingston Hospital, Kingston upon Thames UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.2.153"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408087119"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0376"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00643"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.1999.0406"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90117-8"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2007.00799.x"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181645425"},{"key":"b9","first-page":"362","volume":"34","author":"Elkowitz SJ","year":"2005","journal-title":"Am J Orthop"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2005.10.019"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200004000-00015"},{"key":"b12","first-page":"258","volume":"30","author":"Patsalis T","year":"1998","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"b13","first-page":"670","volume":"52","author":"Jordan R","year":"2002","journal-title":"Br J Gen Pract"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01362"},{"key":"b15","first-page":"174","volume":"74","author":"Zyluk A","year":"2009","journal-title":"Chir Narzadow Ruchu Ortop Pol"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhse.2007.09.007"},{"key":"b17","first-page":"141","volume":"68","author":"Br\u00fcske J","year":"2002","journal-title":"Acta Orthop Belg"},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2009.047431"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.1159\/000258635"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/147870811X566385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:46:04Z","timestamp":1684143964000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/147870811X566385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1308\/147870811X566385"],"URL":"https:\/\/doi.org\/10.1308\/147870811x566385","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4]]}}}