Cochrane · systematic review · CD005619
Subacromial decompression surgery for rotator cuff disease
Karjalainen, TV, Jain, NB, Page, CM, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 33.3%Moderate 5 · 41.7%High 3 · 25%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Subacromial decompression compared to placebo surgery
Population: people with impingement syndrome without full‐thickness rotator cuff tears
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Paina (scale from 0‐10, 0 is no pain) Subacromial decompression vs placebo surgery | no estimate extracted | 2 studies · 284 participants | High |
Functional outcome (Constant score from 0‐100, 100 is best) Subacromial decompression vs placebo surgery | no estimate extracted | 2 studies · 274 participants | High |
Global assessment of treatment success Subacromial decompression vs placebo surgery | RR 1.08 [0.93, 1.27] | 2 studies · 290 participants | Moderate Downgraded: imprecision, indirectness |
Health‐related quality of life (scale from −0.59 to 1, 1 is perfect health) Subacromial decompression vs placebo surgery | no estimate extracted | 2 studies · 285 participants | High |
Adverse events Subacromial decompression vs placebo surgery | RR 0.91 [0.31, 2.65] | 2 studies · 406 participants | Moderate Downgraded: imprecision, indirectness |
Serious adverse events Subacromial decompression vs placebo surgery | no estimate extracted | 2 studies · 331 participants | Moderate Downgraded: imprecision, indirectness |
Subacromial decompression compared to exercises
Population: people with impingement syndrome without full‐thickness rotator cuff tears
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Paina (scale from: 0‐10, 0 is no pain) Subacromial decompression vs exercises | no estimate extracted | 3 studies · 316 participants | Low Downgraded: risk of bias, imprecision |
Functional outcomee (scale from 0‐100, 100 is best) Subacromial decompression vs exercises | no estimate extracted | 3 studies · 259 participants | Low Downgraded: risk of bias, imprecision |
Global assessment of treatment success Subacromial decompression vs exercises | RR 1.21 [0.96, 1.51] | 2 studies · 158 participants | Low Downgraded: risk of bias, imprecision |
Health‐related quality of life (15D; scale from: 0‐1, 1 is perfect health) Subacromial decompression vs exercises | no estimate extracted | 1 study · 116 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Subacromial decompression vs exercises | RR 0.91 [0.31, 2.65] | 2 studies · 406 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Serious adverse events Subacromial decompression vs exercises | no estimate extracted | NR | Moderate Downgraded: risk of bias, imprecision, indirectness |