Evidence map›Paper›PMID 23615729›Full record

ArticleMedical & biological engineering & computing2014

Communication breakdown: clinicians disagree on subacromial impingement.

Pieter Bas de Witte, Jurriaan H de Groot, Erik W van Zwet, Paula M Ludewig, Jochem Nagels, Rob G H H Nelissen, Jon P Braman

Abstract read
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In one paragraph

Article in Medical & biological engineering & computing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. CHANGING OUR DIAGNOSTIC PARADIGM: MOVEMENT SYSTEM DIAGNOSTIC CLASSIFICATION.International journal of sports physical therapy · 2017
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Shoulder biomechanics and the success of translational research.Medical & biological engineering & computing · 2014
    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

7 authors.

Pieter Bas de WitteDepartment of Orthopaedic Surgery, Leiden University Medical Center (LUMC), Postzone J11R, Postbus 9600, 2300 RC, Leiden, The Netherlands, P.B.de_Witte@lumc.nl.
Jurriaan H de Groot
Erik W van Zwet
Paula M Ludewig
Jochem Nagels
Rob G H H Nelissen
Jon P Braman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

"Subacromial impingement syndrome (SIS)" is often used as a diagnostic label, but has become more controversial as such in the literature. We assessed views on SIS in clinical practice using a survey with 63 0-10 VAS items among orthopedic surgeons and physical therapists from the United States and the Netherlands. Multivariate regression and cluster analyses were applied to identify consensus items and to study profession and/or nationality effects on item ratings. Most items received neutral or highly variable ratings. Twenty-nine were considered associated with SIS, including worsening of pain with overhead activities, painful arc and a positive Neer's test. Seven items were regarded pleading against SIS, including loss of passive motion. Activity modifications and physical therapy are the most important treatments according to therapists, who highly valued motion-related etiologic mechanisms. Surgeons, with higher ratings for intrinsic and anatomic etiologies, appreciated the use of subacromial corticosteroids and surgery. Clinicians from different professional backgrounds have different views on what SIS is, and even within professional groups, variations are substantial. This has to be taken into account when communicating about SIS symptoms, for example, in intercollegial consultation or scientific research. The authors suggest cautious use of (subacromial) impingement syndrome as a diagnostic label.

Indexed as

PhysiciansArthroscopyCluster AnalysisData CollectionDiagnostic ImagingHumansNetherlandsOrthopedicsPhysical ExaminationPhysical TherapistsRange of Motion, ArticularShoulder Impingement SyndromeUnited StatesWorkforce

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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 OpenQuestion graph.