{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T10:56:13Z","timestamp":1781607373250,"version":"3.54.5"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008977","name":"Universit\u00e4t Ulm","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008977","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>In diesem Artikel werden die Ergebnisse der S3-Leitlinie \u201eRadiofrequenzdenervation der Facettengelenke und des ISG\u201c zusammengefasst. Die vorhandene Evidenz zur Indikation, zu Testblockaden und zu technischen Parametern wird dargelegt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel<\/jats:title>\n                    <jats:p>Es soll sowohl einer \u00dcber- als auch eine Unterversorgung entgegengewirkt werden, was auch sozio\u00f6konomische Bedeutung hat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methode<\/jats:title>\n                    <jats:p>Es erfolgte eine systematische Auswertung der Literatur nach den Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Eine multidisziplin\u00e4re Leitliniengruppe hat Empfehlungen und Statements ausgearbeitet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>F\u00fcr 20\u00a0Schl\u00fcsselfragen wurden Statements und Empfehlungen formuliert. Es gab 87,5\u202f% Konsens f\u00fcr eine Empfehlung und 100\u202f% Konsens f\u00fcr alle weiteren Empfehlungen und Statements. Die Leitlinie wurde von allen beteiligten Fachgesellschaften konsentiert. Die spezifischen Fragen beinhalten den Wert von Anamnese, Untersuchung und Bildgebung, die Notwendigkeit einer konservativen Therapie vor einer Intervention, die Bedeutung von Testblockaden (\u201emedial branch block\u201c und \u201elateral branch block\u201c), die Wahl der Bildgebung f\u00fcr eine Denervation, die Wahl der Trajektorie, die M\u00f6glichkeit, die Gr\u00f6\u00dfe der L\u00e4sion zu beeinflussen, Stimulation, die M\u00f6glichkeit einer Wiederholung, Sedierung und Entscheidungshilfen zu Patienten mit Antikoagulanzien, Metallimplantaten und Schrittmachern und Hinweise zur Vermeidung von Komplikationen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerungen<\/jats:title>\n                    <jats:p>Ausgew\u00e4hlte Patienten k\u00f6nnen von einer gut durchgef\u00fchrten Radiofrequenzdenervation profitieren. Die Empfehlungen der Leitlinie basieren auf sehr niedriger bis moderater Qualit\u00e4t der Evidenz.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00482-024-00799-w","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T11:02:47Z","timestamp":1709290967000},"page":"200-206","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Radiofrequenzdenervation der Wirbels\u00e4ule und des Iliosakralgelenks","Radiofrequency denervation of the spine and the sacroiliac joint"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1180-9908","authenticated-orcid":false,"given":"Stephan","family":"Klessinger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Raimund","family":"Casser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Gillner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Koepp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Kopf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Legat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Meiler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike","family":"Norda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matti","family":"Scholz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipp J.","family":"Slotty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Tronnier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Vazan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karsten","family":"Wiechert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"issue":"4","key":"799_CR1","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/j.jclinepi.2010.07.015","volume":"64","author":"H Balshem","year":"2011","unstructured":"Balshem\u00a0H, Helfand\u00a0M, Sch\u00fcnemann\u00a0HJ, Oxman\u00a0AD, Kunz\u00a0R, Brozek\u00a0J et\u00a0al (2011) GRADE guidelines: 3. 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