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大众(互联网)与科学的腕管综合征病因疾病概念之间的差异。

Disparity between popular (Internet) and scientific illness concepts of carpal tunnel syndrome causation.

作者信息

Scangas George, Lozano-Calderón Santiago, Ring David

机构信息

Massachusetts General Hospital, Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Boston, MA 02114, USA.

出版信息

J Hand Surg Am. 2008 Sep;33(7):1076-80. doi: 10.1016/j.jhsa.2008.03.001.

Abstract

PURPOSE

To determine whether there are notable disparities between popular (Internet) and scientific (Index Medicus) theories of carpal tunnel syndrome (CTS) causation.

METHODS

Reports from 3 sources were evaluated with regard to support for etiological theories of CTS: 1) patient-oriented information on CTS from the Internet, 2) recent physician-oriented information on CTS from medical journals indexed on Index Medicus, and 3) articles addressing the etiology of CTS from the 1997 National Institute for Occupational Safety and Health report. Multiple logistic regression analyses evaluated differences in etiological theories from the 3 sources.

RESULTS

Internet sites implicated vitamin B(6) deficiency, tenosynovitis, and typing or computer use as causes for idiopathic CTS considerably more often and genetic predisposition considerably less often than recent Index Medicus scientific reports and reports reviewed by the National Institute for Occupational Safety and Health.

CONCLUSIONS

There are notable disparities between popular (Internet) and scientific (Index Medicus) theories of CTS causation.

摘要

目的

确定关于腕管综合征(CTS)病因的大众(互联网)理论与科学(医学索引)理论之间是否存在显著差异。

方法

评估来自3个来源的报告对CTS病因理论的支持情况:1)互联网上以患者为导向的CTS信息,2)医学索引收录的医学期刊上近期以医生为导向的CTS信息,3)1997年美国国家职业安全与健康研究所报告中关于CTS病因的文章。多项逻辑回归分析评估了这3个来源在病因理论上的差异。

结果

与近期医学索引科学报告以及美国国家职业安全与健康研究所审查的报告相比,互联网网站将维生素B6缺乏、腱鞘炎以及打字或使用电脑作为特发性CTS病因的提及频率要高得多,而将遗传易感性作为病因的提及频率要低得多。

结论

关于CTS病因的大众(互联网)理论与科学(医学索引)理论之间存在显著差异。

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