PMID: 15247811Jul 13, 2004Paper

Preplacement nerve testing for carpal tunnel syndrome: is it cost effective?

Journal of Occupational and Environmental Medicine
Alfred FranzblauJoanne Yihan

Abstract

Is not hiring otherwise-qualified workers who have an abnormal post-offer preplacement (POPP) median nerve test a cost-effective strategy to reduce workers' compensation expenses related to carpal tunnel syndrome (CTS)? We performed a retrospective dynamic cohort study based on 2150 workers hired at a company between January 1996 and December 2001 and who underwent POPP median nerve testing. Workers were followed until they left the company or until follow-up ended in May 2003. Thirty-five cases of work-related CTS occurred during follow-up, and 9.13 cases could have been avoided. However, if the company had not hired workers with abnormal POPP nerve test results, it would have suffered a net loss of $357,353. Not hiring workers with abnormal POPP nerve tests to reduce costs of work-related CTS is not a cost-effective strategy for employers.

References

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Citations

May 18, 2006·Journal of Occupational Rehabilitation·Robert A Werner
Nov 10, 2004·Journal of Occupational and Environmental Medicine·Michael Weiss
May 26, 2010·Scandinavian Journal of Work, Environment & Health·Bradley Evanoff, Steve Kymes
Aug 8, 2014·Journal of Occupational and Environmental Medicine·Ann Marie DaleBradley Evanoff
Dec 15, 2010·American Journal of Industrial Medicine·Ann Marie DaleBradley Evanoff
Mar 26, 2010·Muscle & Nerve·Karl J SandinUNKNOWN Carpal Tunnel Quality Group
Dec 3, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Ann Marie DaleBradley Evanoff
Dec 9, 2016·Journal of Occupational and Environmental Medicine·Ann Marie DaleBradley Evanoff
Jan 13, 2016·The Cochrane Database of Systematic Reviews·Frederieke G SchaafsmaFranciscus H W Jungbauer
Jun 14, 2019·Occupational and Environmental Medicine·Christina Bach LundJane Frølund Thomsen

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