Subacromial spacer for Tears Affecting Rotator cuff Tendons : a Randomised, Efficient, Adaptive Clinical Trial in Surgery (START:REACTS)

Metcalfe, Andrew J., Arnold, Susanne, Parsons, Helen, Parsons, Nicholas R., Bhabra, Gev, Brown, Jaclyn, Bush, Howard, Diokno, Michael, Elliott, Mark T., Fox, Josephine et al.
). (2023) Subacromial spacer for Tears Affecting Rotator cuff Tendons : a Randomised, Efficient, Adaptive Clinical Trial in Surgery (START:REACTS). Efficacy and Mechanism Evaluation, 10 (3). doi:10.3310/TKJY2101 ISSN 2050-4365.

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Abstract

Background
A balloon spacer is a relatively simple addition to an arthroscopic debridement procedure for irreparable rotator cuff tears.

Objective
To evaluate the clinical and cost-effectiveness of a subacromial balloon spacer for individuals undergoing arthroscopic debridement for irreparable rotator cuff tears.

Design
A multicentre participant-and assessor-blinded randomised controlled trial comparing arthroscopic debridement with the InSpace® (Stryker, Kalamazoo, MI, USA) balloon to arthroscopic debridement alone, using a novel adaptive design. Pretrial simulations informed stopping boundaries for two interim analyses, using outcome data from early and late time points.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group)
Library of Congress Subject Headings (LCSH): Shoulder joint -- Rotator cuff -- Evaluation, Shoulder joint -- Rotator cuff -- Surgery -- Evaluation, Tendons -- Transplantation, Clinical trials
Journal or Publication Title: Efficacy and Mechanism Evaluation
Publisher: NIHR Health Technology Assessment Programme
ISSN: 2050-4365
Official Date: 31 August 2023
Dates:
Date
Event
31 August 2023
Published
15 March 2023
Accepted
Volume: 10
Number: 3
DOI: 10.3310/TKJY2101
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 22 September 2023
Date of first compliant Open Access: 25 September 2023
RIOXX Funder/Project Grant:
Project/Grant ID
RIOXX Funder Name
Funder ID
16/61/18
[NIHR] National Institute for Health Research. Efficacy and Mechanism Evaluation
UNSPECIFIED
UNSPECIFIED
[MRC] Medical Research Council
UNSPECIFIED
[NIHR] National Institute for Health Research
Related URLs:
URI: https://wrap.warwick.ac.uk/179529/

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