Surgery vs non‐surgical treatment
Adverse events · people with full‐thickness rotator cuff tears
1 finding from 1 review
- no estimate extracted1 study · 103 participantsVery low
Findings
What do systematic reviews say?
31 questions · 33 findings · 10 reviews · Musculoskeletal
No studies found 7 · 21.2%GRADE not reported 1 · 3%Very low 10 · 30.3%Low 7 · 21.2%Moderate 8 · 24.2%High 0 · 0%
Surgery vs non‐surgical treatment
Serious adverse events · people with full‐thickness rotator cuff tears
1 finding from 1 review
- no estimate extractedStudies not reportedVery low
Endoscopic surgery vs open surgery
Adverse events (infection, dysaesthesia) · patients with trigger finger
It is very uncertain whether endoscopic surgery changes adverse events (infection, dysaesthesia) compared with open surgery (very low certainty).
1 finding from 1 review
- RR 2.74 [0.74, 10.06]1 study · 231 participantsVery low
Percutaneous surgery vs open surgery
Adverse events (infection, partial loss of movement, tendon or pulley injury, oedema or inflammation or hematoma, adherence) · patients with trigger finger
It is very uncertain whether percutaneous surgery changes adverse events (infection, partial loss of movement, tendon or… compared with open surgery (very low certainty).
1 finding from 1 review
- RR 0.8 [0.17, 3.68]5 studies · 429 participantsVery low
Open surgery by transverse incision of the skin in the distal palmar crease vs open surgery
Adverse events Not measured · patients with trigger finger
The review found no eligible studies for this question.
3 findings from 1 review
- no estimate extractedStudies not reportedNo studies found
- no estimate extractedStudies not reportedNo studies found
- no estimate extractedStudies not reportedNo studies found
Open surgery vs steroid injection plus hyaluronic acid injection guided by ultrasound
Adverse events (partial loss of movement, algodystrophic syndrome) · patients with trigger finger
It is very uncertain whether open surgery changes adverse events (partial loss of movement, algodystrophic syndrome) compared with steroid injection plus hyaluronic acid injection guided by ultrasound (very low certainty).
1 finding from 1 review
- RR 3 [0.35, 25.68]1 study · 30 participantsVery low
Open surgery vs steroid injection
Adverse events (infection, tendon or pulley injury, flare, cutaneous discomfort, fat necrosis) · patients with trigger finger
Open surgery showed no clear difference in adverse events (infection, tendon or pulley injury, flare, cutaneous… compared with steroid injection (low certainty).
1 finding from 1 review
- RR 1.02 [0.57, 1.84]2 studies · 270 participantsLow
Percutaneous surgery vs steroid injection
Adverse events (infection, partial loss of movement, tendon or −0 injury, dysaesthesia, and skin atrophy or hypopigmentation) · patients with trigger finger
It is very uncertain whether percutaneous surgery changes adverse events (infection, partial loss of movement, tendon or −0… compared with steroid injection (very low certainty).
1 finding from 1 review
- RR 1.58 [0.91, 2.75]5 studies · 392 participantsVery low
Percutaneous surgery plus steroid injection vs steroid injection
Adverse events (infection, partial loss of movement) · patients with trigger finger
It is very uncertain whether percutaneous surgery plus steroid injection changes adverse events (infection, partial loss of movement) compared with steroid injection (very low certainty).
1 finding from 1 review
- RR 0.92 [0.13, 6.36]1 study · 127 participantsVery low
Subacromial decompression vs Placebo (sham/placebo device)
Adverse events · people with impingement syndrome without full‐thickness rotator cuff tears
Subacromial decompression showed no clear difference in adverse events compared with placebo surgery (moderate certainty).
1 finding from 1 review
- RR 0.91 [0.31, 2.65]2 studies · 406 participantsModerate
Subacromial decompression vs Placebo (sham/placebo device)
Serious adverse events · people with impingement syndrome without full‐thickness rotator cuff tears
1 finding from 1 review
- no estimate extracted2 studies · 331 participantsModerate
Subacromial decompression vs exercise
Adverse events · people with impingement syndrome without full‐thickness rotator cuff tears
Subacromial decompression showed no clear difference in adverse events compared with exercises (moderate certainty).
1 finding from 1 review
- RR 0.91 [0.31, 2.65]2 studies · 406 participantsModerate
Knee replacement with tourniquet vs knee replacement without tourniquet
Serious adverse events
Knee replacement with tourniquet probably leads to higher serious adverse events compared with knee replacement without tourniquet (moderate certainty).
1 finding from 1 review
- RR 1.73 [1.1, 2.73]21 studies · 1799 participantsModerate
Subacromial decompression vs exercise
Serious adverse events · people with impingement syndrome without full‐thickness rotator cuff tears
1 finding from 1 review
- no estimate extractedStudies not reportedModerate
Primary comparison for continuous passive motion (CPM) vs no CPM
Adverse events (a count of reported harms or adverse events/experiences over life of study/ · hospitalised patients who have undergone knee replacement surgery
Primary comparison for continuous passive motion (CPM) showed no clear difference in adverse events Counts of adverse events compared with no CPM (low certainty).
1 finding from 1 review
- Continuous passive motion following total knee arthroplasty in people with arthritis 2014 · Cochrane Headline outcomes onlyRR 0.92 [0.63, 1.33]16 studies · 1040 participantsLow
Intervention not reported
Adverse events (total): · adults aged ≥ 18 years with a diagnosis of glenohumeral osteoarthritis who have not responded to non‐operative treatments
It is very uncertain whether the intervention changes adverse events (total): (very low certainty).
1 finding from 1 review
- Shoulder replacement surgery for osteoarthritis and rotator cuff tear arthropathy 2020 · Cochrane Headline outcomes onlyRR 0.5 [0.14, 1.74]1 study · 42 participantsVery low
Total Shoulder Arthroplasty vs hemiarthroplasty
Serious Adverse Events4 · patients with Shoulder osteoarthritis
1 finding from 1 review
- no estimate extracted0 studies · 5 participantsGRADE not reported
Intervention not reported
Total adverse events Last · people with degenerative knee disease (osteoarthritis including degenerative meniscal tears)
The intervention showed no clear difference in total adverse events Last (low certainty).
1 finding from 1 review
- Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears) 2022 · Cochrane Headline outcomes onlyRR 1.15 [0.78, 1.7]9 studies · 1326 participantsLow
Intervention not reported
Serious adverse eventsLast · people with degenerative knee disease (osteoarthritis including degenerative meniscal tears)
The intervention showed no clear difference in serious adverse eventsLast (low certainty).
1 finding from 1 review
- Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears) 2022 · Cochrane Headline outcomes onlyRR 1.35 [0.64, 2.83]8 studies · 1206 participantsLow
Intervention not reported
Adverse events ‐ not measured · patients with chronic (mean 23 months) lateral elbow pain
The review found no eligible studies for this question.
1 finding from 1 review
- no estimate extractedStudies not reportedNo studies found