Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline
Author(s) -
Per Olav Vandvik,
Tuomas Lähdeoja,
Clare L. Ardern,
Rachelle Buchbinder,
Jaydeep Moro,
Jens Ivar Brox,
Jako Burgers,
Qiukui Hao,
Teemu Karjalainen,
Michel van den Bekerom,
Julia C. A. Noorduyn,
Lyubov Lytvyn,
Reed Siemieniuk,
Alexandra Albin,
Sean Chua Shunjie,
Florian Fisch,
Laurie Proulx,
Gordon Guyatt,
Thomas Agoritsas,
Rudolf W. Poolman
Publication year - 2019
Publication title -
bmj
Language(s) - English
Resource type - Journals
ISSN - 0959-8138
DOI - 10.1136/bmj.l294
Subject(s) - medicine , guideline , shoulder surgery , rotator cuff , physical therapy , quality of life (healthcare) , surgery , evidence based medicine , decompression , shoulder impingement syndrome , alternative medicine , nursing , pathology
The panel concluded that almost all informed patients would choose to avoid surgery because there is no benefit but there are harms and it is burdensome. Subacromial decompression surgery should not be offered to patients with SAPS. However, there is substantial uncertainty in what alternative treatment is best.
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