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
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...
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Veröffentlicht in: | European radiology 2020-02, Vol.30 (2), p.903-913 |
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creator | Sconfienza, Luca Maria Adriaensen, Miraude Albano, Domenico Allen, Georgina Aparisi Gómez, Maria Pilar Bazzocchi, Alberto Beggs, Ian Bignotti, Bianca Chianca, Vito Corazza, Angelo Dalili, Danoob De Dea, Miriam del Cura, Jose Luis Di Pietto, Francesco Drakonaki, Eleni Facal de Castro, Fernando Filippiadis, Dimitrios Gielen, Jan Gitto, Salvatore Gupta, Harun Klauser, Andrea S. Lalam, Radhesh Martin, Silvia Martinoli, Carlo Mauri, Giovanni McCarthy, Catherine McNally, Eugene Melaki, Kalliopi Messina, Carmelo Mirón Mombiela, Rebeca Neubauer, Benedikt Olchowy, Cyprian Orlandi, Davide Plagou, Athena Prada Gonzalez, Raquel Rutkauskas, Saulius Snoj, Ziga Tagliafico, Alberto Stefano Talaska, Alexander Vasilevska-Nikodinovska, Violeta Vucetic, Jelena Wilson, David Zaottini, Federico Zappia, Marcello Obradov, Marina |
description | 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.
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.
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%).
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.
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%). |
doi_str_mv | 10.1007/s00330-019-06419-x |
format | Article |
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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.
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.
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%).
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.
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%).</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-019-06419-x</identifier><identifier>PMID: 31529252</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Agreements ; Clinical medicine ; Collaboration ; Consensus ; Delphi method ; Delphi Technique ; Diagnostic Radiology ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Literature reviews ; Medicine ; Medicine & Public Health ; Musculoskeletal ; Musculoskeletal system ; Musculoskeletal System - surgery ; Neuroradiology ; Orthopedic Procedures - methods ; Pain ; Radiography ; Radiology ; Rotator cuff ; Shoulder ; Shoulder - surgery ; Social impact ; Societies, Medical ; Society ; Surgery, Computer-Assisted - methods ; Ultrasonic imaging ; Ultrasound</subject><ispartof>European radiology, 2020-02, Vol.30 (2), p.903-913</ispartof><rights>European Society of Radiology 2019</rights><rights>European Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-2dcd9bbb66349111ab6aafcbcc1dec46ef266c9c7b6f3e9a5ec84a0764874b0a3</citedby><cites>FETCH-LOGICAL-c375t-2dcd9bbb66349111ab6aafcbcc1dec46ef266c9c7b6f3e9a5ec84a0764874b0a3</cites><orcidid>0000-0003-0759-8431</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-019-06419-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-019-06419-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31529252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sconfienza, Luca Maria</creatorcontrib><creatorcontrib>Adriaensen, Miraude</creatorcontrib><creatorcontrib>Albano, Domenico</creatorcontrib><creatorcontrib>Allen, Georgina</creatorcontrib><creatorcontrib>Aparisi Gómez, Maria Pilar</creatorcontrib><creatorcontrib>Bazzocchi, Alberto</creatorcontrib><creatorcontrib>Beggs, Ian</creatorcontrib><creatorcontrib>Bignotti, Bianca</creatorcontrib><creatorcontrib>Chianca, Vito</creatorcontrib><creatorcontrib>Corazza, Angelo</creatorcontrib><creatorcontrib>Dalili, Danoob</creatorcontrib><creatorcontrib>De Dea, Miriam</creatorcontrib><creatorcontrib>del Cura, Jose Luis</creatorcontrib><creatorcontrib>Di Pietto, Francesco</creatorcontrib><creatorcontrib>Drakonaki, Eleni</creatorcontrib><creatorcontrib>Facal de Castro, Fernando</creatorcontrib><creatorcontrib>Filippiadis, Dimitrios</creatorcontrib><creatorcontrib>Gielen, Jan</creatorcontrib><creatorcontrib>Gitto, Salvatore</creatorcontrib><creatorcontrib>Gupta, Harun</creatorcontrib><creatorcontrib>Klauser, Andrea S.