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Accuracy of Ultrasonography for the Diagnosis of Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis

dc.contributor.authorTorres-Costoso A.
dc.contributor.authorMartínez-Vizcaíno V.
dc.contributor.authorÁlvarez-Bueno C.
dc.contributor.authorFerri-Morales A.
dc.contributor.authorCavero-Redondo I.
dc.date.accessioned2020-09-02T22:29:20Z
dc.date.available2020-09-02T22:29:20Z
dc.date.issued2018
dc.identifier10.1016/j.apmr.2017.08.489
dc.identifier.citation99, 4, 758-765.e10
dc.identifier.issn00039993
dc.identifier.urihttps://hdl.handle.net/20.500.12728/6419
dc.descriptionObjective: To evaluate the accuracy of inlet and outlet ultrasonography measurements for the diagnosis of carpal tunnel syndrome (CTS). Data Sources: MEDLINE, EMBASE, the Cochrane Library, and the Web of Science databases were systematically searched from inception to February 2017. Study Selection: Observational studies comparing the diagnostic accuracy of inlet and outlet ultrasonography measurements were selected. Data Extraction: Random-effects models for the diagnostic odds ratio (dOR) values computed by Moses' constant for a linear model and 95% confidence intervals (CIs) were used to calculate the accuracy of the test. Hierarchical summary receiver operating characteristic curves were used to summarize overall test performance. Data Synthesis: Twenty-eight published studies were included in the meta-analysis. The pooled dOR values for the diagnosis of CTS were 31.11 (95% CI, 20.42–47.40) for inlet-level and 16.94 (95% CI, 7.58–37.86) for outlet-level measurements. The 95% confidence region for the point that summarizes overall test performance of the included studies occurred where the cutoffs ranged from 9.0 to 12.6mm2 for inlet-level measurements and from 9.5 to 10.0mm2 for outlet-level measurements. Conclusions: Both ultrasonography measurements for the diagnosis of CTS showed sufficient accuracy for their use in clinical settings, although the overall accuracy was slightly higher for inlet-level than for outlet-level measurements. The addition of outlet and inlet measurements does not increase the accuracy for the diagnosis. Therefore, the inlet-level ultrasonography measurement appears to be an appropriate method for the diagnosis of CTS. © 2017 American Congress of Rehabilitation Medicine
dc.language.isoen
dc.publisherW.B. Saunders
dc.subjectMedian nerve
dc.subjectMedian neuropathy
dc.subjectRehabilitation
dc.subjectUltrasonography
dc.subjectcarpal tunnel syndrome
dc.subjectclinical evaluation
dc.subjectCochrane Library
dc.subjectcomparative study
dc.subjectdiagnostic accuracy
dc.subjectdiagnostic test accuracy study
dc.subjectechography
dc.subjectEmbase
dc.subjecthuman
dc.subjectMedline
dc.subjectmeta analysis
dc.subjectReview
dc.subjectsensitivity analysis
dc.subjectsystematic review
dc.subjecttask performance
dc.subjectWeb of Science
dc.subjectadult
dc.subjectaged
dc.subjectanatomy
dc.subjectanatomy and histology
dc.subjectcarpal tunnel syndrome
dc.subjectdiagnostic imaging
dc.subjectfemale
dc.subjectmale
dc.subjectmedian nerve
dc.subjectmiddle aged
dc.subjectobservational study
dc.subjectodds ratio
dc.subjectprocedures
dc.subjectreceiver operating characteristic
dc.subjectstatistical model
dc.subjectAdult
dc.subjectAged
dc.subjectAnatomy, Cross-Sectional
dc.subjectCarpal Tunnel Syndrome
dc.subjectFemale
dc.subjectHumans
dc.subjectLinear Models
dc.subjectMale
dc.subjectMedian Nerve
dc.subjectMiddle Aged
dc.subjectObservational Studies as Topic
dc.subjectOdds Ratio
dc.subjectROC Curve
dc.subjectUltrasonography
dc.titleAccuracy of Ultrasonography for the Diagnosis of Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis
dc.typeReview


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