Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
F1000Res. 2023 Jul 20;12:251. doi: 10.12688/f1000research.131659.1. eCollection 2023.
Carpal Tunnel Syndrome (CTS) is one such common disorder among dental health care personnel caused due to the entrapment neuropathy of the median nerve in the carpal tunnel. We aimed to evaluate the pooled estimates of the CTS among dental healthcare personnel. We systematically reviewed the existing literature from six databases till January 1 , 2022. Studies reported in English along with the prevalence of CTS or where prevalence could be calculated were included. Independent screening of title and abstracts, and the full text was done by two examiners. Information collected was authors, year of publication, geographic location, type of dental healthcare personnel, sample size, distribution of age, sex, CTS, method of diagnosis, and risk of bias. The random effect model was used to estimate the pooled estimates. Thirty-seven studies yielded 38 estimates. A total of 17,152 dental health care personnel were included of which 2717 had CTS. The overall pooled prevalence of CTS among the included studies was 15%, with a high heterogeneity. Meta-analysis showed no significant difference in the pooled estimates of CTS between male and female dental healthcare personnel (OR: 0.73; 95% CI: 0.52 -1.02; I = 69.71). The pooled estimates among the dentist and dental auxiliaries were 20% and 10%, respectively. The pooled prevalence of CTS with self-reported measures, clinical examination and NCS were 21%, 13% and 8% respectively. Meta-regression showed that the prevalence estimates were significantly associated with publication year (coefficient: 0.006; 95% CI= 0.002-0.01). One out of seven dental health care personnel may be affected by CTS. No significant difference was seen in the prevalence of CTS between male and female dental healthcare personnel.
腕管综合征（CTS）是牙科医护人员中常见的一种疾病，是由于正中神经在腕管中受压而引起的神经卡压症。我们旨在评估牙科医护人员中 CTS 的汇总估计值。我们系统地审查了截至 2022 年 1 月 1 日来自六个数据库的现有文献。纳入了报告 CTS 患病率或可计算患病率的英文研究。两名审查员独立筛选标题和摘要以及全文。收集的信息包括作者、发表年份、地理位置、牙科医护人员类型、样本量、年龄、性别、CTS、诊断方法和偏倚风险的分布情况。使用随机效应模型估计汇总估计值。37 项研究产生了 38 项估计值。共有 17152 名牙科医护人员纳入研究，其中 2717 人患有 CTS。纳入研究中 CTS 的总体汇总患病率为 15%，存在高度异质性。Meta 分析显示，男女牙科医护人员的 CTS 汇总估计值无显著差异（OR：0.73；95%CI：0.52-1.02；I = 69.71）。牙医和牙科助理的汇总估计值分别为 20%和 10%。自我报告测量、临床检查和 NCS 的 CTS 汇总患病率分别为 21%、13%和 8%。Meta 回归显示，患病率估计值与发表年份显著相关（系数：0.006；95%CI=0.002-0.01）。每七个牙科医护人员中就有一个可能患有 CTS。男女牙科医护人员的 CTS 患病率无显著差异。
