患者报告了膝神经射频消融术治疗骨关节炎相关膝关节疼痛的结果。

IF 1.5 Q4 CLINICAL NEUROLOGY
Melissa Schwartz, Komal Luthra, Sophia Salingaros, Ahmed Khawer, Paulina Giacomelli, Ryan Roemmich, Pranamya Suri, Scott Benkovic, Akhil Chhatre
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引用次数: 0

摘要

膝射频消融术(RFA)是一种治疗膝关节疼痛的微创治疗方法,有不同结果的报道。本研究旨在评估膝关节RFA在减轻疼痛方面的作用,并确定治疗成功的预测因素。方法:本回顾性研究纳入了34例于2022年4月至2023年12月期间接受膝关节RFA治疗的患者。通过图表回顾和随访调查收集了人口统计学、手术前后疼痛水平和临床变量的数据。术后随访的主要结果是疼痛减轻。进行统计分析以确定疼痛结果的预测因素。结果:RFA使24例(71%)患者的疼痛减轻,但根据impact标准,只有9例(26%)患者的疼痛减轻了50%。平均术前疼痛评分为7.1±1.4分,术后疼痛评分为5.2±2.0分。较低的术前数字评分(NRS)是成功的最强预测因子(P < 0.001),而年龄、BMI、性别和关节炎严重程度对结果没有显著影响。结论:虽然膝关节RFA导致大多数患者疼痛减轻,但只有一小部分患者有临床显着改善。术前疼痛评分是预后的关键预测指标,提示需要更完善的患者选择标准和进一步研究优化治疗目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient reported outcomes following genicular nerve radio frequency ablation for osteoarthritis-related knee pain.

Introduction: Genicular radiofrequency ablation (RFA) is a minimally invasive treatment for knee pain with variable outcomes reported. This study aimed to evaluate genicular RFA in reducing pain and identify predictors of treatment success.

Methods:  This retrospective study included 34 patients who underwent genicular RFA between April 2022 and December 2023. Data on demographics, pre- and post-procedure pain levels, and clinical variables were collected through chart reviews and follow-up surveys. The primary outcome was pain reduction at postoperative follow up. Statistical analyses were conducted to identify predictors of pain outcomes.

Results: RFA led to pain reduction in 24 patients (71%), though only 9 (26%) achieved >50% relief according to IMMPACT criteria. The mean pre-procedure pain score was 7.1 ± 1.4, which decreased to 5.2 ± 2.0 post-procedure. Lower pre-procedure Numeric Rating Score (NRS) was the strongest predictor of success (P < 0.001), while age, BMI, gender, and arthritis severity did not significantly impact outcomes.

Conclusion: While genicular RFA led to pain reduction in a majority of patients, only a subset experienced clinically significant improvement. Pre-procedure pain score was a key predictor of outcomes, suggesting the need for more refined patient selection criteria and further research into optimizing treatment targets.

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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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