Abstract
The aim of this analysis was to assess the quality of reporting of randomized controlled trials (RCTs) relating to pain management in rotator cuff (RC) tears. This review evaluated the quality of the studies in the literature regarding this topic through the use of some factors and trends. The online databases used to search all RCTs on the topic of RC surgery were Medline, Scopus, CINAHL, EMBASE, and CENTRAL. This research was completed in September 2020. To assess the quality of reports, the Consolidated Standards of Reporting Trials (CONSORT) and the modified Coleman methodology score (MCMS) were used. From the research, 262 articles emerged. Finally, 79 studies were included in this historical analysis. There were no statistically significant changes in MCMS across trials that included or did not include a CONSORT diagram (p = 0.10). A statistically significant difference in MCMS was discovered between papers produced prior to 2009 and publications produced after 2015 (p = 0.03). There was no association between the number of checklist items for each article and the Coleman score. During the years there has been a significant increase in both quantity and quality of RCTs relating to pain in RC tears.
Highlights
arthroscopic rotator cuff repairs (ARCR) is associated with shorter hospitalization time and complications, but it could be associated with postoperative pain [7,8]
This paper aimed to evaluate the quality of reporting of all randomized controlled trials (RCTs) linked to pain treatments of rotator cuff (RC) tears
Inclusion criteria were: level of evidence I or II according to the Oxford Center of EBM; English language; studies on human patients; and focus on pain in patients affected by RC tears
Summary
Rotator cuff tears are among the most prevalent cause of shoulder pain and disability for which patients need therapy [1,2]. With an incidence of approximately 6% and 30% in patients under and over 60 years [3]. Issues of the rotator cuff include alteration of collagen fiber structure, tenocytes, cellularity, and vascularity [4]. Surgical treatment is indicated in patients with persistent pain unresponsive to conservative treatment [1]. In the last ten years, the arthroscopic rotator cuff repairs (ARCR) overtook the open surgery in term of procedures performed [5,6]. ARCR is associated with shorter hospitalization time and complications, but it could be associated with postoperative pain [7,8]
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