Evidence map›Paper›PMID 34627163›Full record

ArticleBMC family practice2021

Consensus for a primary care clinical decision-making tool for assessing, diagnosing, and managing shoulder pain in Alberta, Canada.

Breda H F Eubank, Sebastian W Lackey, Mel Slomp, Jason R Werle, Colleen Kuntze, David M Sheps

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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. Review
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  5. Evidence-based consensus guidelines for ALS genetic testing and counseling.Annals of clinical and translational neurology · 2023
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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.

Breda H F EubankDepartment of Health & Physical Education, Faculty of Health, Community, & Education, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, Alberta, Canada, T3E 6K6. beubank@mtroyal.ca.
Sebastian W LackeyAlberta Bone and Joint Health Institute, Suite 316, 400 Crowfoot Crescent NW, Calgary, Alberta, Canada, T3G 5H6.
Mel SlompBone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.
Jason R WerleBone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.
Colleen KuntzeBone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.
David M ShepsBone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShoulder pain is a highly prevalent condition and a significant cause of morbidity and functional disability. Current data suggests that many patients presenting with shoulder pain at the primary care level are not receiving high quality care. Primary care decision-making is complex and has the potential to influence the quality of care provided and patient outcomes. The aim of this study was to develop a clinical decision-making tool that standardizes care and minimizes uncertainty in assessment, diagnosis, and management.

methodsFirst a rapid review was conducted to identify existing tools and evidence that could support a comprehensive clinical decision-making tool for shoulder pain. Secondly, provincial consensus was established for the assessment, diagnosis, and management of patients presenting to primary care with shoulder pain in Alberta, Canada using a three-step modified Delphi approach. This project was a highly collaborative effort between Alberta Health Services' Bone and Joint Health Strategic Clinical Network (BJH SCN) and the Alberta Bone and Joint Health Institute (ABJHI).

resultsA clinical decision-making tool for shoulder pain was developed and reached consensus by a province-wide expert panel representing various health disciplines and geographical regions. This tool consists of a clinical examination algorithm for assessing, diagnosis, and managing shoulder pain; recommendations for history-taking and identification of red flags or additional concerns; recommendations for physical examination and neurological screening; recommendations for the differential diagnosis; and care pathways for managing patients presenting with rotator cuff disease, biceps pathology, superior labral tear, adhesive capsulitis, osteoarthritis, and instability.

conclusionsThis clinical decision-making tool will help to standardize care, provide guidance on the diagnosis and management of shoulder pain, and assist in clinical decision-making for primary care providers in both public and private sectors.

Indexed as

Clinical Decision-MakingShoulder PainAlbertaHumansPrimary Health CareClinical care pathwayClinical decision-makingConsensus methodsDelphi processShoulder pain

Identifiers

PMID34627163
PMCPMC8502088

What OpenQuestion holds

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LicenceCC BY
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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.