Evidence map›Paper›PMID 31742372›Full record

ArticleTurkish journal of medical sciences2020

Predictive factors for treatment success of transforaminal epidural steroid injection in lumbar disc herniation-induced sciatica

Savaş Şencan, Alp Eren Çelenlioğlu, Ruslan Asadov, Osman Hakan Gündüz

Registry-linked trialAbstract read
In one paragraph

Article in Turkish journal of medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04540068 (Prediction of Transforaminal Epidural Injection Success in Sciatica), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04540068 recruitingnot on this map

Prediction of Transforaminal Epidural Injection Success in Sciatica

TypeobservationalSponsorEduard VerheijenRan2020 to 2026Enrolled388ConditionsLumbar Radiculopathy, Lumbar Disc Herniation, Lumbar Spinal StenosisArmsTransforaminal Epidural Injection
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Prognostic factors associated with outcome following an epidural steroid injection for disc-related sciatica: a systematic review and narrative synthesis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Epidural Steroid Injections for Low Back Pain: A Narrative Review.International journal of environmental research and public health · 2021
    Review
  14. Article
  15. [Lumbar transforaminal epidural block for treatment of low back pain with radicular pain].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2020
    Article
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

4 authors.

Savaş ŞencanDivision of Pain Medicine, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, İstanbul, TurkeyORCID 0000-0001-8150-0581
Alp Eren ÇelenlioğluDivision of Pain Medicine, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Erciyes University, Kayseri, TurkeyORCID 0000-0001-8979-0392
Ruslan AsadovDepartment of Radiology, Baku Medical Plaza, Baku, AzerbaijanORCID 0000-0002-0611-6907
Osman Hakan GündüzDivision of Pain Medicine, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, İstanbul, TurkeyORCID 0000-0002-3214-803X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: The aim of this study was to identify predictive factors for treatment success in transforaminal epidural steroid injection in patients with lumbar disc herniation-induced sciatica. Materials and methods: A total of 219 patients who were diagnosed with unilateral sciatica and underwent transforaminal epidural steroid injections at the level of L4-5, L5-S1, or S1 neural foramina between March 2016 and May 2018 were retrospectively analyzed. The presence of transitional vertebrae and the grade of nerve root compression were evaluated by a radiologist. Data including age, sex, body mass index, duration of symptoms, injection levels, and pain scores were recorded. Pain scores were evaluated using the numerical rating scale. Treatment success was defined as a ≥50% decrease in pain scores at 3 months. Results: The study included 118 female and 101 male patients with a mean age of 43.65 ± 12.18 years. The mean duration of symptoms was 25.64 ± 2.17 weeks. Although the duration of symptoms was longer in patients for whom treatment failed, it did not reach statistical significance. Decreased pain scores at 1 h had a significant effect on treatment success (p = 0.012, odds ratio (OR): 1.015, 95% confidence interval (CI), 1.003–1.026). Conclusions: Our study results suggest that a decreased pain score at 1 h is a predictor for a favorable three-month response to transforaminal epidural steroid injection in patients with lumbar disc herniation-induced sciatica.

Indexed as

Lumbar VertebraeAdrenal Cortex HormonesAdultFemaleHumansInjections, EpiduralIntervertebral Disc DisplacementMaleMiddle AgedRetrospective StudiesSciaticaAdrenal Cortex Hormonesback pain with radiationEpidural injectionherniated disclow back painmagnetic resonance imagingsciatica

Identifiers

PMID31742372
PMCPMC7080350

What OpenQuestion holds

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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.