ArticleActa orthopaedica2015
Declining incidence of acromioplasty in Finland.
Article in Acta orthopaedica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00695981 (The Effectiveness and Cost-Effectiveness of Operative and Non-operative Management of Rotator Cuff Tear), which is not on this map. Cited by 19 papers.
What it found
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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.
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.
The Effectiveness and Cost-Effectiveness of Operative and Non-operative Management of Rotator Cuff Tear
Who cites it
19 citing papers in PubMed.
- A Pilot Study for Effectiveness and Safety of Adjunctive Pharmacopuncture to Acupuncture Treatment for Rotator Cuff Diseases: A Pragmatic Randomized Controlled Trial.Journal of pain research · 2024Trial
- Non-surgical and surgical treatments for rotator cuff disease: a pragmatic randomised clinical trial with 2-year follow-up after initial rehabilitation.Annals of the rheumatic diseases · 2021Trial
- Trial
- Which patients do not recover from shoulder impingement syndrome, either with operative treatment or with nonoperative treatment?Acta orthopaedica · 2015Trial
- Surgical Low-Value Care Between Fee-For-Service and Salaried Health Care Systems.JAMA network open · 2025Article
- Protocol for a national intervention programme aimed to reduce unwarranted variation and overuse of shoulder arthroscopy in Norway.BMJ open quality · 2025Article
- Rotator cuff tears.Nature reviews. Disease primers · 2024Review
- Substantial Variation in Decision Making to Perform Subacromial Decompression Surgery for Subacromial Pain Syndrome Between Orthopaedic Shoulder Surgeons for Identical Clinical Scenarios: A Case-Vignette Study.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- The relationship between publication of high-quality evidence and changes in the volume and trend of subacromial decompression surgery for patients with subacromial pain syndrome in hospitals across Australia, Europe and the United States: a controlled interrupted time series analysis.BMC musculoskeletal disorders · 2023Article
- Identifying Conservative Interventions for Individuals with Subacromial Pain Syndrome Prior to Undergoing a Subacromial Decompression: A Scoping Review.International journal of sports physical therapy · 2023Article
- Lower nationwide rates of arthroscopic procedures in 2016 compared with 1997 (634925 total arthroscopic procedures): has the tide turned?British journal of sports medicine · 2021Article
- Article
- Acromioplasty during repair of rotator cuff tears removes only half of the impinging acromial bone.JSES international · 2020Article
- Observational
- Appropriate care for orthopedic patients: effect of implementation of the Clinical Practice Guideline for Diagnosis and Treatment of Subacromial Pain Syndrome in the Netherlands.Acta orthopaedica · 2019Observational
- Increasing incidence of primary shoulder arthroplasty in Finland - a nationwide registry study.BMC musculoskeletal disorders · 2018Article
- Evaluation of the Trends, Concomitant Procedures, and Complications With Open and Arthroscopic Rotator Cuff Repairs in the Medicare Population.Orthopaedic journal of sports medicine · 2017Article
- Article
- Increasing incidence of rotator cuff repairs--A nationwide registry study in Finland.BMC musculoskeletal disorders · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeAn increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. PATIENTS AND
methodsDuring the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older.
resultsThe incidence of acromioplasty increased by 117% from 75 to 163 per 10(5) person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 10(5) person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics.
interpretationWe propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011.
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Registered trials
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.