Claire Burton c.burton@keele.ac.uk
Trends in the prevalence, incidence and surgical management of carpal tunnel syndrome between 1993 and 2013: an observational analysis of UK primary care records
Burton, Claire; Chen, Ying; Chesterton, Linda S; Van Der Windt, Danielle
Authors
Ying Chen
Linda S Chesterton
Danielle Van Der Windt d.van.der.windt@keele.ac.uk
Abstract
OBJECTIVES: To describe the prevalence, incidence and surgical management of carpal tunnel syndrome (CTS), between 1993 and 2013, as recorded in the Clinical Practice Research Datalink (CPRD). DESIGN: We completed a series of cross-sectional epidemiological analyses to observe trends over time. SETTING: Primary care data collected between 1993 and 2013, stored in the CPRD. POPULATION: Individuals aged =18 years were selected. Prevalent and incident episodes of CTS and episodes of surgical intervention were identified using a list of preidentified Read codes. ANALYSIS: We defined incident episodes as those with no preceding diagnostic code for CTS in the past 2 years of data. Episodes of surgery were expressed as a percentage of the prevalent population during the same calendar year. Joinpoint regression was used to determine significant changes in the underlying trend. RESULTS: The prevalence of CTS increased over the study period, with a particular incline between 2000 and 2004 (annual percentage change 7.81). The female-to-male prevalence ratio reduced over time from 2.74 in 1993 to 1.93 in 2013. The median age of females and males with CTS were noted to increase from 49 and 53 years, respectively in 1993 to 54 and 59 years, respectively in 2013. Incidence was also noted to increase over time. After an initial increase between 1993 and 2007, the percentage of prevalent patients with a coded surgical episode began to decrease after 2007 to 27.41% in 2013 (annual percentage change -1.7). CONCLUSION: This study has demonstrated that the prevalence and incidence of CTS increased over the study period between 1993 and 2013. Rates of surgery for CTS also increased over the study period; however after 2007, the per cent of patients receiving surgery showed a statistically significant decline back to the rate seen in 2004.
Journal Article Type | Article |
---|---|
Acceptance Date | May 14, 2018 |
Publication Date | Jun 19, 2018 |
Journal | BMJ Open |
Publisher | BMJ Publishing Group |
Article Number | e020166 |
DOI | https://doi.org/10.1136/bmjopen-2017-020166 |
Keywords | musculoskeletal disorders, primary care, surgery |
Publisher URL | http://doi.org/10.1136/bmjopen-2017-020166 |
PMID | 29921681 |
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Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
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