Evidence map›Paper›PMID 35494258›Full record

ReviewArthroscopy, sports medicine, and rehabilitation2022

Corticosteroid Injections After Rotator Cuff Repair Improve Function, Reduce Pain, and Are Safe: A Systematic Review.

Richard N Puzzitiello, Bhavik H Patel, Ophelie Lavoie-Gagne, Yining Lu, Benedict U Nwachukwu, Brian Forsythe, Matthew J Salzler

Open access · goldAbstract readReview
In one paragraph

Review in Arthroscopy, sports medicine, and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. 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

7 authors at 6 institutions in 1 country.

Richard N PuzzitielloDepartment of Orthopaedics, Tufts Medical Center, Boston, Massachusetts, U.S.A.
Bhavik H PatelDepartment of Orthopaedic Surgery, University of Illinois, Chicago, Illinois, U.S.A.
Ophelie Lavoie-GagneHarvard Combined Orthopaedic Residency Program, Boston, Massachusetts, U.S.A.
Yining LuDepartment of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Benedict U NwachukwuDepartment of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.
Brian ForsytheMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.
Matthew J SalzlerDepartment of Orthopaedics, Tufts Medical Center, Boston, Massachusetts, U.S.A.
Tufts Medical Center · USHarvard Affiliated Emergency Medicine Residency · USHospital for Special Surgery · USIllinois College · USMayo Clinic · USRush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To review the literature on postoperative corticosteroid injections (CSIs) following primary rotator cuff repair (RCR) to evaluate efficacy and adverse effects. Methods: A systematic review of the MEDLINE, EMBASE, and Cochrane databases were performed to identify all studies published within the last 15 years, which reported on outcomes of postoperative CSIs following RCR. Studies including patients who received only preoperative CSIs and revision RCRs were excluded. Included studies were evaluated for study methodology, patient demographics, outcome measures, physical examination parameters, results of imaging studies, and adverse effects or clinical complications. Results: Seven studies comprising 5,528 patients satisfied inclusion criteria. Among included patients, 54.8% were female and mean age range from 52.3 ± 13.0 to 62.7 ± 6.6 years. Only 1 included investigation was a Level I study. Overall, 4 of 5 studies reported significant improvements in pain and outcome scores (Constant score, American Shoulder and Elbow Surgeons score) compared with controls. Across all studies, the majority of these effects were statistically significant at 3 months postoperatively but not beyond this time point. Five of the 6 included investigations reported no increased rate of retears after postoperative CSIs. One study did find an increase in retear in patients receiving postoperative CSIs but was unable to determine whether these retears were present before the patient received the CSI. Another investigation reported an increased rate of infection only if the CSI was administered in the first postoperative month. Conclusions: Postoperative CSIs may improve pain and function for up to 3 months following primary RCR but not at later follow-up time points. CSIs should be administered only after the first postoperative month to minimize the potential risk for adverse events. Level of Evidence: Systematic review of level I-IV studies.

Identifiers

PMID35494258
PMCPMC9042756
OpenAlexW4200044588

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.