Evidence map›Paper›PMID 39402591›Full record

SynthesisJournal of orthopaedic surgery and research2024

Arthroscopic procedures for degenerative rotator cuff disease: a systematic review and network meta-analysis.

Zhennan Feng, Song Wu, Hai Hu, Hong Long, Luozhifei Zhou, Minren Shen

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zhennan FengDepartment of Orthopaedics, The Third Xiangya Hospital of Central South University, 410013, Changsha, Hunan, China.
Song WuDepartment of Orthopaedics, The Third Xiangya Hospital of Central South University, 410013, Changsha, Hunan, China.
Hai HuDepartment of Orthopaedics, The Third Xiangya Hospital of Central South University, 410013, Changsha, Hunan, China.
Hong LongDepartment of Orthopaedics, The Third Xiangya Hospital of Central South University, 410013, Changsha, Hunan, China.
Luozhifei ZhouDepartment of Rehabilitation, The Third Xiangya Hospital of Central South University, 410013, Changsha, Hunan, China.
Minren ShenDepartment of Orthopaedics, The Third Xiangya Hospital of Central South University, 410013, Changsha, Hunan, China. shenminren@163.com.

Funding

Changsha City Natural Science Foundation kq2202434
6 · The paper itself

Abstract

backgroundTreatment of rotator cuff diseases often involves various arthroscopic procedures but their combined effectiveness remains contentious, especially in complex cases.

methodsWe focused on patients with degenerative shoulder cuff diseases requiring arthroscopic rotator cuff repair. Searches covered multiple databases (Medline, Embase, Web of Science, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Cochrane Clinical Answers) up to April 1, 2024. Bias risk was assessed using RevMan (v 5.4), and a network meta-analysis was conducted with netmeta (v 2.8).

resultFrom 16 studies, 1232 patients (average age, 56.2 years; balanced sex ratio) were included. Arthroscopic rotator cuff repair ranked highest in functional score networks, surpassing other interventions. Physiotherapy was superior for pain relief compared to arthroscopic procedures combined with platelet-rich plasma (mean, 2.5; 95% confidence interval, 4.48-0.52). Arthroscopic rotator cuff repair and subacromial decompression were significantly superior to arthroscopic rotator cuff repair and subacromial decompression combined with platelet-rich plasma (MD, 1.80; 95% CI, 3.39-0.21). DISCUSSION: Moderate bias risks were noted in both networks due to blinding issues and methodological quality reporting. Arthroscopic rotator cuff repair is favored for improving shoulder function, while other procedures or intra-articular treatments offer no significant benefits. Regarding pain management, physiotherapy is preferred; however, more evidence is needed to support this recommendation and caution is advised. OTHER: Systematic review registration PROSPERO CRD42023450150.

Indexed as

ArthroscopyRotator Cuff InjuriesDecompression, SurgicalFemaleHumansMaleMiddle AgedPhysical Therapy ModalitiesPlatelet-Rich PlasmaRotator CuffTreatment OutcomeArthroscopic proceduresNetwork meta-analysisPhysiotherapyRotator cuff disease

Identifiers

PMID39402591
PMCPMC11475212

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.