Comparative Effectiveness of Nonoperative and Operative Treatments for Rotator Cuff Tears
Overall, the evidence is too limited to provide support for earlier surgical intervention when compared to the current practice of nonoperative interventions followed by surgery if needed. Significant improvements were seen in both operative and nonoperative interventions. However, there is limited evidence for benefits and harms to guide choice among various operative approaches, and insufficient evidence to choose between nonoperative approaches. Future studies are required.
- Seida JC, Leblanc C, Schouten JR, et al. Systematic review: nonoperative and operative treatments for rotator cuff tears. Ann Intern Med 2010;153:246-55.
- Seida J, Schouten JR, Mousavi SS, et al. Comparative Effectiveness of Nonoperative and Operative Treatments for Rotator Cuff Tears, Comparative Effectiveness Review No. 22 (Prepared by University of Alberta Evidence-based Practice Center under Contract No. 290-02-0023). Rockville, MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Publication No. 10-EHC050.
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