Evidence map›Paper›PMID 25677796›Full record

SynthesisBritish journal of sports medicine2015

Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis.

Jean-Sébastien Roy, Caroline Braën, Jean Leblond, François Desmeules, Clermont E Dionne, Joy C MacDermid, Nathalie J Bureau, Pierre Frémont

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of sports medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04146987 (Cost-Effectiveness of Rotator Cuff Repair Surgery by Open and Arthroscopic Techniques. Randomized Clinical Trial), which is not on this map. Cited by 142 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 4 pooled it
25.4field-weighted citation impact, top 1% of its field
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.

NCT04146987 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Cost-Effectiveness of Rotator Cuff Repair Surgery by Open and Arthroscopic Techniques. Randomized Clinical Trial

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2020 to 2022Enrolled100ConditionsRotator Cuff Injuries, Shoulder Pain, Shoulder Impingement, Shoulder InjuriesArmsRotator cuff repair surgery
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 4 syntheses or guidelines pooled it, 305 citations in OpenAlex.

  1. Pooled it
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  4. Influence of patient and diagnostic parameters on reported retear rates after arthroscopic rotator cuff repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
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82 more citing papers are in PubMed but not listed here.

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

8 authors at 5 institutions in 1 country.

Jean-Sébastien RoyDepartment of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada.
Caroline BraënCenter for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada Maisonneuve-Rosemont Hospital Research Center, University of Montreal Affiliated Research Center, Montreal, Quebec, Canada.
Jean LeblondCenter for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada.
François DesmeulesMaisonneuve-Rosemont Hospital Research Center, University of Montreal Affiliated Research Center, Montreal, Quebec, Canada Faculty of Medicine, School of Rehabilitation, Université de Montreal, Montreal, Quebec, Canada.
Clermont E DionneDepartment of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada Centre de recherche du Centre Hospitalier Universitaire de Québec, Quebec City, Quebec, Canada.
Joy C MacDermidSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Nathalie J BureauDepartment of Radiology, Research Center, Centre hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Pierre FrémontDepartment of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada Centre de recherche du Centre Hospitalier Universitaire de Québec, Quebec City, Quebec, Canada.
Centre for Interdisciplinary Research in Rehabilitation · CACentre hospitalier universitaire de Québec · CACentre Hospitalier de l’Université de Montréal · CAHôpital Maisonneuve-Rosemont · CAMcMaster University · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists.

methodsA systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies.

resultsDiagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67-0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it.

conclusionsOur results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option.

Indexed as

ArthrographyDiagnostic ImagingHumansJoint DiseasesMagnetic Resonance ImagingRotator CuffRuptureSensitivity and SpecificityShoulder InjuriesTendinopathyTendon InjuriesMeta-analysisMRIShoulderUltrasound

Identifiers

PMID25677796
PMCPMC4621376
OpenAlexW2108001355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.