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. 2023 Feb 27;2023(2):CD010003. doi: 10.1002/14651858.CD010003.pub2
Date Event Description
27 February 2023 New search has been performed Based on an updated search, 20 new studies were included in the review (Akturk 2018Boonhong 2017Chesterton 2018De Moraes 2021Eraslan 2014Gatheridge 2020Geler Kulcu 2016Hall 2013Jaladat 2017Kocaoglu 2017Oncu 2014Rioja Toro 2012Sanaee 2017Schmid 2012So 2018Ulucakoy 2020Wang 2017Willis 2016Wu 2017Yazdanpanah 2012); eight studies, included in the previous version of this review, remain included (De Entrambasaguas 2006Madjdinasab 2008Manente 2001Mishra 2006Premoselli 2006Sevim 2004Walker 2000Werner 2005); one study, which was awaiting classification in the previous version of this review, is now included (Taspinar 2007).
27 February 2023 New citation required and conclusions have changed Data, which were not pooled in meta‐analysis in the previous version of this review, are now combined (i.e. Manente 2001 and Premoselli 2006 at short‐term analysis). The previous version of this review did not include any data from Sevim 2004 in analysis, but we have included them. 
We excluded the following comparisons (included in the previous version of this review):
  • Different splint designs were excluded until splints show efficacy since all identified comparisons tested some specific splint against another specific splint and inference to other splints is limited;

  • Splint versus interventions that are unlikely disease modifying or it was impossible isolate the effect of splint (splint versus yoga; splint verus acupuncture; splint plus nerve and tendon gliding exercises with gabapentin plus nerve and tendon gliding exercises; splint plus steroid injection versus therapeutic ultrasound; splint plus steroid injection plus nerve and tendon gliding exercises versus nerve and tendon gliding exercises; splint plus steroid injection versus nerve and tendon gliding exercises; splint plus NSAID versus local corticosteroid injection).


Changes to outcomes:
  • The primary outcome is amended from "short‐term overall improvement" (in the previous version of this review) to "CTS symptoms" because the included studies did not measure this outcome in the previous review and preliminary overview (before data extraction) suggested that this outcome is rarely measured and reported.

  • We excluded "improvement in neurophysiologic parameters" from the outcomes since they are not patient‐important outcomes.

  • We added "referral to surgery" as an outcome, because it may be important outcome in clinical decision making.