Predictors of Treatment Success After Intercostal Nerve Radiofrequency for Intercostal Neuralgia: A Retrospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Treatment response at 6 months (IMMPACT-defined responder rate)
研究概览
简要总结
This retrospective cohort study will review medical records of patients treated with intercostal nerve radiofrequency for intercostal neuralgia. The goal is to identify patient and clinical factors that are associated with treatment success after the procedure. Outcomes will be assessed using pain measures documented during routine follow-up visits, along with any recorded adverse events. No additional visits, tests, or interventions are required because this study uses previously collected clinical data.
详细描述
This retrospective cohort study analyzed anonymized medical records of adults (≥18 years) with intercostal neuralgia (post-traumatic, postherpetic, or idiopathic) treated in Pain Clinic of Mersin University Faculty of Medicine who underwent ultrasound-guided intercostal conventional radiofrequency ablation (CRF) or pulsed radiofrequency (PRF) between January 1, 2018 and May 30, 2025.
Primary outcome is treatment response at 6 months, defined by IMMPACT criteria as a ≥50% reduction or ≥4-point decrease in NRS-11 from baseline; secondary outcomes include changes in NRS-11 over time, and exploratory analyses evaluate whether clinical factors (e.g., age, sex, pain duration, diagnosis, presence of allodynia, and number of treated intercostal levels )are associated with response using multivariable logistic regression (p < 0.05 considered statistically significant).
The findings are expected to clarify which patient and clinical characteristics are linked to better outcomes after intercostal nerve radiofrequency and to support more individualized decision-making in the management of intercostal neuralgia.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years.
- •Diagnosis of intercostal neuralgia (post-traumatic, postherpetic, or idiopathic) with thoracic neuropathic pain for at least 1 month
- •Underwent ultrasound-guided intercostal nerve radiofrequency treatment (conventional radiofrequency ablation [CRF] or pulsed radiofrequency [PRF]) as part of routine clinical care
- •Documented baseline NRS-11 pain score prior to the procedure and follow-up NRS-11 data available through at least 6 months after treatment.
排除标准
- •Thoracic pain attributable to malignancy-related causes (e.g., active malignant invasion, spinal metastasis) or an intrathoracic mass
- •History of thoracic surgery at the corresponding thoracic dermatome level (e.g., thoracotomy or VATS)
- •Prior radiofrequency treatment at the same intercostal nerve site
- •Receipt of other interventional treatments targeting the intercostal nerve during the study period (e.g., cryoablation or chemical neurolysis)
- •Insufficient follow-up data (less than 6 months of follow-up NRS-11 documentation).
研究组 & 干预措施
Intercostal Nerve Radiofrequency Cohort
Adults with intercostal neuralgia who underwent ultrasound-guided intercostal nerve radiofrequency treatment (conventional or pulsed) as part of routine clinical care.
干预措施: Intercostal Nerve Conventional Radiofrequency Ablation (CRF) (Procedure)
Intercostal Nerve Radiofrequency Cohort
Adults with intercostal neuralgia who underwent ultrasound-guided intercostal nerve radiofrequency treatment (conventional or pulsed) as part of routine clinical care.
干预措施: Intercostal Nerve Pulsed Radiofrequency (PRF) (Procedure)
结局指标
主要结局
Treatment response at 6 months (IMMPACT-defined responder rate)
时间窗: 6 months
Responder defined as ≥50% reduction or ≥4-point decrease in NRS-11 compared with baseline.
次要结局
- Change in NRS-11 pain score from baseline(Baseline, 3 months, and 6 months)
研究者
Mesut Bakır
Associate Professor
Mersin University