Métodos de alocação estatística usados em ensaios clínicos randomizados sobre síndrome do túnel do carpo bilateral: uma revisão integrativa da literatura

Autores

DOI:

https://doi.org/10.33448/rsd-v11i14.35671

Palavras-chave:

Síndrome do Túnel do Carpo; Análise de Dados; Estudos randomizados.

Resumo

O objetivo deste estudo foi verificar as evidências científicas disponíveis sobre métodos de alocação e as análises estatísticas utilizadas em ensaios clínicos randomizados (ECR’s) sobre Síndrome do Túnel do Carpo (STC) bilateral. Foi realizada uma revisão integrativa da literatura, a partir de buscas em bases de dados no período de 2014 a 2021. Foram encontrados 110 artigos, dos quais 22 foram considerados elegíveis para inclusão. Os métodos de análise estatística utilizados na presença de patologias bilaterais não foram claros em seis (27,27%) casos e inadequados em outros seis (27,27%). Outros cinco (22,72%) artigos incluíram apenas o punho mais gravemente afetado para avaliação, enquanto os dados do punho direito e esquerdo foram analisados e descritos separadamente em quatro (18,18%) relatórios. Por fim, apenas um (4,54%) ECR apresentou abordagem estatística adequada. Os ECR’s sobre terapia clínica e cirúrgica da STC não utilizam modelos estatísticos que incluam repetição de dados devido à bilateralidade na avaliação dos desfechos.

Referências

Alessia, G., Dix, O., Asem, S., Mala, T., & Hassan, A. (2020). Carpal Tunnel Syndrome: A Review of Literature. Cureus, 12(3).

Ali, Z., & Bhaskar, S. B. (2016). Basic statistical tools in research and data analysis. Indian J Anaesth, 60(9), 662-669. https://doi.org/10.4103/0019-5049.190623

Armagan, O., Bakilan, F., Ozgen, M., Mehmetoglu, O., & Oner, S. (2014). Effects of placebo-controlled continuous and pulsed ultrasound treatments on carpal tunnel syndrome: a randomized trial. Clinics, 69(8), 524-528.

Bauer, D. J., Gottfredson, N. C., Dean, D., & Zucker, R. A. (2013). Analyzing repeated measures data on individuals nested within groups: Accounting for dynamic group effects. Psychological Methods, 18(1), 1-30.

Becker, J., Scalco, R. S., Pietroski, F., Celli, L. F. S., & Gomes, I. (2014). Is carpal tunnel syndrome a slow, chronic, progressive nerve entrapment? Clinical Neurophysiology, 125(3), 642-646. http://www.clinph-journal.com/article/S1388-2457(13)01005-5/abstract

Burton, C. L., Chen, Y., Chesterton, L. S., & van der Windt, D. A. (2018). Trends in the prevalence, incidence and surgical management of carpal tunnel syndrome between 1993 and 2013: an observational analysis of UK primary care records. BMJ open, 8(6), e020166.

Carlson, H., Colbert, A., Frydl, J., Arnall, E., Elliot, M., & Carlson, N. (2010). Current options for nonsurgical management of carpal tunnel syndrome. International journal of clinical rheumatology, 5(1), 129.

Chammas, M., Boretto, J., Burmann, L. M., Ramos, R. M., Neto, F. S., & Silva, J. B. (2014). Carpal tunnel syndrome – Part II (treatment). Revista Brasileira de Ortopedia (English Edition), 49(5), 437-445. https://doi.org/https://doi.org/10.1016/j.rboe.2014.08.002

Chang, Y., Hsieh, S., Horng, Y., Chen, H., Lee, K., & Horng, Y. (2014). Comparative effectiveness of ultrasound and paraffin therapy in patients with carpal tunnel syndrome: a randomized trial [Comparative Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't]. BMC musculoskeletal disorders, 15, 399. http://onlinelibrary.wiley.com/o/cochrane/clcentral/articles/210/CN-01112210/frame.html

Claire, L. B., Ying, C., Linda, S. C., & A van der Windt, D. (2018). Trends in the prevalence, incidence and surgical management of carpal tunnel syndrome between 1993 and 2013: an observational analysis of UK primary care records. BMJ open, 8. https://doi.org/10.1136/

Diez-Roux, A. V. (2000). Multilevel analysis in public health research. Annual review of public health, 21(1), 171-192.

