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Subacromial decompr...
Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis
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- Lahdeoja, Tuomas (author)
- Univ Helsinki, Finland; HUS Helsinki Univ Hosp, Finland;
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- Karjalainen, Teemu (author)
- Univ Helsinki, Finland; Monash Univ, Australia;
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- Jokihaara, Jarkko (author)
- Univ Helsinki, Finland; Tampere Univ Hosp, Finland;
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- Salamh, Paul (author)
- Univ Indianapolis,USA
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- Kavaja, Lauri (author)
- Univ Helsinki, Finland; South Karelia Cent Hosp, Finland;
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- Agarwal, Arnav (author)
- Univ Toronto, Canada
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- Winters, Marinus (author)
- Aalborg Univ, Denmark
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- Buchbinder, Rachelle (author)
- Monash Univ, Australia;
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- Guyatt, Gordon (author)
- McMaster Univ, Canada
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- Vandvik, Per Olav (author)
- Lovisenberg Diaconal Hosp, Norway; Univ Oslo, Norway;
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- Ardern, Clare (author)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,La Trobe Univ, Australia
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(creator_code:org_t)
- 2019-01-15
- 2020
- English.
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In: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 54:11, s. 665-
- Related links:
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https://bjsm.bmj.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Objective To determine the benefits and harms of subacromial decompression surgery in adult patients with subacromial pain syndrome lasting for more than 3 months. Design Systematic review with meta-analysis. Main outcome measures Pain, physical function and health-related quality of life. Data sources Systematic searches for benefits and harms were conducted to 23 July 2018 in MEDLINE, Embase, PubMed, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, ClinicalTrials.gov, WHO International Clinical Trials Registry Platform, Database of Abstracts of Reviews of Effects, and Health Technology Assessment. Eligibility criteria for selecting studies Randomised controlled trials comparing subacromial decompression surgery for subacromial pain syndrome with any other treatment(s). For harms, we included prospective cohort studies. Review methods Two reviewers independently determined eligibility, extracted the data and assessed the risk of bias of eligible studies. Thirty patients seeking primary or outpatient care for subacromial pain syndrome and a parallel guideline committee (BMJ Rapid Recommendations) provided input regarding systematic review design and interpretation. Results There was high certainty evidence of no additional benefit of subacromial decompression surgery over placebo surgery in reducing pain at 1 year following surgery (mean difference [MD] -0.26, 95% CI -0.84 to 0.33, minimally important difference [MID] 1.5) or improving physical function at 1-2 years (MD 2.8, 95% CI -1.4 to 6.9, MID 8.3). There was moderate certainty evidence for no additional benefit of subacromial decompression surgery on health-related quality of life at 1 year (MD -0.03 points, 95% CI -0.11 to 0.06, MID 0.07). There was moderate certainty evidence for six serious harms per 1000 (95% CI 5 to 7) patients undergoing subacromial decompression. Conclusion Subacromial decompression surgery provided no important benefit compared with placebo surgery or exercise therapy, and probably carries a small risk of serious harms. Systematic reviewregistration number CRD42018086862.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- shoulder; rotator cuff; arthroscopic surgery; exercise rehabilitation
Publication and Content Type
- ref (subject category)
- for (subject category)
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- By the author/editor
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Lahdeoja, Tuomas
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Karjalainen, Tee ...
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Jokihaara, Jarkk ...
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Salamh, Paul
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Kavaja, Lauri
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Agarwal, Arnav
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show more...
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Winters, Marinus
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Buchbinder, Rach ...
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Guyatt, Gordon
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Vandvik, Per Ola ...
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Ardern, Clare
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
- Articles in the publication
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British Journal ...
- By the university
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Linköping University