scholarly journals Diagnostic Accuracy of Mri/Mra in Detecting Subscapularis Tears of Patients Scheduled For Rotator Cuff Surgery: A Mini- Systematic Review

2018 ◽  
Vol 2 (4) ◽  
Author(s):  
Michel Kandel
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Diagnostic Accuracy ◽  
Rotator Cuff Surgery

Diagnostic accuracy of ultrasound for rotator cuff tears in adults: A systematic review and meta-analysis

2011 ◽  
Vol 66 (11) ◽  
pp. 1036-1048 ◽  
Author(s):  
T.O. Smith ◽  
T. Back ◽  
A.P. Toms ◽  
C.B. Hing
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Diagnostic Accuracy ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals Effects of Acupuncture after Rotator Cuff Surgery: A Systematic Review

2021 ◽  
Vol 31 (4) ◽  
pp. 25-34
Author(s):  
Sang-Jin Lee ◽  
You-Me Ko ◽  
Jung-Sik Park ◽  
Tae-Yong Park ◽  
Jung-Han Lee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Rotator Cuff Surgery

scholarly journals Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

2015 ◽  
Vol 49 (20) ◽  
pp. 1316-1328 ◽  
Author(s):  
Jean-Sébastien Roy ◽  
Caroline Braën ◽  
Jean Leblond ◽  
François Desmeules ◽  
Clermont E Dionne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Diagnostic Accuracy ◽  
Meta Analysis ◽  
Mr Arthrography

scholarly journals Patch augmentation surgery for rotator cuff repair: the PARCS mixed-methods feasibility study

2021 ◽  
Vol 25 (13) ◽  
pp. 1-138
Author(s):  
Jonathan A Cook ◽  
Mathew Baldwin ◽  
Cushla Cooper ◽  
Navraj S Nagra ◽  
Joanna C Crocker ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Feasibility Study ◽  
Delphi Study ◽  
Clinical Evidence ◽  
Controlled Trial ◽  
Health Technology ◽  
Patch Use ◽  
Randomised Controlled ◽  
Rotator Cuff Surgery

Background A rotator cuff tear is a common, disabling shoulder problem. Symptoms may include pain, weakness, lack of shoulder mobility and sleep disturbance. Many patients require surgery to repair the tear; however, there is a high failure rate. There is a need to improve the outcome of rotator cuff surgery, and the use of patch augmentation (on-lay or bridging) to provide support to the healing process and improve patient outcomes holds promise. Patches have been made using different materials (e.g. human/animal skin or tissue and synthetic materials) and processes (e.g. woven or mesh). Objectives The aim of the Patch Augmented Rotator Cuff Surgery (PARCS) feasibility study was to determine the design of a definitive randomised controlled trial assessing the clinical effectiveness and cost-effectiveness of a patch to augment surgical repair of the rotator cuff that is both acceptable to stakeholders and feasible. Design A mixed-methods feasibility study of a randomised controlled trial. Data sources MEDLINE, EMBASE and the Cochrane Library databases were searched between April 2006 and August 2018. Methods The project involved six stages: a systematic review of clinical evidence, a survey of the British Elbow and Shoulder Society’s surgical membership, a survey of surgeon triallists, focus groups and interviews with stakeholders, a two-round Delphi study administered via online questionnaires and a 2-day consensus meeting. The various stakeholders (including patients, surgeons and industry representatives) were involved in stages 2–6. Results The systematic review comprised 52 studies; only 15 were comparative and, of these, 11 were observational (search conducted in August 2018). These studies were typically small (median number of participants 26, range 5–152 participants). There was some evidence to support the use of patches, although most comparative studies were at a serious risk of bias. Little to no published clinical evidence was available for a number of patches in clinical use. The membership survey of British Elbow and Shoulder surgeons [105 (21%) responses received] identified a variety of patches in use. Twenty-four surgeons (77%) completed the triallist survey relating to trial design. Four focus groups were conducted, involving 24 stakeholders. Differing views were held on a number of aspects of trial design, including the appropriate patient population (e.g. patient age) to participate. Agreement on the key research questions and the outline of two potential randomised controlled trials were achieved through the Delphi study [29 (67%)] and the consensus meeting that 22 participants attended. Limitations The main limitation was that the findings were influenced by the participants, who are not necessarily representative of the views of the relevant stakeholder groups. Conclusion The need for further clinical studies was clear, particularly given the range and number of different patches available. Future work Randomised comparisons of on-lay patch use for completed rotator cuff repairs and bridging patch use for partial rotator cuff repairs were identified as areas for further research. The value of an observational study to assess safety concerns of patch use was also highlighted. These elements are included in the trial designs proposed in this study. Study registration The systematic review is registered as PROSPERO CRD42017057908. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 13. See the NIHR Journals Library website for further project information.

scholarly journals Diagnostic value of transcranial ultrasonography for selecting subjects with large vessel occlusion: a systematic review

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Daria Antipova ◽  
Leila Eadie ◽  
Ashish Stephen Macaden ◽  
Philip Wilson
Keyword(s):  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Acute Stroke ◽  
Clinical Assessment ◽  
Assessment Tools ◽  
Large Vessel ◽  
Cochrane Library ◽  
Direct Transfer ◽  
Large Vessel Occlusion ◽  
Vessel Occlusion

Abstract Introduction A number of pre-hospital clinical assessment tools have been developed to triage subjects with acute stroke due to large vessel occlusion (LVO) to a specialised endovascular centre, but their false negative rates remain high leading to inappropriate and costly emergency transfers. Transcranial ultrasonography may represent a valuable pre-hospital tool for selecting patients with LVO who could benefit from rapid transfer to a dedicated centre. Methods Diagnostic accuracy of transcranial ultrasonography in acute stroke was subjected to systematic review. Medline, Embase, PubMed, Scopus, and The Cochrane Library were searched. Published articles reporting diagnostic accuracy of transcranial ultrasonography in comparison to a reference imaging method were selected. Studies reporting estimates of diagnostic accuracy were included in the meta-analysis. Results Twenty-seven published articles were selected for the systematic review. Transcranial Doppler findings, such as absent or diminished blood flow signal in a major cerebral artery and asymmetry index ≥ 21% were shown to be suggestive of LVO. It demonstrated sensitivity ranging from 68 to 100% and specificity of 78–99% for detecting acute steno-occlusive lesions. Area under the receiver operating characteristics curve was 0.91. Transcranial ultrasonography can also detect haemorrhagic foci, however, its application is largely restricted by lesion location. Conclusions Transcranial ultrasonography might potentially be used for the selection of subjects with acute LVO, to help streamline patient care and allow direct transfer to specialised endovascular centres. It can also assist in detecting haemorrhagic lesions in some cases, however, its applicability here is largely restricted. Additional research should optimize the scanning technique. Further work is required to demonstrate whether this diagnostic approach, possibly combined with clinical assessment, could be used at the pre-hospital stage to justify direct transfer to a regional thrombectomy centre in suitable cases.

Sign in / Sign up

Export Citation Format

Share Document