Evidence map›Paper›PMID 34976100›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2021

Low-Dose Collagenase Chemonucleolysis Combined with Radiofrequency in the Treatment of Lumbar Disc Herniation: A 10-Year Retrospective Study.

Meng Wang, Xuexue Zhang, Yaoping Yu, Gang Xu, Jinping Nie, Bo Yu, Xuezhong Cao, Mizhen Qiu, Yunhua Liao, Daying Zhang and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Application of extracorporeal collagenase chemonucleolysis and combined intradiscal and extracorporeal collagenase chemonucleolysis via FLEX electrode in patients with lumbar disc herniation: a retrospective study.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 · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. 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

11 authors at 1 institution in 1 country.

Meng WangDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0001-8028-3001
Xuexue ZhangDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0002-8491-7742
Yaoping YuDepartment of Pain Medicine, The Ningbo Rehabilitation Hospital, Ningbo 315000, China.ORCID https://orcid.org/0000-0003-0030-4496
Gang XuDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0001-6972-1461
Jinping NieDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0003-0711-3545
Bo YuDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0002-1938-2593
Xuezhong CaoDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0003-4945-9122
Mizhen QiuDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0002-5984-940X
Yunhua LiaoDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0002-0670-0150
Daying ZhangDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0002-4827-4188
Yi YanDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.ORCID https://orcid.org/0000-0002-9669-2528
Nanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study explored the 10-year efficacy, safety, and prognostic factors of low-dose collagenase chemonucleolysis (CCNL) combined with radiofrequency (RF) in the treatment of lumbar disc herniation (LDH).

methodsThe data of 167 LDH patients were collected. Modified MacNab criteria, Numerical Rating Scale (NRS), and Japanese Orthopedic Association (JOA) scores were, respectively, used to evaluate patients' excellent and good rates, pain degree, and nerve function. The preoperative and 10-year postoperative patients' pain, numbness, and muscle weakness were compared. Patients' complications in perioperative period, recurrent/reappeared LDH, and reoperations were recorded. Finally, the independent risk factors affecting the long-time efficacy were assessed.

resultsA total of 126 patients were included. The patients' excellent and good rates were 86.51%-92.86% with no significant difference (

conclusionThe combined treatment is effective and safe in the long term. A course of disease

Identifiers

PMID34976100
PMCPMC8718287
OpenAlexW4200512819

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.