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Table 5 Summary of subgroup analysis resultsa

From: Efficacy of extracorporeal shock wave therapy for knee tendinopathies and other soft tissue disorders: a meta-analysis of randomized controlled trials

Subgroups

Treatment success rate

Pain score reduction

Patient-reported functional improvement

Trials (patient), n

OR

(95% CI)

P value

I2 (%), LoEd

Trials (patient), n

SMD

(95% CI)

P value

I2 (%), LoEd

Trials (patient), n

SMD

(95% CI)

P value

I2 (%), LoEd

Follow-up duration

 Focused ESWT

  Overall

7 (324)

3.28

(1.79, 6.02)b

0.001

25, S

7 (337)

−2.01

(−3.31, −0.71)c

0.002

96, M

7 (333)

1.08

(0.19, 1.97)c

0.02

92, M

   > 6 months

2 (99)

0.33

(0.07, 1.45)b

0.14

56, C

1 (46)

0.71

(0.11, 1.31)

0.02

NA, M

2 (99)

−0.01

(−1.66, 1.65)c

1.00

94, C

   > 3 months, ≤6 months

2 (87)

0.49

(0.19, 1.29)b

0.15

31, C

4 (220)

−2.74

(−4.85, −0.62)c

0.01

97, M

4 (220)

1.81

(−0.14, 3.77)c

0.07

97, C

   > 1 month, ≤3 months

3 (129)

1.02

(0.45, 2.32)b

0.96

0, C

5 (220)

−0.31

(−0.78, 0.16)c

0.19

65, C

5 (220)

0.42

(−0.17, 1.00)c

0.16

76, C

   ≤ 1 month

5 (225)

5.53

(2.71, 11.25)b

< 0.00001

0, S

6 (291)

− 1.39

(−2.37, −0.41)c

0.005

92, M

5 (234)

2.22

(0.51, 3.92)c

0.01

96, M

 Radial ESWT

  Overall

9 (518)

3.11

(1.31, 7.38)c

0.01

73, M

11 (747)

−1.36

(−2.02, −0.71)c

< 0.0001

93, L

6 (395)

2.56

(0.92, 4.19)c

0.002

97, L

   > 6 months

3 (185)

4.35

(1.96, 9.63)b

0.0003

49, M

2 (165)

−2.13

(−2.52, −1.74)b

< 0.00001

42, M

2 (165)

4.64

(4.04, 5.25)b

< 0.00001

68, M

   > 3 months, ≤6 months

0

NA

 

NA

NA

2 (246)

−1.59

(− 1.88, − 1.30)b

< 0.00001

20, M

1 (100)

3.79

(3.12, 4.45)

< 0.00001

NA, L

   > 1 month, ≤3 months

2 (80)

5.60

(1.97, 15.86)b

0.001

69, M

4 (249)

−2.00

(−3.41, −0.58)c

0.006

95, L

4 (261)

2.93

(0.48, 5.37)c

0.02

98, L

   ≤ 1 month

6 (293)

1.88

(0.59, 5.98)c

0.28

75, C

10 (601)

−1.07

(−1.67, −0.47)c

0.0005

91, L

6 (395)

2.29

(0.73, 3.84)c

0.004

97, L

Energy level (EFD)

 Focused ESWT

   ≥ 0.2 mJ/mm2

4 (211)

2.25

(1.08, 4.49)b

0.03

8, S

4 (220)

−2.94

(−5.05, −0.82)c

0.006

97, M

5 (273)

1.65

(0.21, 3.10)c

0.02

96, M

   < 0.2 mJ/mm2

3 (113)

7.39

(2.52, 21.67)b

0.0003

0, M

3 (117)

−1.47

(−2.42, −0.53)c

0.002

77, M

2 (60)

1.99

(−0.82, 4.81)c

0.17

92, C

 Radial ESWT

   ≥ 0.2 mJ/mm2

5 (308)

3.98

(2.18, 7.29)b

< 0.00001

40, M

5 (311)

−2.17

(−3.23, −1.11)c

< 0.0001

92, L

2 (165)

5.49

(4.81, 6.17)b

< 0.00001

0, M

   < 0.2 mJ/mm2

4 (210)

2.55

(0.43, 15.17)c

0.30

86, C

6 (436)

−0.73

(−1.44, −0.02)c

0.04

91, L

4 (230)

0.80

(0.19, 1.40)c

0.01

79, L

Intervention duration

 Focused ESWT

   ≥ 1 month

2 (73)

7.89

(2.61, 23.88)b

0.0003

0, M

3 (137)

−3.13

(−5.70, −0.56)c

0.02

95, M

2 (80)

6.24

(0.86, 11.62)c

0.02

95, M

   < 1 month

5 (251)

1.52

(0.80, 2.87)b

0.20

38, C

4 (200)

−0.17

(−0.45, 0.11)b

0.23

61, C

5 (253)

0.51

(−0.17, 1.19)c

0.14

88, C

 Radial ESWT

   ≥ 1 month

6 (375)

5.32

(3.20, 8.83)b

< 0.00001

0, M

7 (521)

− 1.80

(− 2.52, −1.08)c

< 0.00001

91, L

5 (315)

1.99

(1.68, 2.30)c

< 0.00001

97, L

   < 1 month

3 (143)

0.78

(0.09, 6.69)c

0.82

81, C

4 (226)

−0.58

(−1.64, 0.48)c

0.29

93, C

1 (80)

