Date of Award
2020
Degree Type
Selective Evidence-Based Medicine Review
Degree Name
Master of Science in Health Sciences - Physician Assistant
Department
Physician Assistant Studies
Abstract
OBJECTIVE: The objective of this selective evidence-based medicine (EBM) review is to determine whether or not “Is an endoscopic thoracic sympathectomy (ETS) at the T2 level effective in resolving palmar hyperhidrosis and resulting in patient satisfaction?”
STUDY DESIGN: Systematic review of three randomized control trials published in 2009, 2016, and 2017, all in the English language. Studies were analyzed and reviewed based on population, intervention, and outcomes measured.
DATA SOURCES: Three randomized controlled trials where all published in peer-reviewed journals and researched using the PubMed and CINAHL databases.
OUTCOMES MEASURED: All three studies measured the presence or absence of palmar hyperhidrosis (PH) and/or compensatory hyperhidrosis (CH) via patient report and physical examination. All studies also measured patient satisfaction through patient questionnaires.
RESULTS: All patients in the studies except one showed immediate anhidrosis postoperatively and no PH recurrence. Despite great initial postoperative results, many patients developed CH symptoms. Patient satisfaction rate was high in all three articles reviewed.
CONCLUSIONS: The results from this systemic review suggest an endoscopic thoracic sympathectomy (ETS) at the T2 level is adequately effective in resolving palmar hyperhidrosis and resulting in patient satisfaction.
Recommended Citation
Hams, Sonora, "Is an endoscopic thoracic sympathectomy (ETS) at the T2 level effective in resolving palmar hyperhidrosis and resulting in patient satisfaction?" (2020). PCOM Physician Assistant Studies Student Scholarship. 545.
https://digitalcommons.pcom.edu/pa_systematic_reviews/545