TY - JOUR
T1 - Surgical Treatment of Cubital Tunnel Syndrome
T2 - Trends and the Influence of Patient and Surgeon Characteristics
AU - Adkinson, Joshua M.
AU - Zhong, Lin
AU - Aliu, Oluseyi
AU - Chung, Kevin C.
N1 - Funding Information:
This project was supported by a Midcareer Investigator Award in Patient-Oriented Research ( K24 AR053120 ) (to K.C.C.). Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under Award Number 2 K24-AR053120-06. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2015 American Society for Surgery of the Hand. All rights reserved © 2015 ASSH. Published by Elsevier, Inc. All rights reserved.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Purpose To examine trends in and determinants of the use of different procedures for treatment of cubital tunnel syndrome. Methods We performed a retrospective cross-sectional analysis of the Healthcare Cost and Utilization Project Florida State Ambulatory Surgery Database for 2005 to 2012. We selected all patients who underwent in situ decompression, transposition, or other surgical treatments for cubital tunnel syndrome. We tested trends in the use of these techniques and performed a multivariable analysis to examine associations among patient characteristics, surgeon case volume, and the use of different techniques. Results Of the 26,164 patients who underwent surgery for cubital tunnel syndrome, 80% underwent in situ decompression, 16% underwent transposition, and 4% underwent other surgical treatment. Over the study period, there was a statistically significant increase in the use of in situ release and a decrease in the use of transposition. Women and patients treated by surgeons with a higher cubital tunnel surgery case volume underwent in situ release with a statistically higher incidence than other techniques. Conclusions In Florida, surgeon practice reflected the widespread adoption of in situ release as the primary treatment for cubital tunnel syndrome, and its relative incidence increased during the study period. Patient demographics and surgeon-level factors influenced procedure selection. Type of study/level of evidence Therapeutic III.
AB - Purpose To examine trends in and determinants of the use of different procedures for treatment of cubital tunnel syndrome. Methods We performed a retrospective cross-sectional analysis of the Healthcare Cost and Utilization Project Florida State Ambulatory Surgery Database for 2005 to 2012. We selected all patients who underwent in situ decompression, transposition, or other surgical treatments for cubital tunnel syndrome. We tested trends in the use of these techniques and performed a multivariable analysis to examine associations among patient characteristics, surgeon case volume, and the use of different techniques. Results Of the 26,164 patients who underwent surgery for cubital tunnel syndrome, 80% underwent in situ decompression, 16% underwent transposition, and 4% underwent other surgical treatment. Over the study period, there was a statistically significant increase in the use of in situ release and a decrease in the use of transposition. Women and patients treated by surgeons with a higher cubital tunnel surgery case volume underwent in situ release with a statistically higher incidence than other techniques. Conclusions In Florida, surgeon practice reflected the widespread adoption of in situ release as the primary treatment for cubital tunnel syndrome, and its relative incidence increased during the study period. Patient demographics and surgeon-level factors influenced procedure selection. Type of study/level of evidence Therapeutic III.
KW - Key words Cubital tunnel syndrome
KW - in situ decompression
KW - medial epicondylectomy
KW - surgeon volume
KW - ulnar nerve transposition
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U2 - 10.1016/j.jhsa.2015.05.009
DO - 10.1016/j.jhsa.2015.05.009
M3 - Article
C2 - 26142079
AN - SCOPUS:84940437027
VL - 40
SP - 1824
EP - 1831
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
SN - 0363-5023
IS - 9
ER -