Hutchison Richard L, Hutchison Alan L, Hirthler Maureen A
* Section of Hand Surgery, Division of Orthopaedic Surgery, Children's Mercy Hospitals and Clinics, University of Missouri, Kansas City, MO, USA.
† Medical Scientist Training Program, Graduate Program in the Biophysical Sciences, Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
J Hand Surg Asian Pac Vol. 2017 Mar;22(1):88-92. doi: 10.1142/S0218810417500150.
This controlled randomized experiment tested the research hypothesis that providing the CTS-6 quantitative diagnostic information to hand surgeons affects the diagnosis of carpal tunnel syndrome.
Surgeon members of American Association for Hand Surgery participated in an online survey. Demographic and practice pattern information was collected. Few surgeons routinely use diagnostic questionnaires or algorithms. Each member was given four clinical scenarios. The respondents were randomized, The experimental group was given the same scenarios as the control group plus the quantitative results of the CTS-6 diagnostic tool.
There were statistically significant differences between the groups in the diagnostic decisions. Using the CTS-6 quantitative diagnostic tool affected the diagnosis of carpal tunnel syndrome, especially for patients with the lowest number of findings associated with carpal tunnel syndrome.
While accurate diagnostic decisions are dependent on the incorporation of all of the pertinent information gathered during the history and physical exams, the results of the CTS-6 may help the clinician focus their thinking and revise their diagnostic probabilities.
这项对照随机试验检验了一个研究假设，即向手外科医生提供CTS-6定量诊断信息会影响腕管综合征的诊断。
美国手外科协会的外科医生成员参与了一项在线调查。收集了人口统计学和执业模式信息。很少有外科医生常规使用诊断问卷或算法。每位成员被给予四个临床病例。受访者被随机分组，实验组被给予与对照组相同的病例，外加CTS-6诊断工具的定量结果。
两组在诊断决策上存在统计学显著差异。使用CTS-6定量诊断工具影响了腕管综合征的诊断，尤其是对于与腕管综合征相关症状最少的患者。
虽然准确的诊断决策依赖于纳入病史和体格检查期间收集的所有相关信息，但CTS-6的结果可能有助于临床医生集中思维并修正其诊断概率。
