TY - JOUR
TI - 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
AU - Sconfienza, L.M.
AU - Adriaensen, M.
AU - Albano, D.
AU - Allen, G.
AU - Aparisi Gómez, M.P.
AU - Bazzocchi, A.
AU - Beggs, I.
AU - Bignotti, B.
AU - Chianca, V.
AU - Corazza, A.
AU - Dalili, D.
AU - De Dea, M.
AU - del Cura, J.L.
AU - Di Pietto, F.
AU - Drakonaki, E.
AU - Facal de Castro, F.
AU - Filippiadis, D.
AU - Gielen, J.
AU - Gitto, S.
AU - Gupta, H.
AU - Klauser, A.S.
AU - Lalam, R.
AU - Martin, S.
AU - Martinoli, C.
AU - Mauri, G.
AU - McCarthy, C.
AU - McNally, E.
AU - Melaki, K.
AU - Messina, C.
AU - Mirón Mombiela, R.
AU - Neubauer, B.
AU - Olchowy, C.
AU - Orlandi, D.
AU - Plagou, A.
AU - Prada Gonzalez, R.
AU - Rutkauskas, S.
AU - Snoj, Z.
AU - Tagliafico, A.S.
AU - Talaska, A.
AU - Vasilevska-Nikodinovska, V.
AU - Vucetic, J.
AU - Wilson, D.
AU - Zaottini, F.
AU - Zappia, M.
AU - Obradov, M.
JO - European Radiology Experimental
PY - 2020
VL - 30
TODO - 2
SP - 903-913
PB - Springer-Verlag
SN - null
TODO - 10.1007/s00330-019-06419-x
TODO - article;  consensus;  Delphi study;  echography;  evidence based practice center;  human;  interventional radiology;  intrabursal drug administration;  musculoskeletal procedure;  shoulder;  tendon;  thrombocyte rich plasma;  computer assisted surgery;  consensus;  consensus development;  medical society;  musculoskeletal system;  orthopedic surgery;  procedures;  radiography;  radiology;  shoulder;  surgery, Consensus;  Delphi Technique;  Humans;  Musculoskeletal System;  Orthopedic Procedures;  Radiography;  Radiology;  Shoulder;  Societies, Medical;  Surgery, Computer-Assisted
TODO - 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%). © 2019, European Society of Radiology.
ER -