{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:43:31Z","timestamp":1792417411167,"version":"4.4.0"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"Abstract<\/jats:title>\n \n Background and Objectives:<\/jats:title>\n Managing chronic headache in older adults is complicated by multimorbidity and polypharmacy. This study evaluated 6-month clinical outcomes, tolerability, and response predictors following ultrasound-guided greater occipital nerve pulsed radiofrequency (GONPRF) in patients aged \u226565 years.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This retrospective cohort study analyzed 152 patients undergoing ultrasound-guided GONPRF following a positive diagnostic block (\u226550% relief). Pain intensity (numeric rating scale, NRS), headache frequency, attack duration (hours), and analgesic use (days\/month) were assessed at baseline and 1, 3, and 6 months. The primary endpoint was therapeutic success, defined as a global perceived effect score \u22656 at 6 months. Predictors of response were analyzed via logistic regression. Adverse events were assessed through clinical records and patient interviews.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Significant improvements occurred in NRS, headache frequency, attack duration, and analgesic use at all follow-up points (\n P<\/jats:italic>\n < 0.001). Therapeutic success was achieved by 56.6%, 52.6%, and 49.3% of patients at 1, 3, and 6 months, respectively. Outcomes were comparable between proximal and distal techniques. Higher baseline analgesic use was the sole independent predictor of a lower likelihood of treatment success (\n P<\/jats:italic>\n = 0.038, OR = 0.95). Adverse events (18.4%) were mild and resolved within 48 hours.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Ultrasound-guided GONPRF was associated with significant improvements and was well-tolerated in this geriatric cohort. However, due to the retrospective design, lack of a control group, and potential selection bias, the findings should be interpreted cautiously.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aian.aian_266_26","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T07:00:08Z","timestamp":1785913208000},"page":"818-824","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound-Guided Greater Occipital Nerve Pulsed Radiofrequency for Chronic Headache in Adults Aged 65 Years and Older: A Retrospective Cohort Study"],"prefix":"10.4103","volume":"29","author":[{"given":"Sukriye","family":"Dadali","sequence":"first","affiliation":[{"name":"Department of Pain Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulcin","family":"Babaoglu","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulku","family":"Sabuncu","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Costu","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Asoglu","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine, Ankara Bilkent City Hospital, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkan Yavuz","family":"Akcaboy","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine, Ankara Bilkent City Hospital, Ankara, 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