Evidence map›Paper›PMID 28523634›Full record

SynthesisLa Radiologia medica2017

Are blind injections of gleno-humeral joint (GHJ) really less accurate imaging-guided injections? A narrative systematic review considering multiple anatomical approaches.

Paolo Simoni, Marco Grumolato, Olivier Malaise, Marco Preziosi, Francoise Pasleau, Fréderic de Lemos Esteves

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in La Radiologia medica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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

6 authors at 2 institutions in 1 country.

Paolo SimoniRadiology Department, "Reine Fabiola" Children's University Hospital, 15, Avenue Jean Joseph Crocq, 1020, Brussels, Belgium. paoloemiliosimoni@gmail.com.
Marco GrumolatoRadiology Department, "Reine Fabiola" Children's University Hospital, 15, Avenue Jean Joseph Crocq, 1020, Brussels, Belgium. Marco.grumolato@gmail.com.ORCID http://orcid.org/0000-0003-2383-7746
Olivier MalaiseRheumathology Department, Univesity of Liège, Avenue de l'Hopital 11-Bât B34, 4000, Liège, Belgium.
Marco PreziosiRadiology Department, "Reine Fabiola" Children's University Hospital, 15, Avenue Jean Joseph Crocq, 1020, Brussels, Belgium.
Francoise PasleauUniversity of Liège, University library «Bibliothèque des Sciences de la Vie», Avenue de l'Hopital 11-Bât B34, 4000, Liège, Belgium.
Fréderic de Lemos EstevesUniversity of Liège, University library «Bibliothèque des Sciences de la Vie», Avenue de l'Hopital 11-Bât B34, 4000, Liège, Belgium.
University of Liège · BEQueen Fabiola Children's University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo perform a systematic review to establish whether blind injections of the gleno-humeral (GHJ) joint may be an accurate alternative to injections performed imaging guidance, considering multiple anatomical approaches. MATERIALS AND

methodsOur search strategy yielded 478 articles for Scopus, 815 articles for MEDLINE, 128 articles for Cochrane Central Register of Controlled Trials and 555 articles for Embase until May 2016. One hundred and sixty-seven abstracts were retrieved after duplicates removal. Two readers independently reviewed all the 1067 abstracts. They selected for the full-text analysis only the abstracts in which the accuracy of intra-articular position of the needle was confirmed on imaging (humans) or by a surgical dissection (cadavers). Thirty-eight studies were eventually selected for the full-text reading and data extraction. The selected studies included a total of 2309 patients (2690 shoulders) and 195 cadavers (299 shoulders). To objectively assess the methodological quality of the present systematic review, "Assessment of Multiple Systematic Review" (AMSTAR) tool was used.

resultsThe overall accuracy of the intra-articular injection in GHJ varied from 42 to 100% in the 38 selected studies. Imaging guidance was used in 65% of articles and the overall accuracy of guided GHJ injections was higher than blind injection. However, five articles in which blind injection the GHJ was used (159 shoulders) reported accuracy as high as 100%.

conclusionA comprehensive review of the literature confirms that guided injections of the GHJ have overall accuracy higher compared to blind injection. Nevertheless, in some studies, including a relatively large number of shoulders, blind injections have been proven to be 100% accurate. Hence, blind injections of GHJ could be proposed a cost-effective alternative to imaging-guided injection. A large prospective randomized study is needed to gauge this hypothesis and compare the cost-effectiveness of these two techniques for the most common anatomical approaches.

Indexed as

Anatomic LandmarksInjections, Intra-ArticularMagnetic Resonance Imaging, InterventionalRadiography, InterventionalUltrasonography, InterventionalCadaverHumansShoulder JointArthrographyCadaversFluoroscopyHumansInjectionsIntra-articular/methodsMagnetic resonance imagingReproducibility of results interventionalShoulder jointUltrasonography

Identifiers

PMID28523634
OpenAlexW2615496053

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.