Cochrane · systematic review · CD009147

Image‐guided glucocorticoid injection versus injection without image guidance for shoulder pain

Zadro, J, Rischin, A, Johnston, RV, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Musculoskeletal2 versionsAMSTAR 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
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 1 · 14.3%Low 2 · 28.6%Moderate 2 · 28.6%High 0 · 0%

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

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Ultrasound‐guided injection compared to non‐image‐guided injection for shoulder pain

Population: Patients with shoulder pain
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall Pain numerical rating scale 0 to 10 points (lower score indicates less pain)
Ultrasound‐guided injection vs non‐image‐guided injection
no estimate extracted15 studies · 1003 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Function various scales 0 to 100 points (higher score indicates better function)
Ultrasound‐guided injection vs non‐image‐guided injection
no estimate extracted14 studies · 895 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Participant‐assessed success 50% improvement on numerical rating 0 to 10 scale for pain)
Ultrasound‐guided injection vs non‐image‐guided injection
RR 1.56 [0.89, 2.75]5 studies · 350 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Quality of life SF‐36 MCS 0 to 100 points (higher score indicates better quality of life)
Ultrasound‐guided injection vs non‐image‐guided injection
no estimate extracted2 studies · 220 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Number of adverse events
Ultrasound‐guided injection vs non‐image‐guided injection
RR 0.72 [0.4, 1.28]5 studies · 402 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Serious adverse events Not reported
Ultrasound‐guided injection vs non‐image‐guided injection
no estimate extractedNRNo studies
Number of withdrawals due to adverse events
Ultrasound‐guided injection vs non‐image‐guided injection
no estimate extractedNRNo studies