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Journal ArticleDOI

Conservative or surgical treatment for subacromial impingement syndrome? A systematic review

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TLDR
There is no evidence from the available RCTs for differences in outcome in pain and shoulder function between conservatively and surgically treated patients with SIS, according to the best-evidence synthesis.
About
This article is published in Journal of Shoulder and Elbow Surgery.The article was published on 2009-07-01. It has received 177 citations till now. The article focuses on the topics: Randomized controlled trial & Shoulder Impingement Syndrome.

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Citations
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Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests

TL;DR: The use of any single ShPE test to make a pathognomonic diagnosis cannot be unequivocally recommended and there is a great need for large, prospective, well-designed studies that examine the diagnostic accuracy of the many aspects of the clinical examination and what combinations of these aspects are useful in differentially diagnosing pathologies of the shoulder.
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Guideline for diagnosis and treatment of subacromial pain syndrome

TL;DR: A working group formed from a number of Dutch specialist societies, joined by the Dutch Orthopedic Association, has produced a new outlook for the treatment of subacromial pain syndrome, with no convincing evidence that surgical treatment for SAPS is more effective than conservature management.
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Clinical effectiveness and cost-effectiveness of open and arthroscopic rotator cuff repair [the UK Rotator Cuff Surgery (UKUFF) randomised trial]

TL;DR: In patients aged > 50 years with a degenerative rotator cuff tear there is no difference in clinical effectiveness or cost-effectiveness between open repair and arthroscopic repair, according to intention-to-treat analysis.
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Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence.

TL;DR: Moderate to strong evidence suggests that exercise therapy and psychosocial interventions are effective for relieving pain and improving function for musculoskeletal pain.
References
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Journal ArticleDOI

Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials.

TL;DR: Empirical evidence is provided that inadequate methodological approaches in controlled trials, particularly those representing poor allocation concealment, are associated with bias.
Journal ArticleDOI

Updated method guidelines for systematic reviews in the cochrane collaboration back review group.

TL;DR: The recommendations are divided in five categories: literature search, inclusion criteria, methodologic quality assessment, data extraction, and data analysis, and additional recommendations are included regarding assessment of clinical relevance, and reporting of results and conclusions.
Journal ArticleDOI

What is meant by intention to treat analysis? Survey of published randomised controlled trials

TL;DR: Assessment of reports of randomised controlled trials published in 1997 found that intention to treat was used, but handling of deviations from randomised allocation varied widely and methods used to deal with this were generally inadequate, potentially leading to bias.
Journal ArticleDOI

Prevalence and incidence of shoulder pain in the general population; a systematic review.

TL;DR: The reported prevalence figures on shoulder complaints diverged strongly and health professionals and policymakers who estimate the amount of medical care needed and related costs should be aware of the variations in prevalence rate and the underlying reasons for these differences.

De Smet L.

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