Palmer D H, Hanrahan L P
University of Minnesota, Department of Orthopaedic Surgery, Minneapolis, USA.
Instr Course Lect. 1995;44:167-72.
In conclusion, we estimate the incidence of carpal tunnel surgery to be between 400,000 and 500,000 cases annually in the United States, with economic costs in excess of $2 billion per year. The costs incurred in workers' compensation cases are almost three times those of other workers and five times those of nonworkers. Despite an increase in medial costs for endoscopic carpal tunnel release, the procedure has a potential to decrease overall costs by lowering productivity and wage reimbursement losses. With better surveillance and data collection systems, workers at risk can be identified and the incidence of occupational carpal tunnel syndrome reduced through appropriate worksite intervention.
总之，我们估计在美国每年腕管手术的发生率在40万至50万例之间，每年的经济成本超过20亿美元。工伤赔偿案件的成本几乎是其他工人的三倍，是非工人的五倍。尽管内窥镜腕管松解术的医疗成本有所增加，但该手术有可能通过降低生产力和工资补偿损失来降低总体成本。通过更好的监测和数据收集系统，可以识别出有风险的工人，并通过适当的工作场所干预降低职业性腕管综合征的发生率。
