Pain medicine

Non-inferiority study assessing the utility of postcervical and lumbar radiofrequency ablation steroid use

Reg Anesth Pain MedPublished Prospective observational study

Main finding · Pain intensity (NRS)Result — go to the resultMean difference −0.23 95% CI −0.76 to 0.30

Authors' conclusion

This study suggests that the addition of steroids to the RFA procedure does not provide added benefits and is therefore not worth the additional risks that they pose.

Study context

Population
Adults (≥18 years) scheduled for cervical or lumbar radiofrequency ablation (RFA)
Participants
365 completed baseline assessments
Exposure
RFA alone vs RFA with steroids
  • Steroidn = 175reference
  • Non-steroidn = 190
Outcome
Average pain score on NRS
Follow-up
7 days
Methodological detailssingle-centre, non-inferiority
  • Single-centre
  • Non-inferiority

Main finding

Pain intensity (NRS)

Mean difference

−0.23

95% CI −0.76 to 0.30

Steroid vs Non-steroid
mean difference −0.23 (95% CI −0.76 to 0.30)

Non-inferiority margin 1.5 as printed, not drawn

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Anxiety, depression and physical function (PROMIS short forms) · 7 and 60 days

No significant differences between groups at either 7 or 60 days

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Non-inferiority study assessing the utility of postcervical and lumbar radiofrequency ablation steroid use. Reg Anesth Pain Med. Published 3 August 2024. doi:10.1136/rapm-2024-105501

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