<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732021000200122</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v37i2.12763</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Eficácia dos corticoides orais no alívio dos sintomas da síndroma do canal cárpico: qual a evidência atual?]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of oral corticoids in relieving symptoms of carpal tunnel syndrome: what is the current evidence?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Nuno Teles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teles]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serra]]></surname>
<given-names><![CDATA[Maria João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Vânia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS de Gondomar USF Fânzeres ]]></institution>
<addr-line><![CDATA[Fânzeres ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>122</fpage>
<lpage>131</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732021000200122&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732021000200122&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732021000200122&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: A síndroma do túnel cárpico (STC) é causada pela compressão do nervo mediano no seu trajeto através do túnel cárpico e é a neuropatia mais frequente do membro superior.  Objetivo:  Rever e analisar a evidência atual sobre a eficácia dos corticoides orais no alívio dos sintomas em pacientes com síndroma do túnel cárpico.  Material e métodos:  Pesquisa de guidelines (GL), ensaios clínicos aleatorizados e controlados (ECA), revisões sistemáticas (RS) e meta-análises (MA), publicadas entre 2009 e 2019, nas bases de dados e sítios de medicina baseada na evidência da PubMed, da Cochrane Library, DARE, Bandolier, TRIP Database, BMJ Evidence-Based Medicine, National Guideline Clearinghouse, NICE, Canadian Medical Association Practice Guidelines Infobase e Primary Care Clinical Practice Guidelines, utilizando-se os descritores MeSH: &#8216;carpal tunnel syndrome&#8217; e &#8216;corticosteroids&#8217;. Foi aplicada a escala Strength of Recommendation Taxonomy (SORT), da American Academy of Family Physicians, para atribuição dos níveis de evidência (NE) e das forças de recomendação (FR).  Resultados:  Dos 172 artigos devolvidos da pesquisa efetuada foram selecionados seis: um ECA, quatro RS e uma norma de orientação clínica (NOC). A eficácia dos corticoides orais a curto-médio prazo no alívio sintomático da STC é evidenciada por vários ECA e RS metodologicamente bem concebidos. Na maioria dos estudos a administração oral de 20mg de prednisolona por duas semanas conduz ao alívio temporário dos sintomas.  Conclusões:  A corticoterapia oral pode ser usada no alívio temporário dos sintomas do STC a curto prazo, num regime de 20mg diários de prednisolona durante duas semanas (SORT A). O seu uso no tratamento a médio e a longo prazo apresenta um nível de evidência mais baixo (SORT B).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Carpal tunnel syndrome (CTS) is caused by compression of the median nerve as it travels through the carpal tunnel and is the most common upper limb neuropathy.  Objective:  To review and analyze the current evidence on the influence of oral corticosteroids on the diagnosis of patients with carpal tunnel syndrome.  Material and Methods:  Research for guidelines (GL), randomized controlled clinical trials (RCT), systematic reviews (SR) and meta-analyzes (MA) published between 2009 and 2019, in multiple databases and evidence medical sites from PubMed, The Cochrane Library, DARE, Bandolier, TRIP Database, BMJ Evidence-Based Medicine, National Guideline Clearinghouse, NICE, Canadian Medical Association Practice Guidelines Infobase e Primary Care Clinical Practice Guidelines, using the MeSH terms: "carpal tunnel syndrome" and "corticosteroids". It was applied the SORT scale of the American Academy of Family Physicians for assigning levels of evidence (LE) and strength of recommendations (SR).  Results:  Of the 172 articles retrieved by the research, six were selected: one RCT, four SR and one GL. The effectiveness of corticosteroids in the short- medium term on symptoms control of CTS is evidenced by several methodologically well designed RCTs and SR. In most studies, oral administration of prednisolone 20 mg for two weeks led to temporary symptom relief.  Conclusions:  Oral corticosteroids can be used in the temporary treatment of short-term CTS symptoms using prednisolone 20 mg daily for two weeks (SORT A). Its use in the medium- and long-term treatment has a lower level of evidence (SORT B).]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Síndroma do túnel cárpico]]></kwd>
<kwd lng="pt"><![CDATA[Corticosteroides]]></kwd>
<kwd lng="en"><![CDATA[&#8220;carpal tunnel syndrome&#8221;]]></kwd>
<kwd lng="en"><![CDATA[&#8220;corticosteroids&#8221;]]></kwd>
</kwd-group>
</article-meta>
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