Evidence map›Paper›PMID 31896272›Full record

ReviewAnnals of the Royal College of Surgeons of England2020

Degenerative rotator cuff tear, repair or not repair? A review of current evidence.

A A Narvani, M A Imam, A Godenèche, E Calvo, S Corbett, A L Wallace, E Itoi

Open access · greenAbstract readReview
In one paragraph

Review in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Patient outcomes and return to play after arthroscopic rotator cuff repair in overhead athletes: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
    Pooled it
  2. Rotator cuff disease, repair and augmentation.Bulletin of the Hospital for Joint Disease (2013) · 2026
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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

7 authors at 6 institutions in 4 countries.

A A NarvaniAshford and St Peter's NHS Foundation Trust, Chertsey, Surrey, UK.
M A ImamAshford and St Peter's NHS Foundation Trust, Chertsey, Surrey, UK.
A GodenècheCentre Orthopédique Santy, Lyon, France.
E CalvoFundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.
S CorbettFortius Clinic, London, UK.
A L WallaceFortius Clinic, London, UK.
E ItoiTohoku University School of Medicine, Sendai, Miyagi, Japan.
Ashford and St Peter's Hospitals NHS Foundation Trust · GBCentre Orthopédique Santy · FRFortius Clinic · GBGuy's and St Thomas' NHS Foundation Trust · GBHospital Universitario Fundación Jiménez Díaz · ESTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively.

methodsA PRISMA-compliant search was carried out, including the online databases PubMed and Embase™ from 1960 to the end of June 2018.

findingsA total of 49 of the 743 (579 PubMed and 164 Embase™) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.

Indexed as

Physical Therapy ModalitiesArthroscopyHumansMusculoskeletal PainPatient SelectionQuality of LifeRange of Motion, ArticularRisk FactorsRotator Cuff InjuriesRotator Cuff Tear ArthropathyShoulder JointTreatment OutcomeDegenerativeImpingementRepairRotator cuff tearsShoulder

Identifiers

PMID31896272
PMCPMC7099167
OpenAlexW2997780697

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.