Fibromyalgia & musculoskeletal pain
The usefulness of ultrasound in predicting outcomes in patients with shoulder pain: a prospective observational study
Authors' conclusion
Ultrasound-based classification (groups or individual pathologies) of shoulder pain did not predict medium-term outcomes using current treatments.
Study context
- Population
- Community-based cohort with shoulder pain referred for first ultrasound scan at a single radiology unit, with subsequent routine clinical care (mean age 53.6 years; 52% female)330 completed follow-up
- Participants
- 500 participants
- Exposure
- Ultrasound pathology-based groups identified by latent class analysis (LCA)
- Outcome
- SPADI according to ultrasound-based groups and individual pathologies
- Follow-up
- 6 months
Methodological detailscommunity-based cohort, single radiology unit, latent class analysis, multiple linear regression
- Community-based cohort
- Single radiology unit
- Latent class analysis
- Multiple linear regression
Main finding
As reported in the abstract
Total SPADI
Rotator cuff tear
43.5
mean
P = 0.379
Observational data: associations, not effects.
Further findings
| Outcome | Rotator cuff tear | P value |
|---|---|---|
| Total SPADI at baselineRotator cuff tear vs Other groups · other groups 49.7-51.3 | mean 55.1 | overall P = 0.005 |
Shoulder Pain and Disability Index (SPADI) response to baseline corticosteroid injection · week 2
- Did not differ between groups (mean SPADI 40.1-43.8)
- P = 0.423
Original publication
The usefulness of ultrasound in predicting outcomes in patients with shoulder pain: a prospective observational study. Rheumatology (Oxford). Published 20 October 2023. doi:10. 1093/ rheumatology/ kead546
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