{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T21:17:46Z","timestamp":1789161466116,"version":"build-2803163510"},"reference-count":65,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,5,12]],"date-time":"2016-05-12T00:00:00Z","timestamp":1463011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>The clinical course of patients with sciatica is believed to be favourable, but there is conflicting evidence on the postoperative course of this condition. We aimed to investigate the clinical course of sciatica following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Databases and data treatment<\/jats:title><jats:p>An electronic search was conducted on MEDLINE, EMBASE and CINAHL from inception to April 2015. We screened for prospective cohort studies investigating pain or disability outcomes for patients with sciatica treated surgically. Fractional\u00a0polynomial regression analysis was used to generate pooled means and 95% confidence intervals (CI) of pain and disability up to 5\u00a0years after surgery. Estimates of pain and disability (converted to a 0\u2013100\u00a0scale) were plotted over time, from inception to last available follow\u2010up time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty records (39 cohort studies) were included with a total of 13,883 patients with sciatica. Before surgery, the pooled mean leg pain score was 75.2 (95% CI 68.1\u201382.4) which reduced to 15.3 (95% CI 8.5\u201322.1) at 3\u00a0months. Patients were never fully recovered in the long\u2010term and pain increased to 21.0 (95% CI 12.5\u201329.5) at 5\u00a0years. The pooled mean disability score before surgery was 55.1 (95% CI 52.3\u201358.0) and this decreased to 15.5 (95% CI 13.3\u201317.6) at 3 months, and further reduced to 13.1 (95% CI 10.6\u201315.5) at 5\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although surgery is followed by a rapid decrease in pain and disability by 3\u00a0months, patients still experience mild to moderate pain and disability 5\u00a0years after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>What does this review add?<\/jats:title><jats:p>This review provides a quantitative summary of the postoperative course of patients with sciatica. Patients with sciatica experienced a rapid reduction in pain and disability in the\u00a0first 3\u00a0months, but still had mild to moderate symptoms 5\u00a0years after surgery. Although no significant differences were found, microdiscectomy showed larger improvements compared to other surgical techniques.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.893","type":"journal-article","created":{"date-parts":[[2016,5,13]],"date-time":"2016-05-13T00:07:30Z","timestamp":1463098050000},"page":"1700-1709","source":"Crossref","is-referenced-by-count":47,"title":["Patients with sciatica still experience pain and disability 5\u00a0years after surgery: A systematic review with meta\u2010analysis of cohort studies"],"prefix":"10.1002","volume":"20","author":[{"given":"G.C.","family":"Machado","sequence":"first","affiliation":[{"name":"The George Institute for Global Health Sydney Medical School The University of Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.J.","family":"Witzleb","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Sydney Medical School The University of Sydney NSW 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