Sunday, March 2, 2014

Trends in rotator cuff surgeries - is there evidence to support surgical treatment?

Temporal trends and geographical variation in the use of subacromial decompression and rotator cuff repair of the shoulder in England

These authors explored the trends over time and the geographical variation in the use of subacromial decompression and rotator cuff repair in 152 local health areas in England between 2000/2001 and 2009/2010.

The number of patients undergoing subacromial decompression alone rose by 746.4% from 5.2/100 000 to 40.2/100 000.

The authors point to a wide geographical range of rates of cuff repair ranging from 0 to 8/100,000 suggesting inconsistent application of indications for this surgery.



The authors conclude that "Given the lack of evidence for the effectiveness of these operations and the significant increase in the number of procedures being performed in England and elsewhere, there is an urgent need for well-designed clinical trials to determine evidence of clinical effectiveness."
===
Consultation for those who live a distance away from Seattle.

Check out the new Shoulder Arthritis Book - click here.

Click here to see the new Rotator Cuff Book

To see the topics covered in this Blog, click here

Use the "Search" box to the right to find other topics of interest to you.

You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'