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Surgery versus continued conservative treatment for neurogenic thoracic outlet syndrome: the first randomised clinical trial (STOPNTOS Trial).

Goeteyn J, Pesser N, Houterman S, van Sambeek MR, van Nuenen BFL, Teijink JAW.

Eur J Vasc Endovasc Surg 2022; 64: 119-127.

This study included 50 patients. After three months mean Disability of the Arm, Shoulder and Hand (DASH) score was significantly better in the surgery group: 45.1 versus 64.9, P<0.001. All patients in the conservative group applied for surgery after three months.

Comment: Although small, this is the first study to justify TOS surgery in this group.

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