Surgical management for massive rotator cuff tears: a network meta-analysis of randomized controlled trials.

"Conflict of interest The authors declare that the research was conducted without any commercial or financial relationships construed as a potential conflict of interest."

"Funding This work was supported by the National Natural Science Foundation of China (82072506, 82272611, 92268115), Hunan Young Talents of Science and Technology (No. 2021RC3025), Provincial Clinical Medical Technology Innovation Project of Hunan (No. 2020SK53709), Wu Jieping Medical Foundation (320.6750.2020-03-14), National Clinical Research Center for Geriatric Disorders (Xiangya Hospital, No. 2021KF02), National Clinical Research Center for Orthopedics Sports Medicine and Rehabilitation (2021-NCRC-CXJJ-PY-40), Exploration and Innovation Project for Undergraduate Students of Hunan (CX20230303) and the Fundamental Research Funds for the Central Universities of Central South University (2023ZZTS0229)."

"Our study was conducted based on the guidelines and standards set by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The study protocol has been registered at the International Prospective Register of Systematic Reviews (ID: CRD42023397971). Methods: Our study was a network meta-analysis of the surgical management of mRCTs (PROSPERO Registration ID: CRD42023397971). We searched PubMed, EMBASE, Cochrane and Web of Science for randomized controlled trials that examined the efficacy of surgical management for mRCTs up to 3 November 2022. A three-step method was employed for the study process. Study selection, data extraction and risk of bias evaluation were conducted by two independent reviewers. R software (version 4.2.1) and Stata (version 15.1) were used for the data analysis."