|
Title
|
|
|
|
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 II, elbow and wrist
| |
|
Author
|
|
|
|
| |
|
Institution/Organisation
|
|
|
|
European Soc Musculoskeletal Radio
| |
|
Abstract
|
|
|
|
| Background Although image-guided interventional procedures of the elbow and wrist are routinely performed, there is poor evidence in the literature concerning such treatments. Our aim was to perform a Delphi-based consensus on published evidence on image-guided interventional procedures around the elbow and wrist and provide clinical indications on this topic. Methods A board of 45 experts in image-guided interventional musculoskeletal procedures from the European Society of Musculoskeletal Radiology were involved in this Delphi-based consensus study. All panelists reviewed and scored published papers on image-guided interventional procedures around the elbow and wrist updated to September 2018 according to the Oxford Centre for Evidence-based Medicine levels of evidence. Consensus on statements drafted by the panelists about clinical indications was considered as "strong" when more than 95% of panelists agreed and as "broad" if more than 80% agreed. Results Eighteen statements were drafted, 12 about tendon procedures and 6 about intra-articular procedures. Only statement #15 reached the highest level of evidence (ultrasound-guided steroid wrist injections result in greater pain reduction and greater likelihood of attaining clinically important improvement). Seventeen statements received strong consensus (94%), while one received broad consensus (6%). Conclusions There is still poor evidence in published papers on image-guided interventional procedures around the elbow and wrist. A strong consensus has been achieved in 17/18 (94%) statements provided by the panel on clinical indications. Large prospective randomized trials are needed to better define the role of these procedures in clinical practice. |
| |
|
Language
|
|
|
|
English
| |
|
Source (journal)
|
|
|
|
European radiology. - Secaucus, N.J., 1991, currens
| |
|
Publication
|
|
|
|
Secaucus, N.J.
:
2020
| |
|
ISSN
|
|
|
|
0938-7994
[print]
1432-1084
[online]
| |
|
DOI
|
|
|
|
10.1007/S00330-019-06545-6
| |
|
Volume/pages
|
|
|
|
30
:4
(2020)
, p. 2220-2230
| |
|
ISI
|
|
|
|
000519659200042
| |
|
Pubmed ID
|
|
|
|
31844963
| |
|
Full text (Publisher's DOI)
|
|
|
|
| |
|
Full text (publisher's version - intranet only)
|
|
|
|
| |
|