Evidence map›Paper›PMID 39238871›Full record

ArticleInterventional pain medicine2022

Clinical and radiological predictors of response to lumbar transforaminal epidural steroid injection at 3 months: A retrospective study.

Anuj Jain, Suruchi Jain, Swapnil Kumar Barasker, Saurabh Trivedi, Ekta Gupta, Ashutosh Kaushal

Abstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Trial
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Anuj JainDepartment of Anesthesiology, All India Institute of Medical Science, Saket Nagar, Bhopal, Madhya Pradesh, 462020, India.
Suruchi JainDepartment of Nuclear Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, 462020, India.
Swapnil Kumar BaraskerDepartment of Anesthesiology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, 453111, India.
Saurabh TrivediDepartment of Anesthesiology, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, 462020, India.
Ekta GuptaDepartment of Anesthesiology, All India Institute of Medical Science, Saket Nagar, Bhopal, Madhya Pradesh, 462020, India.
Ashutosh KaushalDepartment of Anesthesiology, All India Institute of Medical Science, Saket Nagar, Bhopal, Madhya Pradesh, 462020, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transforaminal epidural steroid injection (TFESI) is commonly used to relieve pain due to intervertebral disc displacements (IDD). Poorly defined selection criteria lead to post procedure dissatisfaction among patients. We aimed to find clinical and magnetic resonance imaging (MRI) predictors for pain relief at 3 months following a TFESI. Poorly defined selection criteria lead to post procedure dissatisfaction among patients. Methods: A retrospective study of 116 patients who had undergone TFESI. Predictors used were - age, duration of symptoms, body mass index, neuropathic character of pain, dermatomal distribution of pain, claudication distance, response to anti-neuropathic medication and extent of nerve root compromise in MRI as per Pfirmann criteria. A relief of 50% or more at the end of 3 months was considered the criterion for significant pain relief from TFESI. Results: At 3 months, 72% (84/116) had significant pain relief. Dermatomal distribution of pain (73%) and neurogenic claudication (71%) were the most prevalent clinical features. Dermatomal distribution of leg pain, responsiveness to anti-neuropathic medications and a Pfirmann grade 2/3 in MRI were the most important predictors with an odds ratio (OR) of 12.1, Conclusions: If a patient has leg pain which is dermatomal in distribution, responds to anti-neuropathic medications and has Pfirmann grade 2/3 in MRI, then chances of more than 50% relief persisting at 3 months after TFESI are significantly better.

Indexed as

Epidural steroid injectionIntervertebral disc displacementLeg painLow back painMagnetic resonance imagingPredictors

Identifiers

PMID39238871
PMCPMC11373067

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