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Comparative Effectiveness of Nonoperative and Operative Treatments for Rotator Cuff Tears

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The CER Development Process (1)

The comparative effectiveness review (CER) topic, Comparative Effectiveness of Nonoperative and Operative Treatments for Rotator Cuff Tears, was nominated in a public process. The nominated topic was reviewed and selected based on need, importance, and feasibility. Sufficient research into the current literature by experts in the field and stakeholders determined that a CER on the operative and nonoperative treatments and postoperative rehabilitation of rotator cuff tears was needed and would not duplicate existing work. Based on this research, key clinical questions that the report would address were developed and made available for public comment. The Agency for Healthcare Research and Quality (AHRQ) then commissioned the University of Alberta Evidence-Based Practice Center to prepare the CER with input from a Technical Expert Panel. This advisory panel was comprised of experts in different specialties, including sports medicine, preventative medicine, physical therapy, internal medicine, and orthopedic surgery. The panel identified important issues, reviewed proposed methods, defined parameters for the review of evidence, and helped develop the draft report.