Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-09-16

AUTHORS

Luca Maria Sconfienza, Miraude Adriaensen, Domenico Albano, Georgina Allen, Maria Pilar Aparisi Gómez, Alberto Bazzocchi, Ian Beggs, Bianca Bignotti, Vito Chianca, Angelo Corazza, Danoob Dalili, Miriam De Dea, Jose Luis del Cura, Francesco Di Pietto, Eleni Drakonaki, Fernando Facal de Castro, Dimitrios Filippiadis, Jan Gielen, Salvatore Gitto, Harun Gupta, Andrea S. Klauser, Radhesh Lalam, Silvia Martin, Carlo Martinoli, Giovanni Mauri, Catherine McCarthy, Eugene McNally, Kalliopi Melaki, Carmelo Messina, Rebeca Mirón Mombiela, Benedikt Neubauer, Cyprian Olchowy, Davide Orlandi, Athena Plagou, Raquel Prada Gonzalez, Saulius Rutkauskas, Ziga Snoj, Alberto Stefano Tagliafico, Alexander Talaska, Violeta Vasilevska-Nikodinovska, Jelena Vucetic, David Wilson, Federico Zaottini, Marcello Zappia, Marina Obradov

ABSTRACT

BackgroundImage-guided interventional procedures around the shoulder are commonly performed in clinical practice, although evidence regarding their effectiveness is scarce. We report the results of a Delphi method review of evidence on literature published on image-guided interventional procedures around the shoulder with a list of clinical indications.MethodsForty-five experts in image-guided musculoskeletal procedures from the ESSR participated in a consensus study using the Delphic method. Peer-reviewed papers regarding interventional procedures around the shoulder up to September 2018 were scored according to the Oxford Centre for Evidence-based Medicine levels of evidence. Statements on clinical indications were constructed. Consensus was considered as strong if more than 95% of experts agreed and as broad if more than 80% agreed.ResultsA total of 20 statements were drafted, and 5 reached the highest level of evidence. There were 10 statements about tendon procedures, 6 about intra-articular procedures, and 4 about intrabursal injections. Strong consensus was obtained in 16 of them (80%), while 4 received broad consensus (20%).ConclusionsLiterature evidence on image-guided interventional procedures around the shoulder is limited. A strong consensus has been reached for 80% of statements. The ESSR recommends further research to potentially influence treatment options, patient outcomes, and social impact.Key Points• Expert consensus produced a list of 20 evidence-based statements on clinical indications of image-guided interventional procedures around the shoulder.• The highest level of evidence was reached for five statements.• Strong consensus was obtained for 16 statements (80%), while 4 received broad consensus (20%). More... »

PAGES

903-913

References to SciGraph publications

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  • Journal

    TITLE

    European Radiology

    ISSUE

    2

    VOLUME

    30

    Author Affiliations

  • Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy
  • Department of Medical Imaging, Zuyderland Medical Center, Sittard-Geleen, Heerlen, Brunssum, Kerkrade, the Netherlands
  • Sezione di Scienze Radiologiche, Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, 90127, Palermo, Italy
  • University of Oxford, Oxford, UK
  • Department of Radiology, Hospital Vithas Nueve de Octubre, 46015, Valencia, Spain
  • Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Via G. C. Pupilli 1, 40136, Bologna, Italy
  • Department of Radiology, Royal Infirmary of Edinburgh, NHS Lothian, Edinburgh, UK
  • Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy
  • IRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, 20161, Milan, Italy
  • Department of Neurosciences, University of Genova, Genoa, Italy
  • Nuffield Orthopaedic Hospital, Oxford, UK
  • UOC Radiologia, Ospedale di Feltre, AULSS 1 Dolomiti, Veneto, Italy
  • University of the Basque Country (UPV/EHU), Leioa, Spain
  • Dipartimento di Diagnostica per Immagini, Pineta Grande Hospital, Castel Volturno, CE, Italy
  • Department of Musculoskeletal Radiology, Private Ultrasound Institution, Heraklion, Greece
  • Department of Radiology, General University Hospital of Valencia, Valencia, Spain
  • 2nd Department of Radiology, University General Hospital “ATTIKON” Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • University of Antwerp, University of Antwerp Hospital (UZA), Antwerp, Belgium
  • Università degli Studi di Milano, Milan, Italy
  • Leeds Teaching Hospitals, Leeds, UK
  • Department of Radiology, Medical University Innsbruck, Innsbruck, Austria
  • The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Gobowen, Oswestry, UK
  • Universidad de las Islas Baleares, Palma, Spain
  • DISSAL Department of Health Sciences, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
  • Division of Interventional Radiology, European Institute of Oncology, IRCCS, Milan, Italy
  • Oxford Musculoskeletal Radiology, Oxford, UK
  • Medical School of the National and Kapodistrian University of Athens, Athens, Greece
  • Herlev og Gentofte Hospital Radiologisk Afdeling, Herlev Ringvej 75, opgang 51, 2730, Herlev, Denmark
  • Radiology, Ordensklinikum, Seilerstätte 4, 4020, Linz, Austria
  • Department of Oral Dentistry, Wroclaw Medical University, Wroclaw, Poland
  • Ospedale Evangelico Internazionale Genova, Genoa, Italy
  • Department of Radiology, Private Institution of Ultrasonography, Athens, Greece
  • POVISA Hospital, Vigo, Pontevedra, Spain
  • Institute of Sport Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania
  • Institute of Radiology, University Medical Centre Ljubljana, Zaloska 7, 1000, Ljubljana, Slovenia
  • Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy
  • Department of Radiology, AUVA Trauma Centre, Vienna, Austria
  • Medical Faculty, University “Ss.Cyril and Methodius”, Skopje, North Macedonia; University Surgical Clinic “St.Naum Ohridski”, Skopje, North Macedonia
  • Department of Health Sciences (DISSAL), University of Genoa, Genova, Italy
  • Varelli Institute, Naples, Italy
  • Sint Maartenskliniek, 6500GM, 9011, Nijmegen, the Netherlands
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00330-019-06419-x

    DOI

    http://dx.doi.org/10.1007/s00330-019-06419-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1121035905

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/31529252


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