Evidence map›Paper›PMID 25678775›Full record

SynthesisDrug design, development and therapy2015

Steroid for epidural injection in spinal stenosis: a systematic review and meta-analysis.

Kuan Liu, Pengcheng Liu, Run Liu, Xing Wu, Ming Cai

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Drug design, development and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06057428 recruitingnot on this mapstarted 2023, after this paper: background citation

Activity Levels Amongst Elderly Patients With Symptomatic Lumbar Spinal Stenosis Before and After Decompressive Surgery

TypeobservationalSponsorRegion ZealandRan2023 to 2028Enrolled80ConditionsLumbar Spinal StenosisArmsDecompressive surgery
NCT06075862 recruitingnot on this mapstarted 2023, after this paper: background citation

Postural Imbalance Amongst Elderly Patients With Symptomatic Lumbar Spinal Stenosis Before and After Decompressive Surgery

TypeobservationalSponsorRegion ZealandRan2023 to 2028Enrolled80ConditionsLumbar Spinal StenosisArmsDecompressive surgery
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Management of lumbar spinal stenosis.BMJ (Clinical research ed.) · 2016
    Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Epidural Steroid Injections for Low Back Pain: A Narrative Review.International journal of environmental research and public health · 2021
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Observational
  14. Review
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kuan LiuDepartment of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Pengcheng LiuDepartment of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Run LiuDepartment of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Xing WuDepartment of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Ming CaiDepartment of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Shanghai Tenth People's Hospital · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effectiveness and safety of epidural steroid injections in patients with lumbar spinal stenosis (LSS).

methodsWe performed a search on the CENTRAL, Pubmed, Embase and Cochrane databases up to September 2014. We recovered 17 original articles, of which only 10 were in full compliance with the randomized controlled trial (RCT) criteria. These articles were reviewed in an independent and blinded way by two reviewers who were previously trained to extract data and score their quality by the criteria of the Cochrane Handbook (5.1.0).

resultsWe accepted ten studies with 1,010 participants. There is minimal evidence that shows that epidural steroid injections are better than lidocaine alone, regardless of the mode of epidural injection. There is a fair short-term and long-term benefit for treating spinal stenosis with local anesthetic and steroids.

conclusionsThis meta-analysis suggests that epidural steroid injections provide limited improvement in short-term and long-term benefits in LSS patients.

Indexed as

Anesthetics, LocalBack PainHumansInjections, SpinalLumbar VertebraePain MeasurementPatient SafetyRecovery of FunctionRisk AssessmentRisk FactorsSpinal StenosisSteroidsTreatment OutcomeAnesthetics, LocalSteroidschronic painepidural injectionlocal anestheticlumbar spinal stenosissteroid

Identifiers

PMID25678775
PMCPMC4322611
OpenAlexW2025340409

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.