The relationship of mental health status to functional outcome and satisfaction after carpal tunnel release

J Hand Surg Eur Vol. 2020 Feb;45(2):147-152. doi: 10.1177/1753193419866400. Epub 2019 Aug 12.

Abstract

We studied whether mental health status is significantly correlated to patient reported functional outcomes and satisfaction after carpal tunnel release. Over a 7-year period, 809 patients completed Short Form-12 (SF-12) questionnaires which allowed calculation of the SF-12 mental component summary 1 year postoperatively, 780 (96%) completed a satisfaction questionnaire and 777 (96%) completed a QuickDisabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Median QuickDASH score was 55 preoperatively (interquartile range [IQR] 28) and 14 postoperatively (IQR 32). A total of 674 patients were satisfied. Patients with mental disability had worse QuickDASH scores (median 34, IQR 41) and a higher incidence of dissatisfaction (52/245, 21%) than those without mental disability (n = 9, IQR 20, 10%, both p < 0.001). Regression analyses indicated scores in the SF-12 mental component summary were significantly related to postoperative QuickDASH score (p < 0.001) and satisfaction (p = 0.02). We concluded that patients with mental disability report poorer outcomes and lower satisfaction rates; however, the majority still exhibit significant improvements and are satisfied. Level of evidence: II.

Keywords: Carpal tunnel decompression; mental health; patient reported outcome; satisfaction.

MeSH terms

  • Carpal Tunnel Syndrome* / surgery
  • Disability Evaluation
  • Hand
  • Health Status
  • Humans
  • Patient Satisfaction
  • Personal Satisfaction*
  • Surveys and Questionnaires
  • Treatment Outcome