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 II, elbow and wrist.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sconfienza Luca Maria, Adriaensen Miraude, Albano Domenico, 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, Obradov Marina, 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, Allen Georgina, Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR)
Аннотация
METHODS: A board of 45 experts in image-guided interventional musculoskeletal procedures from the European Society of Musculoskeletal Radiology were involved in this Delphi-based consensus study. All panelists reviewed and scored published papers on image-guided interventional procedures around the elbow and wrist updated to September 2018 according to the Oxford Centre for Evidence-based Medicine levels of evidence. Consensus on statements drafted by the panelists about clinical indications was considered as "strong" when more than 95% of panelists agreed and as "broad" if more than 80% agreed.
RESULTS: Eighteen statements were drafted, 12 about tendon procedures and 6 about intra-articular procedures. Only statement #15 reached the highest level of evidence (ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement). Seventeen statements received strong consensus (94%), while one received broad consensus (6%).
CONCLUSIONS: There is still poor evidence in published papers on image-guided interventional procedures around the elbow and wrist. A strong consensus has been achieved in 17/18 (94%) statements provided by the panel on clinical indications. Large prospective randomized trials are needed to better define the role of these procedures in clinical practice.
KEY POINTS: • The panel provided 18 evidence-based statements on clinical indications of image-guided interventional procedures around the elbow and wrist. • Only statement #15 reached the highest level of evidence: ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement. • Seventeen statements received strong consensus (94%), while broad consensus was obtained by 1 statement (6%).