Evidence map›Paper›PMID 33988820›Full record

SynthesisActa neurologica Belgica2022

Efficacy and safety of radiofrequency in the treatment of trigeminal neuralgia: a systematic review and meta-analysis.

Congyang Yan, Qianxi Zhang, Cheng Liu, Jiali Yang, Hu Bian, Jun Zhu, Tongqing Xue

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Acta neurologica Belgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Modern Approaches to the Treatment of Acute Facial Pain.Current pain and headache reports · 2024
    Review
  4. Article
  5. Review
  6. Review
  7. The Molecular Basis and Pathophysiology of Trigeminal Neuralgia.International journal of molecular sciences · 2022
    Review
  8. Review
  9. 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

7 authors at 2 institutions in 1 country.

Congyang Yan *Department of Neurology, Lianshui People's Hospital, Huai'an, China.
Qianxi Zhang *Department of Radiology, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an, China.
Cheng Liu *Department of Pain and Interventional Radiology, Huai'an Hospital of Huai'an City, No. 161, Zhenhuailou East Road, Huai'an, China.
Jiali YangDepartment of Pain and Interventional Radiology, Huai'an Hospital of Huai'an City, No. 161, Zhenhuailou East Road, Huai'an, China.
Hu BianDepartment of Pain and Interventional Radiology, Huai'an Hospital of Huai'an City, No. 161, Zhenhuailou East Road, Huai'an, China.
Jun ZhuDepartment of Interventional Radiology, The Third People's Hospital of Yancheng, Yancheng, China.
Tongqing XueDepartment of Pain and Interventional Radiology, Huai'an Hospital of Huai'an City, No. 161, Zhenhuailou East Road, Huai'an, China. myd11033@163.com.ORCID http://orcid.org/0000-0003-0160-4298
Xuzhou Medical College · CNYancheng Third People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess the effectiveness of radiofrequency (RF) versus other percutaneous strategies (balloon compression, glycerol rhizotomy [GR], and microvascular decompression [MVD]) in patients with trigeminal neuralgia. We systematically searched the electronic databases of PubMed, Embase, and the Cochrane Library to identify eligible studies throughout October 2020. The odds ratio (OR) with 95% confidence interval (CI) was applied to assess effect estimates using the random-effects model. Eighteen retrospective cohort studies that enrolled 6391 patients with trigeminal neuralgia were included. We noted that RF was associated with an increased incidence of immediate pain relief compared with GR (OR 2.65; 95% CI 1.29-5.44; P = 0.008). Moreover, RF was associated with an increased risk of pain recurrence compared with MVD (OR 3.80; 95% CI 2.00-7.20; P < 0.001). Furthermore, RF was associated with an increased incidence of postoperative anesthesia compared with GR (OR 3.01; 95% CI 1.11-8.13; P = 0.030) or MVD (OR 4.62; 95% CI 2.15-9.93; P < 0.001). This study found that RF was superior to GR for the improvement in immediate pain relief; whereas, RF yielded an excess risk of pain recurrence compared with MVD. Moreover, the incidence of postoperative anesthesia in patients treated with RF significantly increased compared with the incidence after treatment with GR and MVD.

Indexed as

Microvascular Decompression SurgeryTrigeminal NeuralgiaGlycerolHumansPainRetrospective StudiesRhizotomyTreatment OutcomeGlycerolMeta-analysisRadiofrequency therapyTrigeminal neuralgia

Identifiers

PMID33988820
OpenAlexW3162210995

What OpenQuestion holds

Textmetadata
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.