Incidence and Determinants of Carpal Tunnel Decompression Surgery in Type 2 Diabetes | Zendy

Ashley Makepeace | Zendy; Wendy A. Davis | Zendy; David Bruce | Zendy; Timothy M. E. Davis | Zendy

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Incidence and Determinants of Carpal Tunnel Decompression Surgery in Type 2 Diabetes

Author(s) -

Ashley Makepeace,

Wendy A. Davis,

David Bruce,

Timothy M. E. Davis

Publication year - 2008

Publication title -

diabetes care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 6.636

H-Index - 363

eISSN - 1935-5548

pISSN - 0149-5992

DOI - 10.2337/dc07-2058

Subject(s) - medicine , incidence (geometry) , ctd , type 2 diabetes , diabetes mellitus , carpal tunnel syndrome , population , observational study , surgery , decompression , endocrinology , environmental health , oceanography , physics , optics , geology

To examine the incidence and predictors of carpal tunnel decompression (CTD) in community-based patients with type 2 diabetes, we studied 1,284 type 2 diabetic participants (mean +/- SD age 64.1 +/- 6.1 years, 49.1% male) in the longitudinal observational Fremantle Diabetes Study who had no history of CTD. A total of 67 participants (5.8%) had a first CTD during 12,109 years (mean 9.4 +/- 3.7) of follow-up, an incidence of 5.5 per 1,000 patient-years. This was at least 4.2 times the incidence in the general population (P < 0.001). In Cox proportional hazards analysis, significant independent determinants of first-ever CTD were higher BMI, taking lipid-lowering medication, and being in a stable relationship (P <or= 0.021). The crude incidence of first CTD is increased in type 2 diabetes and is associated with obesity and sociodemographic/treatment factors that could indicate treatment-seeking behavior including CTD in symptomatic patients.

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