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Comparative Effectiveness of Nonoperative and Operative Treatments for Rotator Cuff Tears

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The CER Development Process (2)

A comprehensive systematic review of the literature was then conducted from 12 electronic databases (1990 to September 2009), grey literature, trial registries, and reference lists. Controlled and uncontrolled studies that assessed nonoperative or operative treatments or postoperative rehabilitation for adults with confirmed rotator cuff tears were included. All methods used in the review followed version 1.0 of the Methods Reference Guide for Effectiveness and Comparative Effectiveness Reviews published by AHRQ (draft available at: The draft CER was prepared and published online and was subject to public comment and peer review to improve the final product. Once finalized, the complete report was published on the Effective Health Care Program Web site (available at: and in the Annals of Internal Medicine (abstract available at: