British Elbow and Shoulder Society patient care pathway: Frozen shoulder.

IF 1.5 Q3 ORTHOPEDICS

Shoulder and Elbow Pub Date : 2025-04-23 DOI:10.1177/17585732251335955

Neal Rupani, Steve E Gwilym

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引用次数: 0

Abstract

Background: Current guidelines from the British Elbow and Shoulder Society (BESS) were published in 2015 for managing frozen shoulders in the primary and secondary care setting. Updated guidelines have been developed using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) methodology.

Methods: A multi-disciplinary BESS Working Group defined key management questions based on agreed outcome measures and time points. A literature search, conducted up to March 2023 following PRISMA guidelines, identified randomised controlled trials, systematic reviews, and meta-analyses. Quality assessments were performed using the GRADE Decision Framework, considering bias, imprecision, indirectness, and inconsistency. Data were extracted for meta-analysis. In the absence of high-quality trials, narrative reviews were created.

Results: Consensus opinions produced statements based on the quality and volume of evidence and the magnitude of desirable and undesirable effects. These statements form a comprehensive framework for managing frozen shoulder.

Discussion: This updated guideline provides evidence-based guidance for managing frozen shoulder and identifies key areas for future research.

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英国肘部和肩部协会患者护理途径：冻肩。

背景：英国肘部和肩部协会（BESS）于2015年发布了在初级和二级医疗机构中管理肩周炎的现行指南。使用推荐、评估、发展和评估分级（GRADE）方法制定了更新的指南。方法：一个多学科的BESS工作组根据商定的结果测量和时间点定义了关键管理问题。根据PRISMA指南，到2023年3月进行了文献检索，确定了随机对照试验、系统评价和荟萃分析。质量评估采用GRADE决策框架，考虑偏差、不精确、间接性和不一致性。提取数据进行meta分析。在缺乏高质量试验的情况下，叙述性综述被创造出来。结果：基于证据的质量和数量以及期望和不期望效果的大小，共识意见产生了声明。这些陈述形成了一个管理肩周炎的综合框架。讨论：本更新的指南为治疗肩周炎提供了循证指导，并确定了未来研究的关键领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Shoulder and Elbow Medicine-Rehabilitation

CiteScore

2.80

自引率

0.00%

发文量