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Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part I, shoulder.

Authors :
Sconfienza LM
Adriaensen M
Albano D
Allen G
Aparisi Gómez MP
Bazzocchi A
Beggs I
Bignotti B
Chianca V
Corazza A
Dalili D
De Dea M
Del Cura JL
Di Pietto F
Drakonaki E
Facal de Castro F
Filippiadis D
Gielen J
Gitto S
Gupta H
Klauser AS
Lalam R
Martin S
Martinoli C
Mauri G
McCarthy C
McNally E
Melaki K
Messina C
Mirón Mombiela R
Neubauer B
Olchowy C
Orlandi D
Plagou A
Prada Gonzalez R
Rutkauskas S
Snoj Z
Tagliafico AS
Talaska A
Vasilevska-Nikodinovska V
Vucetic J
Wilson D
Zaottini F
Zappia M
Obradov M
Source :
European radiology [Eur Radiol] 2020 Feb; Vol. 30 (2), pp. 903-913. Date of Electronic Publication: 2019 Sep 16.
Publication Year :
2020

Abstract

Background: Image-guided interventional procedures around the shoulder are commonly performed in clinical practice, although evidence regarding their effectiveness is scarce. We report the results of a Delphi method review of evidence on literature published on image-guided interventional procedures around the shoulder with a list of clinical indications.<br />Methods: Forty-five experts in image-guided musculoskeletal procedures from the ESSR participated in a consensus study using the Delphic method. Peer-reviewed papers regarding interventional procedures around the shoulder up to September 2018 were scored according to the Oxford Centre for Evidence-based Medicine levels of evidence. Statements on clinical indications were constructed. Consensus was considered as strong if more than 95% of experts agreed and as broad if more than 80% agreed.<br />Results: A total of 20 statements were drafted, and 5 reached the highest level of evidence. There were 10 statements about tendon procedures, 6 about intra-articular procedures, and 4 about intrabursal injections. Strong consensus was obtained in 16 of them (80%), while 4 received broad consensus (20%).<br />Conclusions: Literature evidence on image-guided interventional procedures around the shoulder is limited. A strong consensus has been reached for 80% of statements. The ESSR recommends further research to potentially influence treatment options, patient outcomes, and social impact.<br />Key Points: • Expert consensus produced a list of 20 evidence-based statements on clinical indications of image-guided interventional procedures around the shoulder. • The highest level of evidence was reached for five statements. • Strong consensus was obtained for 16 statements (80%), while 4 received broad consensus (20%).

Details

Language :
English
ISSN :
1432-1084
Volume :
30
Issue :
2
Database :
MEDLINE
Journal :
European radiology
Publication Type :
Academic Journal
Accession number :
31529252
Full Text :
https://doi.org/10.1007/s00330-019-06419-x