Evidence map›Paper›PMID 35224244›Full record

ArticleSpine surgery and related research2022

Efficacy and Safety of Condoliase Disc Administration as a New Treatment for Lumbar Disc Herniation.

Masahiro Inoue, Takeshi Sainoh, Atsushi Kojima, Masatsune Yamagata, Tatsuo Morinaga, Chikato Mannoji, Hiromi Ataka, Masaomi Yamashita, Hiroshi Takahashi, Junya Saito and 13 more

Open access · diamondAbstract read
In one paragraph

Article in Spine surgery and related research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  7. 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
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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

23 authors at 13 institutions in 2 countries.

Masahiro InoueDepartment of Orthopaedic Surgery, Eastern Chiba Medical Center, Togane, Japan.
Takeshi SainohDepartment of Orthopaedic Surgery, Sainou Hospital, Toyama, Japan.
Atsushi KojimaDepartment of Orthopaedic Surgery, Funabashi Orthopaedic Hospital, Funabashi, Japan.
Masatsune YamagataDepartment of Orthopaedic Surgery, Chiba Rosai Hospital, Ichihara, Japan.
Tatsuo MorinagaDepartment of Orthopaedic Surgery, Kashiwa Municipal Hospital, Kashiwa, Japan.
Chikato MannojiDepartment of Orthopaedic Surgery, Japanese Red Cross Narita Hospital, Narita, Japan.
Hiromi AtakaDepartment of Orthopaedic Surgery, Matsudo Orthopaedic Hospital, Matsudo, Japan.
Masaomi YamashitaDepartment of Orthopaedic Surgery, Funabashi Central Hospital, Funabashi, Japan.
Hiroshi TakahashiDepartment of Orthopaedic Surgery, University of Tsukuba, Tsukuba, Japan.
Junya SaitoDepartment of Orthopaedic Surgery, Toho University of Sakura Hospital, Sakura, Japan.
Takayuki FujiyoshiDepartment of Orthopaedic Surgery, Kimitsu Chou Hospital, Kisarazu, Japan.
Tetsuhiro IshikawaDepartment of Orthopaedic Surgery, Sanmu Medical Center, Sanmu, Japan.
Yawara EguchiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kei KatoDepartment of Orthopaedic Surgery, Matsudo City General Hospital, Matsudo, Japan.
Sumihisa OritaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kazuhide InageDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Yasuhiro ShigaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Masaki NorimotoDepartment of Orthopaedic Surgery, Toho University of Sakura Hospital, Sakura, Japan.
Tomotaka UmimuraDepartment of Orthopaedic Surgery, Sanmu Medical Center, Sanmu, Japan.
Yuki ShikoBiostatistics Section, Clinical Research Center, Chiba University Hospital, Chiba, Japan.
Yohei KawasakiBiostatistics Section, Clinical Research Center, Chiba University Hospital, Chiba, Japan.
Yasuchika AokiDepartment of Orthopaedic Surgery, Eastern Chiba Medical Center, Togane, Japan.
Seiji OhtoriDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Chiba University · JPChiba University Hospital · JPTeikyo University Chiba Medical Center · JPToho University · JPChiba Rosai Hospital · JPFunabashi Central Hospital · JPFunabashi Orthopaedic Hospital · JPJapanese Red Cross Narita Hospital · JPKashiwa Municipal Hospital · JPMatsudo City Hospital · JPOrthopaedic Hospital · USSanraku Hospital · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCondoliase is a newly approved drug that improves symptoms associated with lumbar disk herniation (LDH) by intradiscal administration. This study aimed to evaluate the mid-term outcomes of condoliase injection, examine the adverse events, including cases that required surgery after condoliase administration, and verify cases in which condoliase could be effective.

methodsWe enrolled patients with LDH who were treated conservatively for at least six weeks and received condoliase. We assessed the visual analog scale (VAS) score, Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, Oswestry Disability Index, disk height, and disk degeneration for up to 6 months, and we examined the complications. Furthermore, a 50% or more improvement in leg pain VAS score was considered effective. Factors related to symptom improvement were investigated by determining whether lower limb pain improved in six months.

resultsIn total, 84 patients were recruited (52 men, 32 women; mean age, 44.2 ± 17.1 [16-86 years]). The duration of illness was 6.7 ± 6.8 (1.5-30) months. All patient-based outcomes significantly improved at 4 weeks after the administration compared with pretreatment. The intervertebral disc height decreased significantly at four weeks after condoliase administration compared with that before administration. Progression of intervertebral disc degeneration occurred in 50% of the patients. Eleven patients underwent herniotomy due to poor treatment effects. Moreover, treatment in 77.4% of the patients was considered effective. A logistic regression analysis revealed that L5/S1 disk administration (

conclusionsCondoliase disk administration improved pain and quality of life over time. Condoliase disk administration was more effective in L5/S1 intervertebral administration.

Indexed as

Condoliaseconservative therapydisk administrationdisk degenerationlower limb painlumbar disk herniation

Identifiers

PMID35224244
PMCPMC8842352
OpenAlexW3166501879

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.