Egger, M., Juni, P., Bartlett, C., Holenstein, F., & Sterne, J. (2003). How important are comprehensive literature searches and the assessment of trial quality in systematic reviews? Empirical study. Health Technol Assess, 7(1), 1-76.

Fusakul, Y., Aranyavalai, T., Saensri, P., & Thiengwittayaporn, S. (2014). Low-level laser therapy with a wrist splint to treat carpal tunnel syndrome: a double-blinded randomized controlled trial. Lasers in medical science, 29(3), 1279-1287.

Ghasemi-Rad, M., Nosair, E., Vegh, A., Mohammadi, A., Akkad, A., Lesha, E., Mohammadi, M. H., Sayed, D., Davarian, A., Maleki-Miyandoab, T., & Hasan, A. (2014). A handy review of carpal tunnel syndrome: From anatomy to diagnosis and treatment. World J Radiol, 6(6), 284-300. https://doi.org/10.4329/wjr.v6.i6.284

Hopewell, S., McDonald, S., Clarke, M. J., & Egger, M. (2007). Grey literature in meta‐analyses of randomized trials of health care interventions. Cochrane Database of Systematic Reviews(2).

Huisstede, B. M., Fridén, J., Coert, J. H., Hoogvliet, P., & Group, E. H. (2014). Carpal tunnel syndrome: hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline—results from the European HANDGUIDE Study. Archives of physical medicine and rehabilitation, 95(12), 2253-2263.

Manske, R. C., & Lehecka, B. (2012). Evidence–based medicine/practice in sports physical therapy. International journal of sports physical therapy, 7(5), 461.

Milone, M. T., Karim, A., Klifto, C. S., & Capo, J. T. (2019). Analysis of expected costs of carpal tunnel syndrome treatment strategies. Hand, 14(3), 317-323.

Moher, D., Schulz, K. F., Altman, D. G., & Group, C. (2003). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Clinical oral investigations, 7(1), 2-7.

Moseley, A. M., Sherrington, C., Elkins, M. R., Herbert, R. D., & Maher, C. G. (2009). Indexing of randomised controlled trials of physiotherapy interventions: a comparison of AMED, CENTRAL, CINAHL, EMBASE, hooked on evidence, PEDro, PsycINFO and PubMed. Physiotherapy, 95(3), 151-156.

Padua, L., Lo Monaco, M., Padua, R., Gregori, B., & Tonali, P. (1997). Neurophysiological classification of carpal tunnel syndrome: assessment of 600 symptomatic hands. Ital J Neurol Sci, 18(3), 145-150.

Padua, L., Pasqualetti, P., & Rosenbaum, R. (2005). One patient, two carpal tunnels: statistical and clinical analysis—by hand or by patient? Clinical Neurophysiology, 2(116), 241-243.

Page, M. J., O'Connor, D., Pitt, V., & Massy-Westropp, N. (2013). Therapeutic ultrasound for carpal tunnel syndrome. Cochrane Database Syst Rev(3), Cd009601. https://doi.org/10.1002/14651858.CD009601.pub2

Rodrigues, C. F. d. S., Lima, F. J. C. d., & Barbosa, F. T. (2017). Importância do uso adequado da estatística básica nas pesquisas clínicas. Revista brasileira de anestesiologia, 67(6), 619-625.

Sauerland, S., Lefering, R., Bayer-Sandow, T., Brüser, P., & Neugebauer, E. (2003). Fingers, hands or patients? The concept of independent observations. Journal of hand surgery, 28(2), 102-105.

