Hug Nicholas F, Smith Brandon W, Sakamuri Sarada, Jensen Michael, Purger David A, Spinner Robert J, Wilson Thomas J
Department of Neurosurgery, Stanford University, 453 Quarry Road, 250E, Stanford, Palo Alto, CA, 94304-5327, USA.
Department of Neurosurgery, Duke University, Durham, NC, USA.
Acta Neurochir (Wien). 2022 May;164(5):1337-1345. doi: 10.1007/s00701-021-05102-9. Epub 2022 Jan 7.
There is a strong need for a set of consensus outcomes to be utilized for future studies on cubital tunnel syndrome. The goal was to assess the outcome measures utilized in the cubital tunnel syndrome literature as a way of measuring popularity/acceptability and then to perform a literature review for the most commonly used outcomes.
A literature search was performed using the pubmed.gov database and Medical Subject Headings (MeSH). For each article, the following data were abstracted: study type, motor outcome(s), sensory outcome(s), composite outcome(s), patient-reported outcome (PRO) metric(s), pain outcome(s), psychological outcome(s), electrodiagnostic outcome(s), and any other outcomes that were used.
A composite outcome was reported in 52/85 (61%) studies, with the modified Bishop score (27/85; 32%) most common. A motor outcome was reported in 44/85 (52%) studies, with dynamometry (38/85; 45%) most common. The majority of studies (55%) did not report a sensory outcome. The majority of studies (52%) did not report a PRO. A specific pain outcome was reported in the minority (23/85; 27%), with the visual analogue scale (VAS) (22/85; 26%) most common. Pre- and postoperative electrodiagnostic results were presented in 22/85 studies (26%).
Understanding current clinical practice and historical outcomes reporting provides a foundation for discussion regarding the development of a core outcome set for cubital tunnel syndrome. We hope that the data provided in the current study will stoke a discussion that will culminate in a consensus statement for research reporting in cubital tunnel syndrome studies.
非常需要一套共识性结果用于未来关于肘管综合征的研究。目标是评估肘管综合征文献中所使用的结果指标，以此衡量其受欢迎程度/可接受性，然后对最常用的结果进行文献综述。
使用pubmed.gov数据库和医学主题词（MeSH）进行文献检索。对于每篇文章，提取以下数据：研究类型、运动结果、感觉结果、综合结果、患者报告结果（PRO）指标、疼痛结果、心理结果、电诊断结果以及使用的任何其他结果。
85项研究中有52项（61%）报告了综合结果，其中改良毕晓普评分（27/85；32%）最为常见。85项研究中有44项（52%）报告了运动结果，其中握力测量（38/85；45%）最为常见。大多数研究（55%）未报告感觉结果。大多数研究（52%）未报告患者报告结果。少数研究（23/85；27%）报告了特定的疼痛结果，其中视觉模拟量表（VAS）（22/85；26%）最为常见。22/85项研究（26%）展示了术前和术后的电诊断结果。
了解当前的临床实践和历史结果报告为讨论肘管综合征核心结果集的制定提供了基础。我们希望本研究提供的数据将引发一场讨论，最终形成关于肘管综合征研究报告的共识声明。
