Machine Learning Analysis to Identify Predictive Factors of Caudal Epidural Pulse Radiofrequency in the Treatment of Coccygodynia.

Background: This study aims to use machine learning (ML) to explore predictive parameters related to the efficacy of caudal epidural pulsed radiofrequency (CEPRF) treatment for coccygodynia.

Methods: Five different ML methods were used to predict treatment success at 6 months after CEPRF. The findings generated by these algorithms are compared with respect to the accuracy of the results.

Results: Symptom duration, angular deformation and NRS at admission are the most significant factors impacting therapy success in coccygodynia patients. Success rates are obtained for relatively short symptom durations to be 71.83%, for longer periods to be 16.67%; for short durations together with no angular deformity to be 79.55%, with angular deformity to be 59.26%; and for NRS level at admission less than 8 together with angular deformity to be 91.67%, with no angular deformity to be 33.33%.

Conclusion: This research reveals the potential of ML methods to improve treatment outcome prediction in coccygodynia. When a new patient is admitted, the ML-generated decision trees provide a quick and precise assessment of the possible success rate of CEPRF treatment.