Shamseer, L., Hopewell, S., Altman, D. G., Moher, D., & Schulz, K. F. (2016). Update on the endorsement of CONSORT by high impact factor journals: a survey of journal “Instructions to Authors” in 2014. Trials, 17(1), 301.

Shiwa, S. R., Costa, L. O. P., de Lima Moser, A. D., de Carvalho Aguiar, I., & de Oliveira, L. V. F. (2017). PEDro: a base de dados de evidências em fisioterapia. Fisioterapia em Movimento, 24(3).

Sim, S. E., Gunasagaran, J., Goh, K. J., & Ahmad, T. S. (2018). Short-term clinical outcome of orthosis alone vs combination of orthosis, nerve, and tendon gliding exercises and ultrasound therapy for treatment of carpal tunnel syndrome. J Hand Ther. https://doi.org/10.1016/j.jht.2018.01.004

Smith, L. H., & VanderWeele, T. J. (2019). Bounding bias due to selection. Epidemiology (Cambridge, Mass.), 30(4), 509.

Song, J. W., Haas, A., & Chung, K. C. (2009). Applications of statistical tests in hand surgery. The Journal of hand surgery, 34(10), 1872-1881.

Stevens, J. C. (1997). AAEM minimonograph 26: The electrodiagnosis of carpal tunnel syndrome [Review]. Muscle and Nerve, 20(12), 1477-1486. https://doi.org/10.1002/(SICI)1097-4598(199712)20:12<1477::AID-MUS1>3.0.CO;2-5

Stevens, J. S., S: Beard, CM: O'Fallon, WM: Kurland, LT. (1988). Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980. Neurology, 38(1), 134-134.

Tadjerbashi, K., Åkesson, A., & Atroshi, I. (2019). Incidence of referred carpal tunnel syndrome and carpal tunnel release surgery in the general population: increase over time and regional variations. Journal of Orthopaedic Surgery, 27(1), 2309499019825572.

Tarricone, R., Boscolo, P. R., & Armeni, P. (2016). What type of clinical evidence is needed to assess medical devices? European Respiratory Review, 25(141), 259-265.

Thoma, A., Veltri, K., Haines, T., & Duku, E. (2004). A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression. Plastic and reconstructive surgery, 114(5), 1137-1146.

Uchiyama, S., Itsubo, T., Nakamura, K., Kato, H., Yasutomi, T., & Momose, T. (2010). Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. Journal of Orthopaedic Science, 15(1), 1-13. http://link.springer.com/article/10.1007%2Fs00776-009-1416-x

Uribe-Quevedo, A., Ortiz, S., Rojas, D., & Kapralos, B. (2016). Hand tracking as a tool to quantify carpal tunnel syndrome preventive exercises. 2016 7th International Conference on Information, Intelligence, Systems & Applications (IISA),

Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546-553.

Winters, R., Winters, A., & Amedee, R. G. (2010). Statistics: a brief overview. Ochsner Journal, 10(3), 213-216.

Zeger, S. L., & Liang, K. Y. (1992). An overview of methods for the analysis of longitudinal data. Statistics in medicine, 11(14‐15), 1825-1839.

Zinnuroglu, M., Baspinar, M., & Beyazova, M. (2010). Carpal lock and the volar-supporting orthosis in mild and moderate carpal tunnel syndrome. American journal of physical medicine & rehabilitation, 89(9), 759-764.

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Publicado

24/10/2022

Como Citar

GEORGETO, S. M.; FERNANDES, K. B. P.; OLIVEIRA JUNIOR, E. de; ANDRAUS, R. A. C. Métodos de alocação estatística usados em ensaios clínicos randomizados sobre síndrome do túnel do carpo bilateral: uma revisão integrativa da literatura. Research, Society and Development, [S. l.], v. 11, n. 14, p. e16111435671, 2022. DOI: 10.33448/rsd-v11i14.35671. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35671. Acesso em: 30 jun. 2024.

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Ciências da Saúde