October/November 2010 (vol. 07/3)
Carpal tunnel syndrome at work
A structured review of literature and synthesis of expert opinion resulted in 31 quality measures for the diagnosis, treatment and OH management of carpal tunnel syndrome (CTS). Using the RAND/UCLA Appropriateness Method – which assesses available evidence while addressing evidence gaps by synthesising expert opinion – 31 of 40 draft measures are rated as valid and feasible. Nine measures relate to diagnosis, 11 to non-surgical treatments, and 11 to the association between symptoms and work, managing occupational activities and adjustments for functional limitations. There is good agreement between these measures and an existing ACOEM treatment guideline, although the new measures do not support the use of non-steroidal anti-inflammatory drugs for CTS.
Occupational Health at Work October/November 2010 (vol. 07/3) pp40