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not physicians and may be unaware of misleading references. It is essential to provide the most relevant information and not selectively include information that may favor a particular opinion. For example, with the question and the imagined scenario presented, the following information could be referenced: In 2004, the results were published from the WHO's systematic review 5 of 38,806 scientific citations published between 1980 and 2002. The findings from that project included that “the best evidence suggests little or no risk of brain tumour attributable to
status and the lack of correlation between findings on imaging and symptoms. 1 The presence of abnormalities on imaging studies of the cervical and lumbar spine in the asymptomatic population is well documented in the medical literature. 2 The systematic review by Mayo Clinic physicians of 33 published studies in which 3110 asymptomatic adults were imaged using magnetic resonance imaging (MRI) 1 showed that in middle age, when most problematic back pain problems present, roughly half of asymptomatic adults had disc bulges, roughly one-third had disc protrusions
Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions: An Update of the Evidence and Messages for Practitioners Cullen KL, et al. J Occup Rehabil. 2017 Feb 21. doi: 10.1007/s10926-016-9690-x . [Epub ahead of print] Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28224415 Direct link to article: https://link.springer.com/article/10.1007%2Fs10926-016-9690-x Purpose: The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return
QUESTION: What are the possible relationships between meniscal tears and motor vehicle collisions? ANSWER: A systematic review including a meta-analysis identified a number of risk factors for meniscal tears but motor vehicle collisions were not among them. 1 However, in a moderate- to high-speed frontal impact, foot-pedal or floorboard contact may result in longitudinal impaction on the lower limb, with compressive loads transmitted to the knee. If combined with the rotation of the joint, a meniscal tear could result. On the other hand, in a rear
aim of this article is to review the current evidence for use of these two procedures in this condition. Methods: Recent meta-analyses, systematic reviews and appropriate cohort publications concerning surgical management of PFOA were sourced. A cohort of patients from the authors' own institution was also reviewed. An instructional lecture was then created and delivered at the British Association for Surgery of the Knee 2019 annual conference, on behalf of the British Patellofemoral Society. This article has been written based on this lecture. Results: It is
epicondylitis: a systematic review. Pain. 2002 ; 96 ( 1–2 ): 23 . Sources 1. Ahmad Z , Brooks R , Kang SN , et al. The effect of platelet-rich plasma on clinical outcomes in lateral epicondylitis. Arthroscopy 2013 ; 29 : 1851 . 2. Altay T , Günal I , Oztürk H . Local injection treatment for lateral epicondylitis. Clin Orthop Relat Res. 2002 ; 127 . 3. Aoki M , Wada T , Isogai S , et al. Magnetic resonance imaging findings of refractory tennis elbows and their relationship to surgical treatment. J Shoulder Elbow Surg
; ▪ Long-standing illness; ▪ Disability; and ▪ Higher rates of medical consultation, medication consumption, and hospital admission. Of all the potential consequences of unemployment in mid-adult life, the worst outcome is premature death. In 2011, Roelfs et al 13 published the systematic review of 42 studies that described 235 calculations of mortality on 20,000,000 persons and concluded that becoming unemployed (even after adjustment for diseases that may explain disability-related unemployment) was associated with a 40%–60% increase in the subsequent
present on the baseline studies obtained when the patient was asymptomatic. 7 From a clinical perspective, the information provided in lumbar imaging, whether plain X rays or MRI, has not been found to either influence treatment recommendations or improve outcomes. In typical patients with LBP or radiculopathy, MRI has not been shown to have measurable value in planning treatment, 8 and most of the treatment guidelines recommend a trial of conservative care prior to any other intervention. A systematic review and meta-analysis of six trials comparing immediate lumbar
Chronic Noncancer Pain A US review of published studies on chronic opioid therapy for back pain concluded: Rates of opioid prescribing in the U.S. and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Given the brevity of
-related factors in predicting disability, and (6) the interdisciplinary growth of this field. https://link.springer.com/article/10.1007%2Fs12207-009-9061-4 . Springer US Barth J, de Boer W, Busse JW, Hoving JL, Kedzia S, Couban R, Fischer K, von Allmen DY, Spanjer J, Kunz R. Inter-rater agreement in evaluation of disability: systematic review of reproducibility studies BMJ 2017;356:j14 http://dx.doi.org/10.1136/bmj.j14 Abstract: Objectives To explore agreement among healthcare professionals assessing eligibility for work disability benefits. Design Systematic review and
