Evidence map›Paper›PMID 32110398›Full record

ArticleBritish journal of pain2020

Best practice in radiofrequency denervation of the lumbar facet joints: a consensus technique.

Sam Eldabe, Anisah Tariq, Sherdil Nath, Ashish Gulve, Hugh Antrobus, Mohjir Baloch, Piotr Buczkowski, Neil Collighan, Tacson Fernandez, Ann-Katrin Fritz and 9 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in British journal of pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04542798 (Central Sensitization and Aberrant Nerve Sprouting Possible Explanations for RFA Failure of MBDR in CLBP of FJ Origin), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 22% 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.

NCT04542798 naunknown statusnot on this map

Central Sensitization and Aberrant Nerve Sprouting Possible Explanations for RFA Failure of MBDR in CLBP of FJ Origin: CRF Versus WCRF or PRF-DRG Randomized Clinical Trial

TypeinterventionalSponsorHospital General Universitario de ValenciaRan2020 to 2024Enrolled80ConditionsLow Back Pain, Recurrent, Neuropathic Pain, Facet Joint Pain, Central SensitisationArmsRadiofrequency COSMAN
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Lumbar Facet Joint Disease: What, Why, and When?Life (Basel, Switzerland) · 2024
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Pain is complex.British journal of pain · 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

19 authors at 16 institutions in 2 countries.

Sam EldabePain Management, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.ORCID https://orcid.org/0000-0002-9250-1886
Anisah TariqPain Management, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Sherdil NathUmeå, Sweden.
Ashish GulvePain Management, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Hugh AntrobusWarwick Hospital, Warwick, UK.ORCID https://orcid.org/0000-0002-1855-8438
Mohjir BalochFrimley Health NHS Foundation Trust, Frimley, UK.
Piotr BuczkowskiUniversity Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
Neil CollighanEast Kent Hospitals University NHS Foundation Trust, Canterbury, UK.
Tacson FernandezRoyal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
Ann-Katrin FritzNorfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Stephen HumbleImperial College Healthcare NHS Trust, London, UK.
Frank HuygenErasmus MC, Rotterdam, The Netherlands.
Murali KrishnanNorthampton General Hospital, Northampton, UK.
Vivek MehtaPain and Anaesthesia Research Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Sailesh MishraNewcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Sundar MuthukrishnanHull and East Yorkshire Hospitals NHS Trust, Kingston upon Hull, UK.ORCID https://orcid.org/0000-0002-2832-001X
Saz SnidvongsBarts Health NHS Trust, Pain and Anaesthesia Research Centre, London, UK.
Rokas TamosauskasPain Clinic, Addenbrooke's Hospital, Cambridge, UK.
Martin UnderwoodWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
South Tees Hospitals NHS Foundation Trust · GBAddenbrooke's Hospital · GBBarts Health NHS Trust · GBEast Kent Hospitals University NHS Foundation Trust · GBErasmus MC · NLFrimley Health NHS Foundation Trust · GBHull and East Yorkshire Hospitals NHS Trust · GBImperial College Healthcare NHS Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNorfolk and Norwich University Hospitals NHS Foundation Trust · GBNorthampton General Hospital · GBRoyal National Orthopaedic Hospital NHS Trust · GBSt Bartholomew's Hospital · GBUniversity Hospitals of Derby and Burton NHS Foundation Trust · GBUniversity of Warwick · GBWarwick Hospital · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundRadiofrequency denervation is used to treat selected people with low back pain. Recent trials have been criticised for using a sub-optimal intervention technique.

objectivesTo achieve consensus on a best practice technique for administering radiofrequency denervation of the lumbar facet joints to selected people with low back pain. STUDY

designA consensus of expert professionals in the area of radiofrequency denervation of the lumbar facet joints.

methodsWe invited a clinical member from the 30 most active UK departments in radiofrequency pain procedures and two overseas clinicians with specific expertise to a 1 day consensus meeting. Drawing on the known anatomy of the medial branch, the theoretical basis of radiofrequency procedures, a survey of current practice and collective expertise, delegates were facilitated to reach consensus on the best practice technique.

resultsThe day was attended by 24 UK and international clinical experts. Attendees agreed a best practice technique for the conduct of radiofrequency denervation of the lumbar facet joints. LIMITATIONS: This consensus was based on a 1 day meeting of 24 clinical experts who attended and took part in the discussions. The agreed technique has not been subject to input from a wider community of experts.

conclusionsCurrent best practice for radiofrequency denervation has been agreed for use in a UK trial. Group members intend immediate implementation in their respective trusts. We propose using this in a planned Randomised Controlled Trial (RCT) of radiofrequency denervation for selected people with low back pain.

Indexed as

facet rhizolysisLow back painlumbar facet jointslumbar zygapophyseal jointsmedial branch blockmedial branch of the dorsal ramusradiofrequency denervation

Identifiers

PMID32110398
PMCPMC7026831
OpenAlexW2925809985

What OpenQuestion holds

Textmetadata
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.