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 III, nerves of the upper limb.
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, 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, Obradov Marina, Olchowy Cyprian, Orlandi Davide, Gonzalez Raquel Prada, Rutkauskas Saulius, Snoj Ziga, Tagliafico Alberto Stefano, Talaska Alexander, Vasilevska-Nikodinovska Violeta, Vucetic Jelena, Wilson David, Zaottini Federico, Zappia Marcello, Plagou Athena, Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR)
Аннотация
METHODS: An expert panel of 45 members of the Ultrasound and Interventional Subcommittees of the ESSR participated in this Delphi-based consensus study. After revision of the published papers on image-guided interventional procedures for nerves of the upper limb updated to September 2018, the experts drafted a list of statements according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus on statements regarding clinical indications was considered as strong when more than 95% of experts agreed, and broad if more than 80% agreed.
RESULTS: Ten statements were drafted on procedures for nerves of the upper limb. Only two statements reached the highest level of evidence (ultrasound guidance is a safe and effective method for brachial plexus block; ultrasound-guided non-surgical approaches are safe and effective methods to treat carpal tunnel syndrome in the short term, but there is sparse evidence on the mid- and long-term effectiveness of these interventions). Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%).
CONCLUSIONS: This Delphi-based consensus study reported poor evidence on image-guided interventional procedures for nerves of the upper limb. Sixty percent of statements on clinical indications provided by the expert board reached a strong consensus.
KEY POINTS: • An expert panel of the ESSR provided 10 evidence-based statements on clinical indications for image-guided interventional procedures for nerves of the upper limb • Two statements reached the highest level of evidence • Strong consensus was obtained on 6/10 statements (60%), while 4/10 statements reached broad consensus (40%).