0.11

(−0.33, 0.54)

0.64

NA, C

Control group type

 Focused ESWT

  Placebo

5 (221)

4.61

(1.92, 11.08)b

0.0006

0, S

5 (234)

−3.22

(−5.14, −1.31)c

0.001

97, M

6 (287)

2.03

(0.70, 3.36)c

0.003

95, M

  Noninvasive comparison control

1 (57)

6.40

(1.89, 21.68)

0.003

NA, L

2 (117)

−2.07

(−3.73, −0.41)c

0.01

92, M

1 (60)

6.98

(5.59, 8.36)

< 0.00001

NA, M

  Invasive comparison control

1 (46)

1.00

(0.31, 3.18)

1.0

NA, C

1 (46)

0.36

(−0.22, 0.95)

0.22

NA, C

1 (46)

−0.32

(−0.90, 0.26)

0.28

NA, C

 Radial ESWT

  Placebo

3 (152)

4.41

(2.00, 9.71)b

0.0002

0, M

4 (232)

−1.14

(−1.42, −0.86)b

< 0.00001

56, M

3 (170)

0.70

(0.02, 1.39)c

0.04

77, L

  Noninvasive comparison control

4 (206)

4.17

(2.23, 7.81)b

< 0.00001

61, M

5 (355)

−1.81

(−2.83, −0.80)c

0.0005

93, L

2 (125)

3.62

(−0.81, 8.04)c

0.11

98, C

  Invasive comparison control

2 (160)

1.23

(0.02, 63.55)c

0.92

93, C

2 (160)

−0.80

(−3.85, 2.24)c

0.61

99, C

1 (100)

5.27

(4.43, 6.12)

< 0.00001

NA, L

Treated populations

 Focused ESWT

  Athlete

3 (124)

2.47

(1.16, 5.27)b

0.02

68, M

3 (128)

−0.84

(−2.16, 0.47)c

0.21

90, C

3 (128)

0.97

(−0.42, 2.37)c

0.17

91, C

  Nonathlete

4 (200)

5.47

(1.98, 15.11)b

0.001

0, S

4 (209)

−3.61

(−5.86, −1.35)c

0.002

97, M

4 (205)

2.35

(0.38, 4.31)c

0.02

97, M

 Radial ESWT

  Athlete

4 (285)

3.10

(0.50, 19.30)c

0.23

87, C

4 (285)

−1.79

(−3.73, 0.15)c

0.07

98, C

3 (225)

4.16

(1.09, 7.24)c

0.008

98, L

  Nonathlete

5 (233)

3.22

(1.75, 5.94)b

0.0002

32, M

7 (462)

−1.24

(−1.57, −0.91)c

< 0.00001

60, L

3 (170)

0.59

(0.01, 1.18)c

0.05

72, L

Treated disease

 Focused ESWT

  Tendinopathy

5 (214)

3.62

(1.28, 5.36)b

0.008

38, S

6 (280)

−2.29

(−3.84, −0.75)c

0.004

96, M

6 (280)

1.14

(0.06, 2.21)c

0.04

94, M

  Other KSTDs

2 (110)

5.83

(1.86, 18.26)b

0.002

0, M

1 (57)

−1.24

(−1.81, −0.67)

< 0.0001

NA, L

1 (53)

0.84

(0.27, 1.40)

0.004

NA, M

 Radial ESWT

  Tendinopathy

5 (306)

4.67

(2.61, 8.36)b

< 0.00001

54, M

7 (535)

−1.70

(−2.48, − 0.92)c

< 0.0001

93, L

4 (305)

3.47

(0.78, 6.16)c

0.01

98, L

  Other KSTDs

4 (212)

2.13

(0.40, 11.43)c

0.38

83, C

4 (212)

−0.77

(−1.92, 0.38)c

0.19

93, C

2 (90)

0.91

(0.47, 1.34)b

< 0.0001

0, M

Cointervention design

 Focused ESWT

  Monotherapy

1 (16)

45.00

(1.83, 1104.64)

0.0002

NA, L

2 (80)

−5.17

(−6.43, −3.91)c

< 0.0001

98, M

2 (80)

6.24

(0.86, 11.62)c

0.02

95, M

  Cointervention

6 (308)

2.98

(1.61, 5.52)b

0.0005

6, S

5 (257)

−0.26

(−0.87, 0.35)c

0.41

83, C

5 (253)

0.29

(−0.12, 0.71)c

0.17

63, C

 Radial ESWT

  Monotherapy

3 (185)

2.18

(0.21, 22.89)c

0.52

91, C

4 (331)

−1.62

(−3.32, 0.08)c

0.06

97, C

2 (125)

3.99

(0.31, 7.68)c

0.03

97, L

  Cointervention

6 (333)

3.72

(2.11, 6.57)b

< 0.00001

33, M

7 (416)

−1.26

(−1.78, −0.75)c

< 0.00001

82, L

4 (270)

2.11

(0.02, 4.21)c

0.05

98, L

  1. aOR odds ratio, I2 heterogeneity, LoE level of evidence, SMD standard mean difference, NA not applicable, EFD energy flux density, ESWT extracorporeal shock wave therapy, KSTDs knee soft tissue disorders
  2. bFixed-effects model
  3. cRandom-effects model
  4. dLevel of evidence: Strong (S), Moderate (M), Limited (L), Very limited (V), Conflicting (C)