Cochrane · systematic review · CD008265
Endoscopic release for carpal tunnel syndrome
Vasiliadis, HS, Georgoulas, P, Shrier, I, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
NeuromuscularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 10%Low 8 · 80%Moderate 1 · 10%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Endoscopic versus open or mini‐open carpal tunnel release for carpal tunnel syndrome
Population: participants with carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Symptom Severity Scale (Levine) at 3 months or less Participants' self assessment questionnaire. Scale from: 1 to 5. Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 5 studies · 551 participants | Low Downgraded: risk of bias, inconsistency |
Functional Status Scale (Levine) at 3 months or less Participants' self assessment questionnaire. Scale from: 1 to 5. Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 5 studies · 551 participants | Low Downgraded: risk of bias, inconsistency |
Grip strength at 3 months or less Dynamometer Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 6 studies · 560 participants | Moderate Downgraded: risk of bias |
Overall improvement at more than 3 months Participants' subjective evaluation Endoscopic vs open or mini‐open carpal tunnel release | RR 1.04 [0.95, 1.14] | 4 studies · 317 participants | Low Downgraded: risk of bias, imprecision |
Symptom Severity Scale (Levine) at more than 3 months Participants' self assessment questionnaire. Scale from: 1 to 5. Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 2 studies · 273 participants | Low Downgraded: risk of bias, imprecision |
Function Status Scale (Levine) at more than 3 months Participants' self assessment questionnaire. Scale from: 1 to 5. Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 2 studies · 273 participants | Low Downgraded: risk of bias, imprecision |
Grip strength at more than 3 months Dynamometer. Scale from: 0 to 50. Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 2 studies · 56 participants | Low Downgraded: risk of bias, imprecision |
Time to return to work (in days) Endoscopic vs open or mini‐open carpal tunnel release | no estimate extracted | 4 studies · 274 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Major complications (events) Endoscopic vs open or mini‐open carpal tunnel release | RR 1 [0.38, 2.64] | 15 studies · 1508 participants | Low Downgraded: risk of bias |
Minor complications events with minor complications Endoscopic vs open or mini‐open carpal tunnel release | RR 0.55 [0.38, 0.81] | 18 studies · 1786 participants | Low Downgraded: risk of bias |