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Comment & Response |

Testing for Shoulder Disorders—Reply

Job Hermans, MD, MSc1; Jolanda J. Luime, PhD2; Duncan E. Meuffels, MD, PhD3
[+] 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.
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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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January 1, 2014
Alexis Descatha, MD, PhD; Diane Godeau, MD; Zakia Mediouni, MD
1Occupational Health Unit, Paris Teaching Hospital, Garches, France
JAMA. 2014;311(1):94. doi:10.1001/jama.2013.283136.
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