IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?

ABSTRACT Objective: The aim of this study was to investigate whether haemogram parameters are predictive factors for both the severity of the disease and a decision in favor of surgical treatment in patients with an established diagnosis of cubital tunnel syndrome (CuTS) . Methods: The medical fi...

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Main Authors: Hakan Sarman, Cengiz Isik, Mehmet Boz, Ismail Boyraz, Bunyamin Koc, Sule Aydin Turkoglu
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2016-08-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000400187&tlng=en
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author Hakan Sarman
Cengiz Isik
Mehmet Boz
Ismail Boyraz
Bunyamin Koc
Sule Aydin Turkoglu
author_facet Hakan Sarman
Cengiz Isik
Mehmet Boz
Ismail Boyraz
Bunyamin Koc
Sule Aydin Turkoglu
author_sort Hakan Sarman
collection DOAJ
description ABSTRACT Objective: The aim of this study was to investigate whether haemogram parameters are predictive factors for both the severity of the disease and a decision in favor of surgical treatment in patients with an established diagnosis of cubital tunnel syndrome (CuTS) . Methods: The medical files of patients with a diagnosis of CuTS who were followed-up conservatively (n=92) or surgically treated (n=92) were retrospectively screened and the haemogram parameters were recorded . Results: The receiver operating characteristic (ROC) curve analysis revealed an area of 0.665 under the curve, with 76.3% sensitivity and 84.8% specificity at the cut-off of a red cell distribution width (RDW) level grater than 15.45%. RDW levels higher than 15.5%, electromyography (EMG) severity, and a clinical score higher than three were found to be independently associated with surgery . Conclusion: An elevated RDW value was related to the severity of the electromyogram. RDW may, therefore, be a useful independent predictor for the decision to surgical treatment of CuTS. Level of Evidence III, Retrospective Study.
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spelling doaj.art-8ca3a7ae899f4730811de6665cb832402022-12-21T21:23:36ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522016-08-0124418719010.1590/1413-785220162404156646IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?Hakan SarmanCengiz IsikMehmet BozIsmail BoyrazBunyamin KocSule Aydin TurkogluABSTRACT Objective: The aim of this study was to investigate whether haemogram parameters are predictive factors for both the severity of the disease and a decision in favor of surgical treatment in patients with an established diagnosis of cubital tunnel syndrome (CuTS) . Methods: The medical files of patients with a diagnosis of CuTS who were followed-up conservatively (n=92) or surgically treated (n=92) were retrospectively screened and the haemogram parameters were recorded . Results: The receiver operating characteristic (ROC) curve analysis revealed an area of 0.665 under the curve, with 76.3% sensitivity and 84.8% specificity at the cut-off of a red cell distribution width (RDW) level grater than 15.45%. RDW levels higher than 15.5%, electromyography (EMG) severity, and a clinical score higher than three were found to be independently associated with surgery . Conclusion: An elevated RDW value was related to the severity of the electromyogram. RDW may, therefore, be a useful independent predictor for the decision to surgical treatment of CuTS. Level of Evidence III, Retrospective Study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000400187&tlng=enCubital tunnel syndrome/diagnosisCubital tunnel syndrome/etiologyCubital tunnel syndrome/surgeryCubital tunnel syndrome/blood
spellingShingle Hakan Sarman
Cengiz Isik
Mehmet Boz
Ismail Boyraz
Bunyamin Koc
Sule Aydin Turkoglu
IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
Acta Ortopédica Brasileira
Cubital tunnel syndrome/diagnosis
Cubital tunnel syndrome/etiology
Cubital tunnel syndrome/surgery
Cubital tunnel syndrome/blood
title IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
title_full IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
title_fullStr IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
title_full_unstemmed IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
title_short IS RDW A PREDICTIVE PARAMETER FOR CUBITAL TUNNEL SYNDROME PATIENTS REQUIRING SURGERY?
title_sort is rdw a predictive parameter for cubital tunnel syndrome patients requiring surgery
topic Cubital tunnel syndrome/diagnosis
Cubital tunnel syndrome/etiology
Cubital tunnel syndrome/surgery
Cubital tunnel syndrome/blood
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000400187&tlng=en
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