Maine carpal tunnel study: Small area variations

As is the case for all elective procedures, small area variations occur in rates of surgery for carpal tunnel syndrome. A 1993 analysis of Maine data demonstrates that carpal tunnel release rates across population-based service areas varied 3.5-fold, from 0.82 to 2.87 per thousand. Four areas had ra...

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Veröffentlicht in:	The Journal of hand surgery (American ed.) 1998-07, Vol.23 (4), p.692-696
Hauptverfasser:	Keller, Robert B., Largay, Anne Marie, Soule, David N., Katz, Jeffrey N.
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Carpal Tunnel Syndrome - epidemiology Carpal Tunnel Syndrome - surgery Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Humans Maine - epidemiology Medical sciences Nervous system (semeiology, syndromes) Neurology Neurosurgical Procedures - utilization Practice Patterns, Physicians Small-Area Analysis
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Zusammenfassung:	As is the case for all elective procedures, small area variations occur in rates of surgery for carpal tunnel syndrome. A 1993 analysis of Maine data demonstrates that carpal tunnel release rates across population-based service areas varied 3.5-fold, from 0.82 to 2.87 per thousand. Four areas had rates significantly higher and 2 were significantly lower than the state average of 1.44 per thousand. Among many potential factors influencing variations, physician practice patterns appear to be the major contributor.
ISSN:	0363-5023 1531-6564
DOI:	10.1016/S0363-5023(98)80057-9