BESS patient care pathway: Tennis elbow
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Published:2023-08
Issue:4
Volume:15
Page:348-359
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ISSN:1758-5732
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Container-title:Shoulder & Elbow
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language:en
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Short-container-title:Shoulder & Elbow
Author:
Singh Harvinder Pal1ORCID, Watts Adam C2, Bateman Marcus, Batten Timothy, Bhabra Gev, Chatterji Somashree, Chin Kuen, Chong Han Hong, Dott Cameron, Elgebaly Ahmed, Emin Atilla, Evans Jonathan, Field David, Fisher Rachael, Hamoodi Zaid, Hughes Ben, Imam Mo, Jones Val, Jubber Ameen, Mitchell Ralph, Patel Veena, Phadnis Joideep, Pitt Lisa, Rajesparan Kannan, Rashid Abbas, Robinson Paul, Robinson Simon, Shields David, Stephens Alastair, Steveney Jojo, Stone Andrew, Syed Habib, Tse Shannon, Wright Andrew
Affiliation:
1. University Hospitals of Leicester NHS Trust, Leicester, UK 2. Upper Limb Unit, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK
Abstract
This article provides a guidance summary for the management of lateral elbow tendinopathy (LET) using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system of the rating quality of the literature and grading the strength of available evidence. The process began by assembling a guideline development group of volunteers including orthopaedic surgeons, trainees, physiotherapists, rheumatologists, radiologists and patients. Virtual meetings were organised to set out explicit PICO questions, including specification of all important outcomes (including patient reported tennis elbow evaluation (PRTEE) as an important primary outcome) to determine the clinical effectiveness of common treatment options for LET compared with no treatment or placebo. Clinical librarian searched (date 31 April 2022) for available systematic reviews and randomised controlled trials reviewing the management of the LET January 2011 onwards and evidence was collected and summarized using explicit GRADE criteria for rating the quality of evidence that include study design, risk of bias, imprecision, inconsistency, indirectness, and magnitude of effect. Recommendations were characterized as strong or weak (alternative terms conditional or discretionary) according to the quality of the supporting evidence and the balance between desirable and undesirable consequences of alternative management options. This informative summary provides the quality of available evidence for the management of LET.
Publisher
SAGE Publications
Subject
Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Surgery
Cited by
1 articles.
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