</creatorcontrib><creatorcontrib>Lalam, Radhesh</creatorcontrib><creatorcontrib>Martin, Silvia</creatorcontrib><creatorcontrib>Martinoli, Carlo</creatorcontrib><creatorcontrib>Mauri, Giovanni</creatorcontrib><creatorcontrib>McCarthy, Catherine</creatorcontrib><creatorcontrib>McNally, Eugene</creatorcontrib><creatorcontrib>Melaki, Kalliopi</creatorcontrib><creatorcontrib>Messina, Carmelo</creatorcontrib><creatorcontrib>Mirón Mombiela, Rebeca</creatorcontrib><creatorcontrib>Neubauer, Benedikt</creatorcontrib><creatorcontrib>Olchowy, Cyprian</creatorcontrib><creatorcontrib>Orlandi, Davide</creatorcontrib><creatorcontrib>Plagou, Athena</creatorcontrib><creatorcontrib>Prada Gonzalez, Raquel</creatorcontrib><creatorcontrib>Rutkauskas, Saulius</creatorcontrib><creatorcontrib>Snoj, Ziga</creatorcontrib><creatorcontrib>Tagliafico, Alberto Stefano</creatorcontrib><creatorcontrib>Talaska, Alexander</creatorcontrib><creatorcontrib>Vasilevska-Nikodinovska, Violeta</creatorcontrib><creatorcontrib>Vucetic, Jelena</creatorcontrib><creatorcontrib>Wilson, David</creatorcontrib><creatorcontrib>Zaottini, Federico</creatorcontrib><creatorcontrib>Zappia, Marcello</creatorcontrib><creatorcontrib>Obradov, Marina</creatorcontrib><title>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</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>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.
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.
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%).
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.
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%).</description><subject>Agreements</subject><subject>Clinical medicine</subject><subject>Collaboration</subject><subject>Consensus</subject><subject>Delphi method</subject><subject>Delphi Technique</subject><subject>Diagnostic Radiology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Literature reviews</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Musculoskeletal</subject><subject>Musculoskeletal system</subject><subject>Musculoskeletal System - surgery</subject><subject>Neuroradiology</subject><subject>Orthopedic Procedures - methods</subject><subject>Pain</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Rotator cuff</subject><subject>Shoulder</subject><subject>Shoulder - surgery</subject><subject>Social impact</subject><subject>Societies, Medical</subject><subject>Society</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Ultrasonic 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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</title><author>Sconfienza, Luca Maria ; Adriaensen, Miraude ; Albano, Domenico ; Allen, Georgina ; Aparisi Gómez, Maria Pilar ; Bazzocchi, Alberto ; Beggs, Ian ; Bignotti, Bianca ; Chianca, Vito ; Corazza, Angelo ; Dalili, Danoob ; De Dea, Miriam ; del Cura, Jose Luis ; Di Pietto, Francesco ; Drakonaki, Eleni ; Facal de Castro, Fernando ; Filippiadis, Dimitrios ; Gielen, Jan ; Gitto, Salvatore ; Gupta, Harun ; Klauser, Andrea S. ; Lalam, Radhesh ; Martin, Silvia ; Martinoli, Carlo ; Mauri, Giovanni ; McCarthy, Catherine ; McNally, Eugene ; Melaki, Kalliopi ; Messina, Carmelo ; Mirón Mombiela, Rebeca ; Neubauer, Benedikt ; Olchowy, Cyprian ; Orlandi, Davide ; Plagou, Athena ; Prada Gonzalez, Raquel ; Rutkauskas, Saulius ; Snoj, Ziga ; Tagliafico, Alberto Stefano ; Talaska, Alexander ; Vasilevska-Nikodinovska, Violeta ; Vucetic, Jelena ; Wilson, David ; Zaottini, Federico ; Zappia, Marcello ; Obradov, Marina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-2dcd9bbb66349111ab6aafcbcc1dec46ef266c9c7b6f3e9a5ec84a0764874b0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Agreements</topic><topic>Clinical medicine</topic><topic>Collaboration</topic><topic>Consensus</topic><topic>Delphi method</topic><topic>Delphi Technique</topic><topic>Diagnostic Radiology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Literature reviews</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Musculoskeletal</topic><topic>Musculoskeletal system</topic><topic>Musculoskeletal System - surgery</topic><topic>Neuroradiology</topic><topic>Orthopedic Procedures - methods</topic><topic>Pain</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Rotator cuff</topic><topic>Shoulder</topic><topic>Shoulder - surgery</topic><topic>Social