{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T23:47:19Z","timestamp":1789084039090,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pulsed radiofrequency (PRF) of the lumbar dorsal root ganglion (DRG) has been widely used as a method to relieve lumbar radicular pain (LRP). However, the value of PRF application in LRP patients remains uncertain. This systematic review aimed to compare the effects of PRF of lumbar DRG and LEI in patients with LRP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature search was performed using well\u2010known databases for articles published up to May 2023. We included randomized controlled trials (RCTs) that evaluated the effects of PRF compared to LEI with or without steroids. We screened articles, extracted data, and assessed risk of bias in duplicate. The pain scores and Oswestry Disability Index (ODI) scores at 1, 3, and 6\u2009months after procedures were obtained. A random\u2010effects meta\u2010analysis model was applied for outcomes. We evaluated evidence certainty for each outcome using the GRADE scoring system. This review was registered in the PROSPERO (ID: CRD42021253628).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 10 RCTs were included and data of 613 patients were retrieved. We assessed the overall quality of the evidence as very low to moderate. PRF showed no difference in pain scores at 1 (mean difference [MD] \u22120.80, 95% confidence interval [CI] \u20131.59 to 0.00, low certainty) and 6\u2009months (MD \u20132.37, 95% CI \u20134.79 to 0.05, very low certainty), and significantly improved pain scores at 3\u2009months (MD \u20131.31, 95% CI \u20132.29 to \u22120.33, low certainty). There was no significant difference in ODI score at any interval (very low to low certainty). In the subgroup who underwent a diagnostic block, did not use steroids, and PRF duration greater than 360\u2009s, PRF significantly reduced pain scores at 3\u2009months after procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found low quality of the evidence supporting adjuvant PRF to the lumbar DRG has a greater analgesic effect at 3\u2009months after procedures in patients with LRP than LEI. We identified no convincing evidence to show that this treatment improves function. High\u2010quality evidence is lacking, and data were largely derived from short\u2010term effects. Given these limitations, high\u2010quality trials with data on long\u2010term effects are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13351","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T11:54:07Z","timestamp":1706702047000},"page":"772-785","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Pulsed radiofrequency of lumbar dorsal root ganglion for lumbar radicular pain: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"24","author":[{"given":"Soyoon","family":"Park","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital Catholic Kwandong University School of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u2010Hoon","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Dongsan Medical Center Keimyung University School of Medicine  Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5419-4969","authenticated-orcid":false,"given":"Jae Ni","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital Catholic Kwandong University School of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u2010il","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital Catholic Kwandong University School of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumin","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital Catholic Kwandong University School of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4977-5272","authenticated-orcid":false,"given":"Young Uk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital Catholic Kwandong University School of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8798-7578","authenticated-orcid":false,"given":"Sukhee","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, International St. Mary's Hospital Catholic Kwandong University School of Medicine  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533\u20102500.2010.00370.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem238"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010200512000\u201000029"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.09.002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/jpr.S26603"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(86)90027\u20108"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31821e974f"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526\u20104637.2005.00076.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rec.2021.07.010"},{"key":"e_1_2_10_11_1","volume-title":"Cochrane handbook for systematic reviews of interventions","author":"Green S","year":"2011"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.06.006"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201014\u2010135"},{"key":"e_1_2_10_15_1","volume-title":"Cochrane handbook for systematic reviews of interventions","author":"Julian Higgins JT","year":"2022"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebm.13.6.162\u2010a"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12840"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2016.31.8.1324"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2136381"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/jpr.S55749"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12624"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/ajp.0000000000000766"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57020136"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2020.106253"},{"key":"e_1_2_10_25_1","first-page":"4","article-title":"Steroids versus pulsed radiofrequency in treatment of radicular pain due to lumbar disc prolapse: a randomized clinical trial","volume":"4","author":"Khalifa O","year":"2017","journal-title":"Res Opin Anaesth Intensive care"},{"key":"e_1_2_10_26_1","article-title":"Chronic lumbosacral painful unilateral radiculopathy: dorsal root ganglion pulsed radiofrequency vs. transforaminal epidural steroid injection: a prospective randomized study","author":"Mihails Arons ES","year":"2020","journal-title":"Clin Surg"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2372041406"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.5812\/aapm.111420"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000011761"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.3344\/kjp.2021.34.1.47"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms222111865"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3344\/kjp.2019.32.3.147"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2002\/5\/182"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2009\/12\/699"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.13351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T07:31:24Z","timestamp":1718350284000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.13351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,31]]},"references-count":33,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/papr.13351"],"URL":"https:\/\/doi.org\/10.1111\/papr.13351","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,31]]},"assertion":[{"value":"2023-08-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}