{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:55:22Z","timestamp":1773201322492,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Patients with anterior cutaneous nerve entrapment syndrome (ACNES) often require a step\u2010up treatment strategy including abdominal wall injections, pulsed radiofrequency (PRF) or a neurectomy. Long\u2010term success rates of PRF and surgery are largely unknown. The aim of the current study was to report on the long\u2010term efficacy of PRF and neurectomy in ACNES patients who earlier participated in the randomized controlled PULSE trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who completed the PULSE trial were contacted about pain status and additional treatments in the following years. Treatment success was based on numerical rating scale (NRS) following IMMPACT recommendations and Patient Global Impression of Change (PGIC) scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 44 of the original 60 patients were eligible for analysis (73.3%). Median follow\u2010up was 71.5\u2009months. One patient (4.3%) was still free of pain after a single PRF session, and five additional patients (21.7%) were free of pain by repetitive PRF treatments. By contrast, 13 patients (61.9%) in the neurectomy group were still free of pain without additional treatments. All pain recurrences and therefore primary re\u2010interventions occurred in the first 2\u2009years after the initial treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Approximately one in five ACNES patients undergoing PRF treatment reports long\u2010term success obviating the need of surgical intervention. Surgery for ACNES is long\u2010term effective in approximately two of three operated patients. Recurrent ACNES beyond 2\u2009years after either intervention is rare.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13305","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T11:04:37Z","timestamp":1697108677000},"page":"288-295","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Pulsed radiofrequency or surgery for anterior cutaneous nerve entrapment syndrome: Long\u2010term results of a randomized controlled trial"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0288-0630","authenticated-orcid":false,"given":"Tom ten","family":"Have","sequence":"first","affiliation":[{"name":"Department of Surgery M\u00e1xima Medical Center  Veldhoven The Netherlands"},{"name":"SolviM\u00e1x Center of expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain M\u00e1xima Medical Center  Eindhoven The Netherlands"},{"name":"NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University  Maastricht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sem T. van","family":"Geffen","sequence":"additional","affiliation":[{"name":"Department of Surgery M\u00e1xima Medical Center  Veldhoven The Netherlands"},{"name":"SolviM\u00e1x Center of expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain M\u00e1xima Medical Center  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2700-5621","authenticated-orcid":false,"given":"Willem A. R.","family":"Zwaans","sequence":"additional","affiliation":[{"name":"Department of Surgery M\u00e1xima Medical Center  Veldhoven The Netherlands"},{"name":"SolviM\u00e1x Center of expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain M\u00e1xima Medical Center  Eindhoven The Netherlands"},{"name":"NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University  Maastricht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robbert C.","family":"Maatman","sequence":"additional","affiliation":[{"name":"Department of Surgery M\u00e1xima Medical Center  Veldhoven The Netherlands"},{"name":"SolviM\u00e1x Center of expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain M\u00e1xima Medical Center  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver B. A.","family":"Boelens","sequence":"additional","affiliation":[{"name":"Department of Surgery Maas Pantein Hospital  Boxmeer The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0812-5089","authenticated-orcid":false,"given":"Monique A. H.","family":"Steegers","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology &amp; Pain and Palliative Care Amsterdam University Medical Center  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc R. M.","family":"Scheltinga","sequence":"additional","affiliation":[{"name":"Department of Surgery M\u00e1xima Medical Center  Veldhoven The Netherlands"},{"name":"SolviM\u00e1x Center of expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain M\u00e1xima Medical Center  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudi M. H.","family":"Roumen","sequence":"additional","affiliation":[{"name":"Department of Surgery M\u00e1xima Medical Center  Veldhoven The Netherlands"},{"name":"SolviM\u00e1x Center of expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain M\u00e1xima Medical Center  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000000636"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2002.05662.x"},{"issue":"3","key":"e_1_2_10_4_1","first-page":"323","article-title":"The anatomy of the intercostal nerves","volume":"66","author":"Davies F","year":"1932","journal-title":"J Anat"},{"issue":"5","key":"e_1_2_10_5_1","first-page":"329","article-title":"Microanatomy of the structures contributing to abdominal cutaneous nerve entrapment syndrome","volume":"10","author":"Applegate WV","year":"1997","journal-title":"J Am Board Fam Pract"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010017\u20101710\u2010z"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31822d78b8"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003224"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8958"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain\u20102018\u20100011"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr3354w"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12806"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.05.022"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318285f930"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102737\u20102"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.09.012"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2007.09.005"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12999"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrab124"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(97)00126\u20101"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.5688\/aj720243"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.13305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T10:52:54Z","timestamp":1707907974000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.13305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,12]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/papr.13305"],"URL":"https:\/\/doi.org\/10.1111\/papr.13305","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,12]]},"assertion":[{"value":"2023-02-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}