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Comment & Response
January 1, 2014

Testing for Shoulder Disorders—Reply

Author Affiliations
  • 1Department of Orthopaedic Surgery, Erasmus M C University Medical Centre, Rotterdam, the Netherlands
  • 2Department of Rheumatology, Erasmus M C University Medical Centre
  • 3Department of Orthopaedic Surgery, Erasmus M C University Medical Centre
JAMA. 2014;311(1):94-95. doi:10.1001/jama.2013.283140

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.

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