TY - JOUR
T1 - Predictors of postoperative outcomes of cubital tunnel syndrome treatments using multiple logistic regression analysis
AU - Suzuki, Taku
AU - Iwamoto, Takuji
AU - Shizu, Kanae
AU - Suzuki, Katsuji
AU - Yamada, Harumoto
AU - Sato, Kazuki
N1 - Publisher Copyright:
© 2017 The Japanese Orthopaedic Association
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Background This retrospective study was designed to investigate prognostic factors for postoperative outcomes for cubital tunnel syndrome (CubTS) using multiple logistic regression analysis with a large number of patients. Methods Eighty-three patients with CubTS who underwent surgeries were enrolled. The following potential prognostic factors for disease severity were selected according to previous reports: sex, age, type of surgery, disease duration, body mass index, cervical lesion, presence of diabetes mellitus, Workers' Compensation status, preoperative severity, and preoperative electrodiagnostic testing. Postoperative severity of disease was assessed 2 years after surgery by Messina's criteria which is an outcome measure specifically for CubTS. Bivariate analysis was performed to select candidate prognostic factors for multiple linear regression analyses. Multiple logistic regression analysis was conducted to identify the association between postoperative severity and selected prognostic factors. Results Both bivariate and multiple linear regression analysis revealed only preoperative severity as an independent risk factor for poor prognosis, while other factors did not show any significant association. Conclusions Although conflicting results exist regarding prognosis of CubTS, this study supports evidence from previous studies and concludes early surgical intervention portends the most favorable prognosis.
AB - Background This retrospective study was designed to investigate prognostic factors for postoperative outcomes for cubital tunnel syndrome (CubTS) using multiple logistic regression analysis with a large number of patients. Methods Eighty-three patients with CubTS who underwent surgeries were enrolled. The following potential prognostic factors for disease severity were selected according to previous reports: sex, age, type of surgery, disease duration, body mass index, cervical lesion, presence of diabetes mellitus, Workers' Compensation status, preoperative severity, and preoperative electrodiagnostic testing. Postoperative severity of disease was assessed 2 years after surgery by Messina's criteria which is an outcome measure specifically for CubTS. Bivariate analysis was performed to select candidate prognostic factors for multiple linear regression analyses. Multiple logistic regression analysis was conducted to identify the association between postoperative severity and selected prognostic factors. Results Both bivariate and multiple linear regression analysis revealed only preoperative severity as an independent risk factor for poor prognosis, while other factors did not show any significant association. Conclusions Although conflicting results exist regarding prognosis of CubTS, this study supports evidence from previous studies and concludes early surgical intervention portends the most favorable prognosis.
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U2 - 10.1016/j.jos.2017.01.003
DO - 10.1016/j.jos.2017.01.003
M3 - Article
C2 - 28153376
AN - SCOPUS:85019102882
SN - 0949-2658
VL - 22
SP - 453
EP - 456
JO - Journal of Orthopaedic Science
JF - Journal of Orthopaedic Science
IS - 3
ER -