National Utilization Patterns of Steroid Injection and Operative Intervention for Treatment of Common Hand Conditions

The Journal of Hand Surgery
Erika D SearsKevin C Chung

Abstract

To conduct a population-level analysis of practice trends and probability of surgery based on the number of steroid injections for common hand conditions. Patients aged at least 18 years receiving injection or surgery for carpal tunnel syndrome (CTS), trigger finger (TF), or de Quervain tenovaginitis (DQ) were identified for inclusion using the 2009 to 2013 Truven MarketScan databases. The researchers counted the number of injections performed and calculated the time between injection and operation for patients receiving both treatments. A multivariable logistic regression model was created to evaluate the odds of undergoing surgery based on the number of injections performed, controlling for patient age, sex, comorbidities, and insurance type. The study sample included 251,030 patients who underwent steroid injection or operative release for CTS (n = 129,917), TF (n = 102,778), and DQ (n = 18,335). Most patients with CTS were managed with immediate surgery (71%), whereas most patients with TF and DQ were managed initially with injection (74% and 84%, respectively). Among patients receiving both an injection and an operation, a single injection was the most common practice before surgery (69%, 58%, and 67% of patients with CTS,...Continue Reading

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Citations

Jun 24, 2017·Hand : Official Journal of the American Association for Hand Surgery·Louis C GrandizioJoel C Klena
Oct 21, 2017·Annals of Plastic Surgery·Brent R DeGeorgeRaymond F Morgan
Nov 24, 2017·Hand : Official Journal of the American Association for Hand Surgery·Michael T MiloneJohn T Capo
Jul 12, 2018·Plastic and Reconstructive Surgery·Kevin J ShultzRobert A Weber
Nov 28, 2018·Hand : Official Journal of the American Association for Hand Surgery·Jad Abi-RafehStephanie Thibaudeau
Dec 28, 2018·Plastic and Reconstructive Surgery·Kelly L ScottKevin J Renfree
Mar 19, 2019·Hand : Official Journal of the American Association for Hand Surgery·Ajith Malige, Kristofer S Matullo
Dec 12, 2018·Plastic and Reconstructive Surgery·Nasa FujiharaKevin C Chung
Apr 18, 2020·Plastic and Reconstructive Surgery·Jad Abi-RafehStephanie Thibaudeau
Jun 27, 2020·Plastic and Reconstructive Surgery·Jad Abi-RafehStephanie Thibaudeau
Nov 7, 2019·Hand : Official Journal of the American Association for Hand Surgery·Brian D RinkerF Ryan Wermeling
Jul 4, 2020·Techniques in Hand & Upper Extremity Surgery·Verena J M M SchrierJeffrey S Brault
Jul 8, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·H Paco KangRachel Lefebvre

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