COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243205e276189
Marília de Jesus Nogueira, Anderson Gomes Marin, Mariana Demétrio de Sousa Pontes, Carlos Fernando Pereira da Silva Herrero
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Abstract

Objective: This study aims to assess cost-effectiveness of caudal epidural block with transforaminal nerve root block in the treatment of degenerative diseases of the lumbar spine.

Methods: A total of 47 patients with lumbar sciatica symptoms were included. Low back pain and leg pain were assessed using the visual analogue scale (VAS), both in the pre-procedure and one week after. The cost-effectiveness and value required to improve each point on the VAS were estimated using addition, division, and rule of three calculations.

Results: For low back pain, scores ranging from 2 to 10 were found before the procedure, with a mean of 7.5 ± 2.14 (95%CI: 6.8-8.1). A week after, these scores ranged from 0 to 10, with a mean of 3.1±2.8 (95%CI: 2.3-4.0; p < 0.0001). Regarding leg pain, scores ranging from 1 to 10 were noted before the procedure, with a mean of 6.8 ± 2.5 (95%CI: 6.1-7.4). A week after, these scores ranged from 0 to 9, with mean of 2.4 ± 2.5 (95%CI: 1.8-3.1; p < 0.0001). The cost of the materials used during the procedure was 214.72 BRL.

Conclusion: Caudal epidural with transforaminal nerve root block were a cost-effective treatment modality for patients with degenerative diseases of the lumbar spine. Level of evidence III, Retrospective cohort study.

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治疗腰椎退行性疾病的尾硬膜外阻滞和经椎间孔神经根阻滞联合技术:成本效益分析。
研究目的本研究旨在评估经椎间孔神经根阻滞与尾硬膜外阻滞治疗腰椎退行性疾病的成本效益:方法:共纳入 47 名有腰椎坐骨神经痛症状的患者。方法:共纳入 47 名腰椎坐骨神经痛症状患者,采用视觉模拟量表(VAS)对术前和术后一周的腰痛和腿痛进行评估。使用加法、除法和三则运算法估算了成本效益和改善 VAS 各点所需的价值:手术前,腰背痛的评分范围为 2-10 分,平均为 7.5 ± 2.14(95%CI:6.8-8.1)。一周后,这些分数从 0 到 10 不等,平均为 3.1±2.8 (95%CI: 2.3-4.0;p < 0.0001)。关于腿部疼痛,术前的评分范围为 1-10 分,平均为 6.8±2.5 (95%CI: 6.1-7.4)。一周后,这些评分从 0 到 9 不等,平均为 2.4 ± 2.5(95%CI:1.8-3.1;P < 0.0001)。手术中所用材料的费用为 214.72 BRL:结论:对于腰椎退行性疾病患者来说,经椎间孔神经根阻滞的尾硬膜外治疗是一种经济有效的治疗方式。证据等级 III,回顾性队列研究。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
期刊最新文献
OUTCOMES OF SURGICAL TREATMENT OF DIAPHYSEAL FEMUR FRACTURES IN POLYTRAUMATIZED CHILDREN. COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS. DECREASED SURGICAL DURATION, LESS COMPLICATIONS, AND FASTER RETURN TO ACTIVITIES ACROSS THE LEARNING CURVE FOR THE ARTHROSCOPIC LATARJET TECHNIQUE. EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH TIBIA DIAPHYSIS FRACTURE TREATED AT A TERTIARY LEVEL HOSPITAL. LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022).
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