Evidence map›Paper›PMID 34413678›Full record

ArticleJournal of pain research2021

Intraarticular STP Radiofrequency for Painful Osteoarthritis in the Knee: A Retrospective Single Center Analysis.

Alfonso Papa, Maria Teresa Di Dato, Giuliano Lo Bianco, Giuseppe Gazzerro, Anna Maria Salzano, Emilio Di Costanzo, Dario Tammaro, Michael E Schatman, Giustino Varrassi

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Alfonso PapaPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.ORCID 0000-0003-4489-714X
Maria Teresa Di DatoPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.
Giuliano Lo BiancoPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.ORCID 0000-0003-2705-1548
Giuseppe GazzerroPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.
Anna Maria SalzanoPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.
Emilio Di CostanzoPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.
Dario TammaroPain Department AO "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.ORCID 0000-0002-6350-704X
Michael E SchatmanDepartment of Anesthesiology, Perioperative Care, and Pain Medicine, NYU School of Medicine, New York, NY, USA.ORCID 0000-0002-1019-0413
Giustino VarrassiPaolo Procacci Foundation, Rome, Italy.ORCID 0000-0002-3822-2923
Ospedale Monaldi · ITFondazione Roma · ITNorth Carolina State University · USUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteoarthritis (OA) is the most common cause of chronic knee pain, often a debilitating condition that can cause a significant reduction in functional capacity. Radiofrequency is a form of neuromodulation that modulates pain signal transmission and has become progressively more common as a treatment for knee pain. This retrospective study aims to evaluate the efficacy of intraarticular radiofrequency in patients with chronic knee OA pain. MATERIALS AND

methodsIn this retrospective study, we included 129 patients undergoing intraarticular pulsed radiofrequency using the Poisson curve for energy distribution (Sluijter-Teixeira Poisson radiofrequency) (STP) from March 2018 to November 2019. Knee osteoarthritis severity was assessed prior to the procedure using the Lequesne Index, classifying patients into six groups based on level of severity. Pain intensity was assessed through a 10-cm visual analog scale (VAS), and level of patient satisfaction was assessed through a questionnaire.

resultsIn the sample, pain reduction as measured by VAS compared to baseline prior to the procedure was statistically significant immediately following the procedure, at 30 days and at 90 days (p<0.001); this difference was less significant at 180 days (p<0.005). Efficacy in patients with moderate to severe disability was considerably greater than in patients with very severe to extremely severe disability. 57.36% reported that they were very satisfied, 29.46% satisfied, 9.3% neither satisfied nor dissatisfied, 2.33% dissatisfied, and 1.55% very dissatisfied.

conclusionOur results suggest that STP radiofrequency may be a safe and effective procedure for knee OA, able to significantly reduce VAS scores at 1 month and 3 months compared to baseline. Based on our results, a key factor to consider when treating knee OA with STP radiofrequency is that it is more effective among patients with a lower level of disability. Due to the retrospective observational study design, prospective longitudinal investigation is required to further support the recommendation of STP radiofrequency for knee OA.

Indexed as

chronic painkneeknee jointosteoarthritispulsed radiofrequency treatment

Identifiers

PMID34413678
PMCPMC8370597
OpenAlexW3187471813

What OpenQuestion holds

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Registered trials

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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.