Evidence map›Paper›PMID 30075599›Full record

SynthesisMedicine2018

Effectiveness of pulsed radiofrequency treatment on cervical radicular pain: A meta-analysis.

Sang Gyu Kwak, Dong Gyu Lee, Min Cheol Chang

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.6field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  15. Multicentre, clinical trial of burst spinal cord stimulation for neck and upper limb pain NU-BURST: a trial protocol.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Sang Gyu KwakDepartment of Medical Statistics, College of Medicine, Catholic University of Daegu Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Dong Gyu Lee
Min Cheol Chang
Yeungnam University · KRCatholic University of Daegu · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical radicular pain is a challenging medical problem in terms of therapeutic management. Recently, pulsed radiofrequency (PRF) stimulation on the dorsal root ganglion (DRG) has been used to control several types of chronic pain. However, its effect on cervical radicular pain is still not well studied. To conduct a meta-analysis of available clinical studies on PRF treatment in patients with cervical radicular pain induced by cervical spine disease that was not responsive to other conservative treatments.

methodsA comprehensive database search was conducted on PubMed, Embase, Cochrane Library, and SCOPUS. We included studies published up to August 31, 2017, that fulfilled our inclusion and exclusion criteria. The pain degrees measured using visual analog scale (VAS) at pretreatment and after PRF on the DRG were collected for the meta-analysis. The Cochrane Collaboration's Handbook and Newcastle-Ottawa scale were used for the methodological quality assessments of included studies. The meta-analysis was performed using the Comprehensive Meta-analysis Version 2.

resultsA total of 67 patients from one RCT study, 2 prospective observational studies, and one retrospective study were included in this meta-analysis. The pooled data of the 4 included studies showed that overall VAS after the PRF treatment was significantly reduced (P ≤ .001). In the subgroup analysis according to follow-up evaluation time points, the pain was significantly reduced at 2 weeks, 1 month, 3 months, and 6 months after the procedure (2 weeks: P = .02; 1, 3, and 6 months: P < .001).

conclusionAccording to the results of the meta-analysis, the use of PRF on the DRG is effective for alleviating cervical radicular pain, which was unresponsive to oral medications, physical therapy, or epidural steroid injection.

Indexed as

Cervical VertebraeFemaleHumansIntervertebral Disc DisplacementMalePain MeasurementPulsed Radiofrequency TreatmentRadiculopathySpinal Stenosis

Identifiers

PMID30075599
PMCPMC6081162
OpenAlexW2885411744

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.