ArticleBMC medical research methodology2016
Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology.
Article in BMC medical research methodology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06490172 (The Effects of Extracorporeal Shock Wave Therapy as a Treatment Intervention for Chronic Adhesive Capsulitis), which is not on this map. Cited by 199 papers, 9 of them syntheses that pooled 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.
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 Effects of Extracorporeal Shock Wave Therapy as a Treatment Intervention for Chronic Adhesive Capsulitis: a Mixed Methods Pilot Study
Who cites it
199 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Guidelines on Treating Fibromyalgia With Nonpharmacological Therapies in China.Journal of evidence-based medicine · 2025Guideline
- A systematic review of the power of standardization in pediatric neurosurgery.Neurosurgical review · 2023Pooled it
- Elective surgery in ankle and foot disorders-best practices for management of pain: a guideline for clinicians.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Guideline
- Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus.Diagnostics (Basel, Switzerland) · 2021Guideline
- Research gaps in transforming tuberculosis data to action for better health outcomes: A systematic literature review.Journal of global health · 2021Pooled it
- Treatment Guidelines for Rare, Early-Onset, Treatment-Resistant Epileptic Conditions: A Literature Review on Dravet Syndrome, Lennox-Gastaut Syndrome and CDKL5 Deficiency Disorder.Frontiers in neurology · 2021Pooled it
- Classification of aerosol-generating procedures: a rapid systematic review.BMJ open respiratory research · 2020Pooled it
- Development of the Ketamine Side Effect Tool (KSET).Journal of affective disorders · 2020Pooled it
- Presenting signs and patient co-variables in Gaucher disease: outcome of the Gaucher Earlier Diagnosis Consensus (GED-C) Delphi initiative.Internal medicine journal · 2019Guideline
- Triage models for surgical decision-making in patients with shoulder pain: an integrative review.Pain reports · 2026Review
- The substantial economic burden of rotator cuff pathology: A nationwide cost-of-illness study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Building Towards Initiation, Moderation, De-Escalation and Cessation of Disease-Modifying Treatments for Multiple Sclerosis in Greece: An Expert Panel Consensus Meeting.Brain sciences · 2026Article
- A Competency Framework for Medical AI Education: Mixed Methods Study.JMIR medical education · 2026Article
- Prevention Strategies for All Hospital-Onset Urinary Tract Infections: Best Practice Consensus Recommendations.Open forum infectious diseases · 2026Article
- An international and interdisciplinary framework for nature prescribing in healthcare: A modified Delphi study.PLOS global public health · 2026Article
- Delphi method consensus on radiographic characteristics influencing management decisions for proximal humerus fracture.Journal of orthopaedic surgery and research · 2025Article
- Elements of entrustable professional activities for dental educators: a scoping review.BMC medical education · 2025Article
- Reference standard for the prevention and management of hospital falls: a multidisciplinary Delphi consensus study.BMJ open · 2025Article
- The development of the sustainability measure for healthcare using a modified Delphi process.BMC health services research · 2025Article
- Developing a Consensus-Based Core Set of Outcome Measures for Ulnar Nerve Surgery: A Delphi Study With Focus on the Supercharged End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer.Journal of hand surgery global online · 2025Article
139 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold: 1) to develop a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings; and 2) to establish clinical practice guidelines for the diagnosis and treatment of rotator cuff pathology to inform decision-making processes within the algorithm.
methodsA three-step modified Delphi method was used to establish consensus. Fourteen experts representing athletic therapy, physiotherapy, sport medicine, and orthopaedic surgery were invited to participate as the expert panel. In round 1, 123 best practice statements were distributed to the panel. Panel members were asked to mark "agree" or "disagree" beside each statement, and provide comments. The same voting method was again used for round 2. Round 3 consisted of a final face-to-face meeting.
resultsIn round 1, statements were grouped and reduced to 44 statements that met consensus. In round 2, five statements reached consensus. In round 3, ten statements reached consensus. Consensus was reached for 59 statements representing five domains: screening, diagnosis, physical examination, investigations, and treatment. The final face-to-face meeting was also used to develop clinical pathway algorithms (i.e., clinical care pathways) for three types of rotator cuff pathology: acute, chronic, and acute-on-chronic.
conclusionThis consensus guideline will help to standardize care, provide guidance on the diagnosis and treatment of rotator cuff pathology, and assist in clinical decision-making for all healthcare professionals.
Indexed as
Identifiers
What OpenQuestion holds
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.