{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:29:43Z","timestamp":1787786983271,"version":"build-2784847793"},"reference-count":79,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite the routine use of radiofrequency (RF) for the treatment of chronic pain in the lumbosacral and cervical region, there remains uncertainty on the most appropriate patient selection criteria. This study aimed to develop appropriateness criteria for RF in relation to relevant patient characteristics, considering RF ablation (RFA) for the treatment of chronic axial pain and pulsed RF (PRF) for the treatment of chronic radicular pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The RAND\/UCLA Appropriateness Method (RUAM) was used to explore the opinions of a multidisciplinary European panel on the appropriateness of RFA and PRF for a variety of clinical scenarios. Depending on the type of pain (axial or radicular), the expert panel rated the appropriateness of RFA and PRF for a total of 219 clinical scenarios.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For axial pain in the lumbosacral or cervical region, appropriateness of RFA was determined by the dominant pain trigger and location of tenderness on palpation with higher appropriateness scores if these variables were suggestive of the diagnosis of facet or sacroiliac joint pain. Although the opinions on the appropriateness of PRF for lumbosacral and cervical radicular pain were fairly dispersed, there was agreement that PRF is an appropriate option for well\u2010selected patients with radicular pain due to herniated disc or foraminal stenosis, particularly in the absence of motor deficits. The panel outcomes were embedded in an educational e\u2010health tool that also covers the psychosocial aspects of chronic pain, providing integrated recommendations on the appropriate use of (P)RF interventions for the treatment of chronic axial and radicular pain in the lumbosacral and cervical region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A multidisciplinary European expert panel established patient\u2010specific recommendations that may support the (pre)selection of patients with chronic axial and radicular pain in the lumbosacral and cervical region for either RFA or PRF (accessible via <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/rftool.org\">https:\/\/rftool.org<\/jats:ext-link>). Future studies should validate these recommendations by determining their predictive value for the outcomes of (P)RF interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13378","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T10:04:58Z","timestamp":1712743498000},"page":"904-918","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Radiofrequency for chronic lumbosacral and cervical pain: Results of a consensus study using the RAND\/UCLA appropriateness method"],"prefix":"10.1111","volume":"24","author":[{"given":"Javier","family":"de Andr\u00e9s\u00a0Ares","sequence":"first","affiliation":[{"name":"Department of Anesthesiology\u2010Pain Unit Hospital Universitario La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9250-1886","authenticated-orcid":false,"given":"Sam","family":"Eldabe","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine The James Cook University Hospital  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicky","family":"Helsen","sequence":"additional","affiliation":[{"name":"Centre for Decision Analysis and Support, Ismar Healthcare  Lier Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1898-8243","authenticated-orcid":false,"given":"Ganesan","family":"Baranidharan","sequence":"additional","affiliation":[{"name":"Leeds Pain and Neuromodulation Centre Leeds Teaching Hospitals  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Luc","family":"Barat","sequence":"additional","affiliation":[{"name":"Service de Neurochirurgie, H\u00f4pital priv\u00e9 Clairval \u2010 Ramsay sant\u00e9  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Bhaskar","sequence":"additional","affiliation":[{"name":"Pain Management Centre, Charing Cross Hospital, Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Cassini","sequence":"additional","affiliation":[{"name":"SS. 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