In Reply All of the studies included in our meta-analysis were conducted by specialists with referred patients; even though we did not exclude primary care studies, there were none that met our inclusion criteria, which required high quality and low bias. We do not agree with Drs Descatha and colleagues that the results are inapplicable to a primary care or nonreferred population. We used the best available evidence on the clinical examination for RCD and discussed in our article how this evidence can be applied to a nonreferred population in primary care.
Hermans J, Luime JJ, Meuffels DE. Testing for Shoulder Disorders—Reply. JAMA. 2014;311(1):94-95. doi:10.1001/jama.2013.283140