Fibromyalgia & musculoskeletal pain

The usefulness of ultrasound in predicting outcomes in patients with shoulder pain: a prospective observational study

Rheumatology (Oxford)Published Prospective cohort 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

OutcomeRotator cuff tearP value
Total SPADI at baselineRotator cuff tear vs Other groups · other groups 49.7-51.3mean 55.1overall 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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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