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Comparative Effectiveness of Nonoperative and Operative Treatments for Rotator Cuff Tears

Slide: 6 of 38

Outline of the Study

This slide set is based on a comparative effectiveness review (CER) titled, Comparative Effectiveness of Nonoperative and Operative Treatment for Rotator Cuff Tears, that was developed by the University of Alberta Evidence-based Practice Center for the Agency for Healthcare Research and Quality (AHRQ) and is available online at effectivehealthcare.ahrq.gov (Contract No. 290-02-0023). CERs represent systematic reviews of the literature and usually compare two or more types of treatments, such as different drugs, devices, or procedures for the same disease. The methods used to develop this CER followed version 1.0 of the Methods Reference Guide for Effectiveness and Comparative Effectiveness Reviews published by AHRQ (draft available at: http://effectivehealthcare.ahrq.gov/repFiles/2007_10DraftMethodsGuide.pdf).

The talk will cover the current evidence from 12 electronic databases (1990 to September 2009), grey literature, trial registries, and reference lists that were searched. Controlled and uncontrolled studies that assessed nonoperative or operative treatments or postoperative rehabilitation for adults with confirmed rotator cuff tears were included. The comparative effectiveness review process will be discussed briefly, including the specific questions addressed in this CER and the results from this research. Finally, the benefits and harms of nonoperative and operative interventions and postoperative rehabilitation for rotator cuff tears are presented.