Document Detail

Outcome following surgery for thoracic outlet syndrome.
MedLine Citation:
PMID:  12917833     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: the diagnosis of thoracic outlet syndrome (TOS) relies heavily on subjective rather than objective assessment criteria. Subsequently, published results after surgical decompression vary considerably. This study aimed to use a symptom-based patient-directed questionnaire to assess the outcome after decompression for TOS. METHODS: sixty patients who underwent decompression procedures were identified from a prospectively maintained vascular database. Patient records were analysed for details regarding initial presentation, investigation, type of procedure used for decompression and management. Outcome questionnaires were sent to all identified patients to give a patient-based outcome measure. RESULTS: eighty-four per cent of patients responded. In 90% of these patients there was an improvement in symptoms post-surgery with a median follow up of 43 months. The results were not influenced by the procedure or approach used. CONCLUSION: surgery remains an effective tool in the management of TOS. A simple patient-directed questionnaire as used in this study could assist in the standardisation of outcome assessment.
V Bhattacharya; M Hansrani; M G Wyatt; D Lambert; N A G Jones
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  26     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-14     Completed Date:  2003-11-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  170-5     Citation Subset:  IM    
Queen Elizabeth Hospital, Gateshead, Newcastle upon Tyne, NE7 7DN, U.K.
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MeSH Terms
Decompression, Surgical / methods
Middle Aged
Outcome Assessment (Health Care) / methods*
Thoracic Outlet Syndrome / surgery*
Treatment Outcome

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