Evidence map›Paper›PMID 38844586›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Predictors of outcome following an epidural steroid injection for disc-related sciatica: a Delphi consensus study.

Siobhan Stynes, Nadine Foster, John O' Dowd, Raymond Ostelo, Kika Konstantinou

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Siobhan StynesSchool of Medicine, Keele University, Keele, United Kingdom. s.stynes@keele.ac.uk.ORCID http://orcid.org/0000-0002-5117-9034
Nadine FosterSchool of Medicine, Keele University, Keele, United Kingdom.ORCID http://orcid.org/0000-0003-4429-9756
John O' DowdHampshire Hospitals NHS Foundation Trust, Basingstoke, United Kingdom.
Raymond OsteloVU Amsterdam Faculty of Sciences, Department of Health Sciences; Amsterdam UMC Locatie AMC, Department of Epidemiology and Data Science, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-7679-7210
Kika KonstantinouSchool of Medicine, Keele University, Keele, United Kingdom.ORCID http://orcid.org/0000-0003-4228-9386

Funding

National Institute for Health and Care Research NIHR 300441
6 · The paper itself

Abstract

purposeTrial data shows modest reductions in leg pain, disability and surgery avoidance following epidural steroid injections (ESI) for severe sciatica. Despite their common use, there is no clear evidence about which patients are more likely to benefit from ESI. The aim of this study was to generate consensus on potential predictors of outcome following ESI for disc-related sciatica.

methodsA list of potential predictors of outcome was generated during a consensus meeting of seven experts. The items were subsequently presented in a two round on-line Delphi study to generate consensus among experts on which items are potential predictors of outcome. Consensus was defined as 70% agreement among participants.

resultsSixty-one items were generated during the consensus meeting. Of ninety experts invited to participate in the on-line Delphi study, 44 (48%) and 33 (73%) took part in rounds one and two respectively. Twenty-eight additional items suggested by participants in round one were included in round two. Overall, 14 items reached consensus reflecting domains of health, medication use, pain intensity, psychosocial factors, imaging findings and type of injection.

conclusionBased on expert consensus, items that can be routinely collected in clinical practice were identified as potential predictors of outcomes following ESI.

Indexed as

Delphi TechniqueSciaticaHumansInjections, EpiduralSteroidsTreatment OutcomeSteroidsDelphi procedurePrognostic factor, lumbar transforaminal epiduralSciatica

Identifiers

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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.