Systematic review of the surgical management of rotator cuff repair with an augmentative patch: a feasibility study protocol View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-11-13

AUTHORS

Gemma Greenall, Andrew Carr, David Beard, Jonathan Rees, Amar Rangan, Naomi Merritt, Melina Dritsaki, Navraj S. Nagra, Mathew Baldwin, Sally Hopewell, Jonathan A. Cook

ABSTRACT

BACKGROUND: Shoulder pain is a common problem in the general population and is responsible for prolonged periods of disability, loss of productivity, absence from work and inability to carry out household activities. Rotator cuff problems account for up to 70% of shoulder pain problems and are the third most prevalent musculoskeletal disorder after those occurring in the lower back and neck. Rotator cuff surgery has high failure rates (25-50% within 12 months), and as a result, there is a pressing need to improve the outcome of rotator cuff surgery. Patch augmented surgery for rotator cuff repairs has recently been developed and is increasingly being used within the UK National Health Service. Patch augmented surgery could lead to a dramatic improvement in patient and surgical outcomes, but its clinical and cost effectiveness needs rigorous evaluation. The existing evidence on the use of patches may be at risk of bias as currently only a small number of single-centre comparative studies appear to have been carried out. Additionally, it is unclear for which patches a clinical study (comparative and non-comparative) has been conducted. This paper outlines the protocol for a systematic review intended to summarise the best available clinical evidence and will indicate what further research is required. METHODS: Electronic databases (Medline, Embase and Cochrane) will be systematically searched between April 2006 and the present day for relevant publications using a specified search strategy, which can be adapted for the use in multiple electronic databases, and inclusion criteria. Screening of both titles and abstracts will be done by two independent reviewers with any discrepancies resolved by a third independent reviewer. Data extraction will include information regarding the type of participants, type of intervention and outcomes including but not limited to shoulder-specific function and pain scores, patch-related adverse events and type of study. The results will be summarised in a narrative review where qualitative analysis is not possible. DISCUSSION: This review aims to collate the current evidence base regarding the use of patches to augment rotator cuff repair. The results of this review will help to develop, using consensus methods, the design of a definitive randomised trial assessing the clinical and cost-effectiveness of a patch to augment surgical repair of the rotator cuff that is both acceptable to stakeholders and is feasible. SYSTEMATIC REVIEW REGISTRATION: CRD42017057908. More... »

PAGES

187

References to SciGraph publications

  • 2010-04. Surgical options for patients with shoulder pain in NATURE REVIEWS RHEUMATOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13643-018-0851-1

    DOI

    http://dx.doi.org/10.1186/s13643-018-0851-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1109892252

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30424809


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    102 productivity
    103 prolonged period
    104 protocol
    105 publications
    106 qualitative analysis
    107 rate
    108 relevant publications
    109 repair
    110 research
    111 results
    112 review
    113 reviewers
    114 rigorous evaluation
    115 risk
    116 risk of bias
    117 rotator cuff
    118 rotator cuff problems
    119 rotator cuff repair
    120 rotator cuff surgery
    121 scores
    122 search strategy
    123 services
    124 shoulder pain
    125 shoulder pain problems
    126 shoulder-specific function
    127 single-center comparative study
    128 small number
    129 specified search strategy
    130 stakeholders
    131 strategies
    132 study
    133 study protocol
    134 surgery
    135 surgical management
    136 surgical outcomes
    137 surgical repair
    138 systematic review
    139 third independent reviewer
    140 title
    141 trials
    142 type of intervention
    143 type of study
    144 types
    145 types of participants
    146 use
    147 use of patches
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