PMID- 29317362
OWN - NLM
STAT- MEDLINE
DCOM- 20180514
LR  - 20180514
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 112
DP  - 2018 Apr
TI  - Lumbar Dorsal Root Ganglion Block as a Prognostic Tool Before Pulsed 
      Radiofrequency: A Randomized, Prospective, and Comparative Study on 
      Cost-Effectiveness.
PG  - e157-e164
LID - S1878-8750(18)30038-X [pii]
LID - 10.1016/j.wneu.2017.12.183 [doi]
AB  - OBJECTIVES: In the study, we discuss the predictive value and cost-effectiveness 
      of dorsal root ganglion (DRG) blocks before using dorsal root ganglion pulsed 
      radiofrequency (DRG-PRF) in the treatment of low back pain. METHODS: The study 
      comprised 60 patients with low back pain who were randomly assigned into 2 
      groups. Patients in group 1 were screened using DRG block before DRG-PRF 
      treatment for responders. Patients in group 2 underwent DRG-PRF treatment without 
      DRG block. Successful outcome was defined as patient satisfaction, improvement in 
      numerical rating scale, and medication use reduction. RESULTS: In group 1 (n = 
      30), 24 patients demonstrated good response to DRG block, and 20 patients had 
      successful outcome at 6 months after DRG-PRF therapy. In group 2 (n = 30), 25 of 
      the patients had successful outcome at 6 months after DRG-PRF therapy. The mean 
      medical costs were NT$ 19,245 and NT$ 16,375 for each successful case in groups 1 
      and 2, respectively. CONCLUSIONS: In this comparative cost-effectiveness study, 
      the application of diagnostic DRG blocks before DRG-PRF did not have a 
      significant impact on patient satisfaction, pain index score, or pain medication 
      reduction. Furthermore, the application of diagnostic DRG blocks resulted in 
      overall greater medical costs. These findings suggest that DRG-PRF without 
      screening by DRG block is more cost-effective and less invasive.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Lee, Cheng-Chia
AU  - Lee CC
AD  - Institute of Brain Research, National Yang-Ming University, Taipei, Taiwan; 
      School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of 
      Neurosurgery, Hsin-chu branch, Taipei Veterans General Hospital, Hsin-chu, 
      Taiwan; Department of Neurosurgery, Neurological Institute, Taipei Veterans 
      General Hospital, Taipei, Taiwan.
FAU - Chen, Ching-Jen
AU  - Chen CJ
AD  - Department of Neurological Surgery, University of Virginia Health System, 
      Charlottesville, Virginia, USA.
FAU - Chou, Chien-Chen
AU  - Chou CC
AD  - School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of 
      Neurology, Hsin-chu branch, Taipei Veterans General Hospital, Hsin-chu, Taiwan; 
      Department of Neurology, Neurological Institute, Taipei Veterans General 
      Hospital, Taipei, Taiwan.
FAU - Wang, Hsin-Yi
AU  - Wang HY
AD  - School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of 
      Anaesthesiology, Hsin-chu branch, Taipei Veterans General Hospital, Hsin-chu, 
      Taiwan.
FAU - Chung, Wen-Yuh
AU  - Chung WY
AD  - School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of 
      Neurosurgery, Hsin-chu branch, Taipei Veterans General Hospital, Hsin-chu, 
      Taiwan; Department of Neurosurgery, Neurological Institute, Taipei Veterans 
      General Hospital, Taipei, Taiwan.
FAU - Peng, Giia-Sheun
AU  - Peng GS
AD  - Department of Neurology, Hsin-chu branch, Taipei Veterans General Hospital, 
      Hsin-chu, Taiwan.
FAU - Lin, Ching-Po
AU  - Lin CP
AD  - Institute of Brain Research, National Yang-Ming University, Taipei, Taiwan; 
      Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan. 
      Electronic address: chingpolin@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20180106
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cost-Benefit Analysis
MH  - Female
MH  - Ganglia, Spinal
MH  - Humans
MH  - Low Back Pain/*diagnosis/*therapy
MH  - Male
MH  - Middle Aged
MH  - Nerve Block/*economics/methods
MH  - Predictive Value of Tests
MH  - Pulsed Radiofrequency Treatment/*economics/methods
OTO - NOTNLM
OT  - Cost-effectiveness
OT  - Dorsal root ganglion
OT  - Low back pain
OT  - Lumbar
OT  - Prognostic
OT  - Pulse radiofrequency
OT  - Randomize
EDAT- 2018/01/11 06:00
MHDA- 2018/05/15 06:00
CRDT- 2018/01/11 06:00
PHST- 2017/11/09 00:00 [received]
PHST- 2017/12/26 00:00 [revised]
PHST- 2017/12/30 00:00 [accepted]
PHST- 2018/01/11 06:00 [pubmed]
PHST- 2018/05/15 06:00 [medline]
PHST- 2018/01/11 06:00 [entrez]
AID - S1878-8750(18)30038-X [pii]
AID - 10.1016/j.wneu.2017.12.183 [doi]
PST - ppublish
SO  - World Neurosurg. 2018 Apr;112:e157-e164. doi: 10.1016/j.wneu.2017.12.183. Epub 
      2018 Jan 6.