Evidence map›Paper›PMID 39238811›Full record

ArticleInterventional pain medicine2022

Guidelines for composing and assessing a paper on the treatment of pain: A practical application of evidence-based medicine principles to a cost-effectiveness analysis of the MINT randomized clinical trials.

Reza Ehsanian, Daniel C Malone, Johan Hambraeus, Pedro M Monteiro, Michael Hodde, David Lee, Michael McKenna, Sayed E Wahezi, Zachary L McCormick, Belinda Duszynski and 1 more

Abstract readEditorial
In one paragraph

Article in Interventional pain medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Reza EhsanianDivision of Physical Medicine & Rehabilitation, Department of Orthopaedics & Rehabilitation, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Daniel C MaloneDepartment of Pharmacotherapy, University of Utah, Salt Lake City, UT, USA.
Johan HambraeusDepartment of Epidemiology and Global Health, Umeå University, Sweden, and Smartkliniken Eques Indolor, Vallentuna, Sweden.
Pedro M MonteiroDepartment of Neurosurgery, Centro Hospitalar e Universitário de Coimbra (CHUC), Porto, Portugal.
Michael HoddeDepartment of Physical Medicine & Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
David LeeFullerton Orthopedic Surgery Medical Group, Fullerton, CA, USA.
Michael McKennaMichael J. McKenna, MDPC, Las Vegas, NV, USA.
Sayed E WaheziDepartment of Rehabilitation Medicine and Multidisciplinary Pain Program at Montefiore Medical Center, Bronx, NY, USA.
Zachary L McCormickDepartment of Physical Medicine and Rehabilitation, University of Utah School of Medicine, Salt Lake City, UT, USA.
Belinda DuszynskiSpine Intervention Society, Hinsdale, IL, USA.
David S ChengDepartment of Neurological Surgery, University of Southern California, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Apply established principles of evidence-based medicine to the interpretation of the cost-effectiveness analysis related to the MINT Randomized Clinical Trials (RCTs). Design: Editorial. Methods: Spine Intervention Society's guidelines for assessing studies on the treatment of pain were applied to a published cost-effectiveness analysis of radiofrequency denervation data from the MINT RCTs. Results: Application of evidence-based medicine principles reveals the MINT RCTs' major deficiencies in patient selection, diagnostic paradigm, radiofrequency neurotomy technique, co-interventions, outcome measurement, power analysis study sample characteristics, data analysis, and loss to follow-up; which marginalizes the generalizability and conclusions of the cost-effectiveness analysis. Conclusions: The cost analysis performed in "Cost-Effectiveness of Radiofrequency Denervation for Patients With Chronic Low Back Pain: The MINT Randomized Clinical Trials" is based on the MINT RCTs results. The MINT RCTs significant metholodological design flaws, lead to issues in validty for the subsequent cost-effectiveness analysis. Application of the cost-effective analysis to patient care paradigms should be limited given the concerns with validity.

Indexed as

Chronic Low Back PainCost EffectivenessEvidence-Based MedicineFacet JointRadiofrequency NeurotomySacroiliac JointZygapophysial Joint

Identifiers

PMID39238811
PMCPMC11372985

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.