Lastly, a decreasing trend was observed in the Netherlands, following a clinical practice guideline implementation in 2012 that advocated against SAD surgery, but lack of data for the period before guideline implementation made evaluation impossible [ 20 ].
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The relationship between publication of high-quality evidence and changes in the volume and trend of subacromial decompression surgery for patients with subacromial pain syndrome in hospitals across Australia, Europe and the United States: a controlled interrupted time series analysis.
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