Efectividad a corto y largo plazo de las infiltraciones con corticoides en dolencia osteoarticular. Estudio prospectivo a 2 años

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2025-03-12 DOI:10.1016/j.aprim.2025.103250

José Miguel Baena-Díez , Meng Ting Sun-Ni , Manel García-Lareo , Maria Barroso-Sevillano , Helena Gárate-Ercilla , Eva Rodriguez-Perez , en representación del Grupo de Estudio de Infiltraciones en Atención Primaria (GEIAP)

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引用次数: 0

Abstract

Main objective

To evaluate the short- and long-term effectiveness and safety of corticosteroid injections.

Design

Descriptive, prospective study.

Location

Urban general practice centre.

Participants

Adult patients (age >18 years) who experienced failure of medical treatment and reported pain scores ≥4 on the Visual Analogue Scale (VAS).

Interventions

Patients received injections of triamcinolone acetonide, maximum 3 injections.

Main measurements

Short-term success was defined as a reduction of ≥3 points on the VAS. Long-term success was defined as the absence of symptom recurrence at 6, 12, 18, and 24 months, with an assessment of any complications.

Results

A total of 345 corticosteroid injections were administered. Patient's mean age was 58.8 years, and 73% were women. The most common conditions treated included rotator cuff disorders (38.3%), plantar fasciitis (16.5%), trochanteric bursitis (15.7%), epicondylitis (11.6%), and anserine bursitis (9.6%). 78.6% of injections were successful short term, with an average VAS reduction of 4.4 points (95% CI: 4.1-4.7). For the primary conditions, the VAS reduction exceeded 4 points. Long-term success rates were 73.3% at 6 months, 64.6% at 12 months, 60.6% at 18 months, and 56.5% at 24 months (P < 0.001). At 24 months, the success rates were: rotator cuff disorders (49.2%), plantar fasciitis (49.1%), trochanteric bursitis (66.7%), epicondylitis (47.5%), and anserine bursitis (84.8%). The overall complication rate was 1.2%, all being minor.

Conclusions

Corticosteroid injections are highly effective and safe for managing osteoarticular conditions short term. However, the effectiveness declines progressively over 2 years, with outcomes varying depending on the specific pathology.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.