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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04604naa a2200433 4500 | |
| 001 | oai:DiVA.org:liu-167297 | |
| 003 | SwePub | |
| 008 | 200702s2020 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1672972 URI |
| 024 | 7 | a https://doi.org/10.1136/bjsports-2018-1004862 DOI |
| 040 | a (SwePub)liu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a for2 swepub-publicationtype |
| 100 | 1 | a Lahdeoja, Tuomasu Univ Helsinki, Finland; HUS Helsinki Univ Hosp, Finland;4 aut |
| 245 | 1 0 | a Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis |
| 264 | c 2019-01-15 | |
| 264 | 1 | b BMJ PUBLISHING GROUP,c 2020 |
| 338 | a print2 rdacarrier | |
| 520 | a 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. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng |
| 653 | a shoulder; rotator cuff; arthroscopic surgery; exercise rehabilitation | |
| 700 | 1 | a Karjalainen, Teemuu Univ Helsinki, Finland; Monash Univ, Australia;4 aut |
| 700 | 1 | a Jokihaara, Jarkkou Univ Helsinki, Finland; Tampere Univ Hosp, Finland;4 aut |
| 700 | 1 | a Salamh, Paulu Univ Indianapolis,USA4 aut |
| 700 | 1 | a Kavaja, Lauriu Univ Helsinki, Finland; South Karelia Cent Hosp, Finland;4 aut |
| 700 | 1 | a Agarwal, Arnavu Univ Toronto, Canada4 aut |
| 700 | 1 | a Winters, Marinusu Aalborg Univ, Denmark4 aut |
| 700 | 1 | a Buchbinder, Rachelleu Monash Univ, Australia;4 aut |
| 700 | 1 | a Guyatt, Gordonu McMaster Univ, Canada4 aut |
| 700 | 1 | a Vandvik, Per Olavu Lovisenberg Diaconal Hosp, Norway; Univ Oslo, Norway;4 aut |
| 700 | 1 | a Ardern, Clareu Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,La Trobe Univ, Australia4 aut0 (Swepub:liu)claar40 |
| 710 | 2 | a Univ Helsinki, Finland; HUS Helsinki Univ Hosp, Finland;b Univ Helsinki, Finland; Monash Univ, Australia;4 org |
| 773 | 0 | t British Journal of Sports Medicined : BMJ PUBLISHING GROUPg 54:11, s. 665-+q 54:11<665-+x 0306-3674x 1473-0480 |
| 856 | 4 | u https://bjsm.bmj.com/content/bjsports/54/11/665.full.pdf |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-167297 |
| 856 | 4 8 | u https://doi.org/10.1136/bjsports-2018-100486 |
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