Pain Management Injection Therapies for Low Back Pain

Technology Assessment

Pain Management Injection Therapies for Low Back Pain

Technology

Assessment Program

Prepared for:

Agency for Healthcare Research and Quality 540 Gaither Road Rockville, Maryland 20850

Final Original Publication: March 20, 2015

Revised Publication: July 10, 2015

Erratum

In Table 1 and Appendix E1, patient characteristics, number analyzed, and pain scores were edited to reflect 24 month followup data for one trial publication.1 In Table 1 and Appendix E1, a correction was made to note that imaging correlation was required for one trial (with two publications). 2, 3 The quality rating for this same trial was changed from fair to good in Table 1 to match the rating in Appendix E1.2, 3 These edits do not affect the report conclusions.

References

1.

Manchikanti L, Singh V, Cash KA, Pampati V, Falco FJ. A randomized, double-blind, active-control trial

of the effectiveness of lumbar interlaminar epidural injections in disc herniation. Pain Physician.

2014;17(1):E61-74. PMID: 24452658.

2. Ghahreman A, Ferch R, Bogduk N. The efficacy of transforaminal injection of steroids for the treatment of

lumbar radicular pain. Pain Med. 2010 Aug;11(8):1149-68. PMID: 20704666.

3.

Ghahreman A, Bogduk N. Predictors of a favorable response to transforaminal injection of steroids in

patients with lumbar radicular pain due to disc herniation. Pain Med. 2011;12(6):871-9. PMID: 21539702.

i

Pain Management Injection Therapies for Low Back Pain

Technology Assessment Report Project ID: ESIB0813

Original Publication: March 20, 2015 Revised Publication: July 10, 2015

Pacific Northwest Evidence-based Practice Center

Roger Chou, MD, FACP

Robin Hashimoto, PhD

Janna Friedly, MD

Rochelle Fu, PhD

Tracy Dana, MLS

Sean Sullivan, PhD

Christina Bougatsos, MPH

Jeffrey Jarvik, MD, MPH

ii

This report is based on research conducted by the Pacific Northwest Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. HHSA 290-2012-00014-I). The findings and conclusions in this document are those of the author(s) who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or of the U.S. Department of Health and Human Services.

The information in this report is intended to help health care decision-makers; patients and clinicians, health system leaders, and policymakers, make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.

AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies may not be stated or implied.

This document is in the public domain and may be used and reprinted without special permission. Citation of the source is appreciated.

Persons using assistive technology may not be able to fully access information in this report. For assistance contact TAP@ahrq.

None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.

Suggested citation. Chou R, Hashimoto R, Friedly J, Fu Rochelle, Dana T, Sullivan S, Bougatsos C, Jarvik J. Pain Management Injection Therapies for Low Back Pain. Technology Assessment Report ESIB0813. (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No. HHSA 290-2012-00014-I.) Rockville, MD: Agency for Healthcare Research and Quality; July 2015.

iii

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download