Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies

Criteria for the classification of carpal tunnel syndrome for use in epidemiologic studies were developed by means of a consensus process. Twelve medical researchers with experience in conducting epidemiologic studies of carpal tunnel syndrome participated in the process. The group reached agreement...

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Bibliographic Details
Published in:American journal of public health (1971) 1998-10, Vol.88 (10), p.1447-1451
Main Authors: Rempel, D, Evanoff, B, Amadio, P C, de Krom, M, Franklin, G, Franzblau, A, Gray, R, Gerr, F, Hagberg, M, Hales, T, Katz, J N, Pransky, G
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carpal tunnel syndrome
Carpal Tunnel Syndrome - classification
Carpal Tunnel Syndrome - diagnosis
Carpal Tunnel Syndrome - epidemiology
Classification
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Criteria
Electrodiagnosis
Epidemiologic Methods
Epidemiology
Humans
Medical sciences
Medicine
Nervous system (semeiology, syndromes)
Neurology
Public health
Repetitive strain injuries
Sensitivity and Specificity
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Description
Summary:Criteria for the classification of carpal tunnel syndrome for use in epidemiologic studies were developed by means of a consensus process. Twelve medical researchers with experience in conducting epidemiologic studies of carpal tunnel syndrome participated in the process. The group reached agreement on several conceptual issues. First, there is no perfect gold standard for carpal tunnel syndrome. The combination of electrodiagnostic study findings and symptom characteristics will provide the most accurate information for classification of carpal tunnel syndrome. Second, use of only electrodiagnostic study findings is not recommended. Finally, in the absence of electrodiagnostic studies, specific combinations of symptom characteristics and physical examination findings may be useful in some settings but are likely to result in greater misclassification of disease status.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.88.10.1447