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Work-related carpal tunnel syndrome in Washington State workers' compensation: temporal trends, clinical practices, and disability.
Am J Ind Med. 2005 Oct; 48(4):259-69.AJ

Abstract

BACKGROUND

Work-related carpal tunnel syndrome (CTS) is a leading cause of disability. There is a need for information about temporal trends, clinical practices, and treatment outcomes.

METHODS

A population based, retrospective cohort study of Washington State workers' compensation claims for CTS was initiated focusing on claims filed during 1990-1994, followed through 2000 (n = 16,710).

RESULTS

Half of the claims were filed for conditions other than CTS, but were eventually identified to be or include CTS. The first CTS diagnosis occurred more than 3 months after claim filing in 20% of claims. The longer that the CTS diagnosis occurred after claim filing, the more likely that CTS was accompanied by other problems, and disability tended to be longer.

CONCLUSIONS

Making an accurate diagnosis of CTS and initiating appropriate actions earlier than might otherwise occur could reduce the disability and costs in a large fraction of claims that are ultimately determined to involve CTS.

Authors+Show Affiliations

Daniell WE
Department of Environmental and Occupational Health Sciences, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA. bdaniell@u.washington.edu
Fulton-Kehoe D
No affiliation info available
Chiou LA
No affiliation info available
Franklin GM
No affiliation info available

MeSH

Carpal Tunnel SyndromeDisabled PersonsHealth Care CostsHumansIncidenceOccupational DiseasesRetrospective StudiesTime FactorsWashingtonWorkers' Compensation

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16142733

Citation

Daniell, William E., et al. "Work-related Carpal Tunnel Syndrome in Washington State Workers' Compensation: Temporal Trends, Clinical Practices, and Disability." American Journal of Industrial Medicine, vol. 48, no. 4, 2005, pp. 259-69.
Daniell WE, Fulton-Kehoe D, Chiou LA, et al. Work-related carpal tunnel syndrome in Washington State workers' compensation: temporal trends, clinical practices, and disability. Am J Ind Med. 2005;48(4):259-69.
Daniell, W. E., Fulton-Kehoe, D., Chiou, L. A., & Franklin, G. M. (2005). Work-related carpal tunnel syndrome in Washington State workers' compensation: temporal trends, clinical practices, and disability. American Journal of Industrial Medicine, 48(4), 259-69.
Daniell WE, et al. Work-related Carpal Tunnel Syndrome in Washington State Workers' Compensation: Temporal Trends, Clinical Practices, and Disability. Am J Ind Med. 2005;48(4):259-69. PubMed PMID: 16142733.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Work-related carpal tunnel syndrome in Washington State workers' compensation: temporal trends, clinical practices, and disability. AU - Daniell,William E, AU - Fulton-Kehoe,Deborah, AU - Chiou,Lisa A, AU - Franklin,Gary M, PY - 2005/9/6/pubmed PY - 2006/2/2/medline PY - 2005/9/6/entrez SP - 259 EP - 69 JF - American journal of industrial medicine JO - Am J Ind Med VL - 48 IS - 4 N2 - BACKGROUND: Work-related carpal tunnel syndrome (CTS) is a leading cause of disability. There is a need for information about temporal trends, clinical practices, and treatment outcomes. METHODS: A population based, retrospective cohort study of Washington State workers' compensation claims for CTS was initiated focusing on claims filed during 1990-1994, followed through 2000 (n = 16,710). RESULTS: Half of the claims were filed for conditions other than CTS, but were eventually identified to be or include CTS. The first CTS diagnosis occurred more than 3 months after claim filing in 20% of claims. The longer that the CTS diagnosis occurred after claim filing, the more likely that CTS was accompanied by other problems, and disability tended to be longer. CONCLUSIONS: Making an accurate diagnosis of CTS and initiating appropriate actions earlier than might otherwise occur could reduce the disability and costs in a large fraction of claims that are ultimately determined to involve CTS. SN - 0271-3586 UR - https://www.unboundmedicine.com/medline/citation/16142733/Work_related_carpal_tunnel_syndrome_in_Washington_State_workers'_compensation:_temporal_trends_clinical_practices_and_disability_ DB - PRIME DP - Unbound Medicine ER -