impact</topic><topic>Societies, Medical</topic><topic>Society</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sconfienza, Luca Maria</creatorcontrib><creatorcontrib>Adriaensen, Miraude</creatorcontrib><creatorcontrib>Albano, Domenico</creatorcontrib><creatorcontrib>Allen, Georgina</creatorcontrib><creatorcontrib>Aparisi Gómez, Maria Pilar</creatorcontrib><creatorcontrib>Bazzocchi, Alberto</creatorcontrib><creatorcontrib>Beggs, Ian</creatorcontrib><creatorcontrib>Bignotti, Bianca</creatorcontrib><creatorcontrib>Chianca, Vito</creatorcontrib><creatorcontrib>Corazza, Angelo</creatorcontrib><creatorcontrib>Dalili, Danoob</creatorcontrib><creatorcontrib>De Dea, 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Cyprian</creatorcontrib><creatorcontrib>Orlandi, Davide</creatorcontrib><creatorcontrib>Plagou, Athena</creatorcontrib><creatorcontrib>Prada Gonzalez, Raquel</creatorcontrib><creatorcontrib>Rutkauskas, Saulius</creatorcontrib><creatorcontrib>Snoj, Ziga</creatorcontrib><creatorcontrib>Tagliafico, Alberto Stefano</creatorcontrib><creatorcontrib>Talaska, Alexander</creatorcontrib><creatorcontrib>Vasilevska-Nikodinovska, Violeta</creatorcontrib><creatorcontrib>Vucetic, Jelena</creatorcontrib><creatorcontrib>Wilson, David</creatorcontrib><creatorcontrib>Zaottini, Federico</creatorcontrib><creatorcontrib>Zappia, Marcello</creatorcontrib><creatorcontrib>Obradov, Marina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology 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Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sconfienza, Luca Maria</au><au>Adriaensen, Miraude</au><au>Albano, Domenico</au><au>Allen, Georgina</au><au>Aparisi Gómez, Maria Pilar</au><au>Bazzocchi, Alberto</au><au>Beggs, Ian</au><au>Bignotti, Bianca</au><au>Chianca, Vito</au><au>Corazza, Angelo</au><au>Dalili, Danoob</au><au>De Dea, Miriam</au><au>del Cura, Jose Luis</au><au>Di Pietto, Francesco</au><au>Drakonaki, Eleni</au><au>Facal de Castro, Fernando</au><au>Filippiadis, Dimitrios</au><au>Gielen, Jan</au><au>Gitto, Salvatore</au><au>Gupta, Harun</au><au>Klauser, Andrea S.</au><au>Lalam, Radhesh</au><au>Martin, Silvia</au><au>Martinoli, Carlo</au><au>Mauri, Giovanni</au><au>McCarthy, Catherine</au><au>McNally, Eugene</au><au>Melaki, Kalliopi</au><au>Messina, Carmelo</au><au>Mirón Mombiela, Rebeca</au><au>Neubauer, Benedikt</au><au>Olchowy, Cyprian</au><au>Orlandi, Davide</au><au>Plagou, Athena</au><au>Prada Gonzalez, Raquel</au><au>Rutkauskas, Saulius</au><au>Snoj, Ziga</au><au>Tagliafico, Alberto Stefano</au><au>Talaska, Alexander</au><au>Vasilevska-Nikodinovska, Violeta</au><au>Vucetic, Jelena</au><au>Wilson, David</au><au>Zaottini, Federico</au><au>Zappia, Marcello</au><au>Obradov, Marina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>30</volume><issue>2</issue><spage>903</spage><epage>913</epage><pages>903-913</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><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.
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.
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%).
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.
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%).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31529252</pmid><doi>10.1007/s00330-019-06419-x</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0759-8431</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0938-7994 |
ispartof | European radiology, 2020-02, Vol.30 (2), p.903-913 |
issn | 0938-7994 1432-1084 |
language | eng |
recordid | cdi_proquest_miscellaneous_2293005315 |
source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Agreements Clinical medicine Collaboration Consensus Delphi method Delphi Technique Diagnostic Radiology Humans Imaging Internal Medicine Interventional Radiology Literature reviews Medicine Medicine & Public Health Musculoskeletal Musculoskeletal system Musculoskeletal System - surgery Neuroradiology Orthopedic Procedures - methods Pain Radiography Radiology Rotator cuff Shoulder Shoulder - surgery Social impact Societies, Medical Society Surgery, Computer-Assisted - methods Ultrasonic imaging Ultrasound |
title | 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 |
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