Evidence map›Paper›PMID 29157224›Full record

Observational studyBMC musculoskeletal disorders2017

Shoulder MRI features with clinical correlations in subacromial pain syndrome: a cross-sectional and prognostic study.

Elisabeth Kvalvaag, Masoud Anvar, Anna Cecilia Karlberg, Jens Ivar Brox, Kaia Beck Engebretsen, Helene Lundgaard Soberg, Niels Gunnar Juel, Erik Bautz-Holter, Leiv Sandvik, Cecilie Roe

2 registry-linked trialsOpen access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT01441830 phase3unknown statusnot on this map

Treatment of Subacromial Shoulder Pain

TypeinterventionalSponsorOslo University HospitalRan2011Enrolled150ConditionsShoulder Impingement Syndrome, Subacromial Shoulder PainArmsRadial extracorporeal shock wave therapy
NCT04175184 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effects of the Inclusion of Mobilisation With Movement to an Exercise Programme in Patients With Rotator Cuff Related Pain.

TypeinterventionalSponsorFederal University of Health Science of Porto AlegreRan2020 to 2023Enrolled70ConditionsRotator Cuff Injuries, Shoulder PainArmsMobilisation with Movement, Sham Mobilisation with Movement
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Making shouldBMJ open · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Magnetic resonance imaging of the shoulder.Polish journal of radiology · 2020
    Review
  9. 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

10 authors at 2 institutions in 1 country.

Elisabeth KvalvaagDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway. e.m.kvalvaag@medisin.uio.no.ORCID http://orcid.org/0000-0001-5528-0140
Masoud AnvarDepartment of Radiology, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Anna Cecilia KarlbergDepartment of Radiology, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Jens Ivar BroxDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Kaia Beck EngebretsenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Helene Lundgaard SobergDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Niels Gunnar JuelDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Erik Bautz-HolterDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Leiv SandvikUniversity of Oslo, Faculty of Dentistry, Boks 1072 Blindern, 0316, Oslo, Norway.
Cecilie RoeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevaal, Postboks 4956 Nydalen, 0424, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

Sophies Minde Ortopedi 05072010
6 · The paper itself

Abstract

backgroundPrevious studies on shoulder patients have suggested that the prevalence of rotator cuff or bursa abnormalities are weakly related to symptoms and that similar findings are often found in asymptomatic persons. In addition, it is largely unknown whether structural changes identified by magnetic resonance imaging (MRI) affect outcome after treatment for shoulder pain. The purpose of this study was therefore to evaluate the presence of structural changes on MRI in patients with subacromial pain syndrome and to determine to what extent these changes are associated with symptoms and predict outcome after treatment (evaluated by the Shoulder Pain and Disability Index (SPADI)).

methodsA prospective, observational assessment of a subset of shoulder patients who were included in a randomized study was performed. All participants had an MRI of the shoulder. An MRI total score for findings at the AC joint, subacromial bursa and rotator cuff was calculated. Multiple linear regression analysis was applied to examine the relationship between the MRI total score and the outcome measure at baseline and to examine to what extent the MRI total score was associated with the change in the SPADI score from baseline to the one year follow-up.

resultsThere was a weak, inverse association between the SPADI score at baseline and the MRI total score (β = -3.1, with 95% CI -5.9 to -0.34; p = 0.03), i.e. the SPADI score was higher for patients with a lower MRI total score. There was an association between the change in the SPADI score from baseline to the one year follow-up and the MRI total score (β = 8.1, 95% CI -12.3 to -3.8; p < 0.001), with a poorer outcome for patients with a higher MRI total score. Both tendinosis (p = 0.01) and bursitis (p = 0.04) were associated with a poorer outcome after one year.

conclusionsIn this study, MRI findings were significantly associated with the change in the SPADI score from baseline and to one year follow-up, with a poorer outcome after treatment for the patients with higher MRI total score, tendinosis and bursitis on MRI.

trial registrationClinicaltrials.gov no NCT01441830 . September 28, 2011.

Indexed as

BursitisExercise TherapyShoulder JointShoulder PainTendinopathyAdultBursa, SynovialCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPrognosisProspective StudiesRandomized Controlled Trials as TopicMRIPatient outcomePrognosisShoulder painSubacromial pain syndrome

Identifiers

PMID29157224
PMCPMC5696760
OpenAlexW2770342720

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.