Daniell William E, Fulton-Kehoe Deborah, Chiou Lisa A, Franklin Gary M
Department of Environmental and Occupational Health Sciences, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA.
Am J Ind Med. 2005 Oct;48(4):259-69. doi: 10.1002/ajim.20203.
Work-related carpal tunnel syndrome (CTS) is a leading cause of disability. There is a need for information about temporal trends, clinical practices, and treatment outcomes.
A population based, retrospective cohort study of Washington State workers' compensation claims for CTS was initiated focusing on claims filed during 1990-1994, followed through 2000 (n = 16,710).
Half of the claims were filed for conditions other than CTS, but were eventually identified to be or include CTS. The first CTS diagnosis occurred more than 3 months after claim filing in 20% of claims. The longer that the CTS diagnosis occurred after claim filing, the more likely that CTS was accompanied by other problems, and disability tended to be longer.
Making an accurate diagnosis of CTS and initiating appropriate actions earlier than might otherwise occur could reduce the disability and costs in a large fraction of claims that are ultimately determined to involve CTS.
与工作相关的腕管综合征（CTS）是导致残疾的主要原因。需要有关时间趋势、临床实践和治疗结果的信息。
启动了一项基于人群的华盛顿州工人因CTS提出工伤赔偿申请的回顾性队列研究，重点关注1990 - 1994年期间提交的申请，并随访至2000年（n = 16,710）。
一半的申请是因CTS以外的病症提出的，但最终被确定为或包括CTS。在20%的申请中，首次CTS诊断在申请提交后3个月以上才出现。CTS诊断在申请提交后出现的时间越长，CTS伴随其他问题的可能性就越大，残疾持续时间往往也越长。
对CTS做出准确诊断并比其他情况更早地采取适当行动，可以在很大一部分最终被确定涉及CTS的申请中减少残疾和成本。
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