Teunissen Joris S, Griffiths Timothy T, van der Heijden Brigitte E P A, Wade Ryckie G, Lane Jennifer C E, Hovius Steven E R, Bourke Grainne, Issa Fadi, Rodrigues Jeremy N, Harrison Conrad J
Department of Plastic, Reconstructive and Hand Surgery, Radboud Institute of Health Research, Radboud University Medical Centre, Nijmegen, The Netherlands.
Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
J Hand Surg Eur Vol. 2025 Mar;50(3):344-351. doi: 10.1177/17531934241275487. Epub 2024 Sep 13.
This study aimed to analyse and contrast changes in health-related quality of life (HR-QoL) and hand symptoms in the first 6 months after surgical treatment for primary cubital tunnel syndrome. Data originated from the United Kingdom Hand Registry. HR-QoL was assessed using the generic EuroQol five-dimensional assessment tool (EQ-5D-5L) and hand symptoms using the Patient Evaluation Measure (PEM). In total, 281 patients were included in the statistical analysis. Cubital tunnel release resulted in clinically relevant relief of hand symptoms. However, no improvement in HR-QoL was detected by the EQ-5D-5L. As a result, current health economic models, such as those used by the National Institute for Health Care Excellence (NICE) in the UK, might conclude that cubital tunnel release is not cost-effective. This discrepancy requires exploration, and hand-specific preference-based measures might be needed for value-based healthcare in hand surgery. III.
本研究旨在分析和对比原发性肘管综合征手术治疗后头6个月内与健康相关的生活质量（HR-QoL）及手部症状的变化。数据源自英国手部注册中心。使用通用的欧洲五维健康量表评估工具（EQ-5D-5L）评估HR-QoL，使用患者评估量表（PEM）评估手部症状。总计281例患者纳入统计分析。肘管松解术使手部症状得到了具有临床意义的缓解。然而，EQ-5D-5L未检测到HR-QoL的改善。因此，当前的健康经济模型，如英国国家卫生与临床优化研究所（NICE）所使用的模型，可能会得出肘管松解术不具有成本效益的结论。这种差异需要探究，手部手术的基于价值的医疗保健可能需要基于手部特定偏好的测量方法。三、
