跳至主要内容
临床试验/ISRCTN16473239
ISRCTN16473239进行中(未招募)未知

Radiofrequency denervation for chronic and moderate to severe low back pain (RADICAL)

orth Bristol NHS Trust0 个研究点目标入组 250 人开始时间: 2021年11月9日最近更新:
适应症

试验速览

阶段
未知
状态
进行中(未招募)
发起方
入组人数
250

研究概览

简要总结

2024 Protocol article in https://pubmed.ncbi.nlm.nih.gov/39067879/ (added 29/07/2024)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 22/05/2023:
  • 1. 18 years of age or older
  • 2. LBP is the primary source of pain
  • 3. Positive response to a single diagnostic MBB with no steroids administered
  • 4. Chronic LBP (>3 months duration), assumed due to the fact patient was listed for MBB
  • 5. Moderate to severe LBP (pain NRS score =5 on Baseline Questionnaire)
  • 6. Listed for RFD by their clinical care team
  • Previous inclusion criteria:
  • 1. 18 years of age or older
  • 2. Chronic moderate to severe LBP (>3 months duration, pain NRS score =5 for usual pain over the past week at the time of screening)
  • 3. LBP is the primary source of pain
  • 4. Referred to a pain or spinal clinic
  • 5. Listed for MBB by their clinical care team (due to clinical suspicion or clinical features suggesting that the main source of LBP is from a facet joint)
  • 6. Positive response to a single diagnostic MBB with 1 ml or less of local anaesthetic at each level (no steroids)
  • 7. Listed for RFD by their clinical care team

排除标准

  • Current exclusion criteria as of 22/05/2023:
  • 1. Known pregnancy
  • 2. Severe depression (Hospital Anxiety and Depression Scale (HADS) depression score >= 15)
  • 3. Known previous RFD
  • 4. Known previous back surgery where metal-work has been used in the lumbar spine
  • 5. Pacemaker or implantable cardioverter-defibrillator
  • 6. Clinical suspicion that an alternative diagnosis is the reason for low back pain (as defined by NICE, including, but not limited to: metastatic spinal cord compression, spinal injury, spondyloarthritis, or cancer)
  • 7. Prisoner
  • 8. Patient lacks capacity to consent
  • 9. Existing co-enrolment in another clinical study if: i) the intervention in the other study is expected to influence the primary outcome (this will be considered by a senior clinician on a case-by-case basis); ii) it is considered too burdensome for the patient; or iii) it is not permitted by the other study
  • Previous exclusion criteria:
  • 1. Known pregnancy
  • 2. Unwilling or unable to tolerate procedure
  • 3. Severe depression (Hospital Anxiety and Depression Scale (HADS) depression score >= 15)
  • 4. Known previous RFD
  • 5. Known previous back surgery where metal-work has been used in the lumbar spine
  • 6. Pacemaker or implantable cardioverter-defibrillator
  • 7. Clinical suspicion that an alternative diagnosis is the reason for low back pain (as defined by NICE, including, but not limited to: metastatic spinal cord compression, spinal injury, spondyloarthritis, or cancer)
  • 8. Prisoner
  • 9. Patient lacks capacity to consent
  • 10. Existing co-enrolment in another clinical study if: i) the intervention in the other study is expected to influence the primary outcome (this will be considered by a senior clinician on a case-by-case basis); ii) it is considered too burdensome for the patient; or iii) it is not permitted by the other study

研究者

发起方
orth Bristol NHS Trust

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