| Titre : | First-Time Lumbar Medial Branch Radiofrequency Ablation: Patient-Reported Outcomes Measurement Information System as a Metric of Outcome (2022) |
| Auteurs : | Ramzi El-Hassan ; Adam Michalik ; James Snyder ; Ben L. Laplante ; Clifford Everett ; Rajeev Patel |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 12, 2022) |
| Article en page(s) : | p. 2311-2315 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.03.016 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Ablation par radiofréquence ; Articulation zygapophysaire ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; Réadaptation |
| Résumé : |
Objective
To investigate the ability of Patient-Reported Outcomes Measurement Information System (PROMIS) to capture the therapeutic effect of first-time medial branch radiofrequency ablation (RFA). Design Before-after trial. Setting Single academic spine center. Participants Patients who underwent first-time medial branch RFA for lumbar facet joint pain identified by dual comparative medial branch block with ≥80% pain relief between January 1, 2015 and September 1, 2019 were identified using procedural billing codes. Charts were reviewed manually to confirm accuracy and strict adherence to the 80% pain relief threshold for each medial branch block. Thirty-nine patients met the criteria and were included in this study (N=39). Interventions Medial branch RFA. Main Outcome Measures PROMIS score domains of Depression, Pain Interference, and Physical Function collected pre- and post RFA were compared. Pretreatment scores were within 6 weeks prior to the first medial branch block. Posttreatment scores were between 5 weeks and 6 months after RFA. Paired-sample t test analyses were used to calculate responsiveness to treatment, with significance assigned as P<.05 prior to acquiring data. effect size was calculated using cohen d.> Results PROMIS domains of Pain Interference and Physical Function demonstrated a statistically significant improvement (P=.004 and P=.017, respectively). The PROMIS domain of Depression did not demonstrate a statistically significant change (P=.12). The effect size was medium (d=−0.43) for Pain Interference, small/medium (d=0.31) for Physical Function, and small (d=-0.12) for Depression. Conclusions Medial branch RFA as a treatment for lumbar facet syndrome is associated with a statistical improvement in PROMIS domains of Physical Function and Pain Interference. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322003409 |
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