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A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections
Intra-articular or peri-articular corticosteroid injections are often used for treatment of sacroiliac joint (SIJ) pain. However, response to these injections is variable and many patients require multiple injections for sustained benefit. In this study, we aim to identify patient-specific predictor...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9739978/ https://www.ncbi.nlm.nih.gov/pubmed/36497595 http://dx.doi.org/10.3390/ijerph192315519 |
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author | Chandrupatla, Rahul S. Shahidi, Bahar Bruno, Kelly Chen, Jeffrey L. |
author_facet | Chandrupatla, Rahul S. Shahidi, Bahar Bruno, Kelly Chen, Jeffrey L. |
author_sort | Chandrupatla, Rahul S. |
collection | PubMed |
description | Intra-articular or peri-articular corticosteroid injections are often used for treatment of sacroiliac joint (SIJ) pain. However, response to these injections is variable and many patients require multiple injections for sustained benefit. In this study, we aim to identify patient-specific predictors of response or non-response to SIJ injections. Identification of these predictors would allow providers to better determine what treatment would be appropriate for a patient with SIJ pain. A retrospective review of 100 consecutive patient charts spanning a 2-year period at an academic multi-specialty pain center was conducted and a multivariate regression analysis was used to identify patient-specific predictors of response to SIJ injections. Our analysis identified that a history of depression and anxiety (OR: 0.233, 95%CI: 0.057–0.954) and increased age (OR: 0.946, 95%CI: 0.910–0.984) significantly reduced the odds of responding to injections. We also found that the associated NPRS score change for SIJ injection responders was less than the minimally clinically significant value of a 2-point differential, suggesting that reported changes in pain scores may not accurately represent a patient’s perception of success after SIJ injection. These findings warrant further investigation through a prospective study and can potentially influence clinical decision making and prognosis for patients receiving SIJ injections. |
format | Online Article Text |
id | pubmed-9739978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-97399782022-12-11 A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections Chandrupatla, Rahul S. Shahidi, Bahar Bruno, Kelly Chen, Jeffrey L. Int J Environ Res Public Health Article Intra-articular or peri-articular corticosteroid injections are often used for treatment of sacroiliac joint (SIJ) pain. However, response to these injections is variable and many patients require multiple injections for sustained benefit. In this study, we aim to identify patient-specific predictors of response or non-response to SIJ injections. Identification of these predictors would allow providers to better determine what treatment would be appropriate for a patient with SIJ pain. A retrospective review of 100 consecutive patient charts spanning a 2-year period at an academic multi-specialty pain center was conducted and a multivariate regression analysis was used to identify patient-specific predictors of response to SIJ injections. Our analysis identified that a history of depression and anxiety (OR: 0.233, 95%CI: 0.057–0.954) and increased age (OR: 0.946, 95%CI: 0.910–0.984) significantly reduced the odds of responding to injections. We also found that the associated NPRS score change for SIJ injection responders was less than the minimally clinically significant value of a 2-point differential, suggesting that reported changes in pain scores may not accurately represent a patient’s perception of success after SIJ injection. These findings warrant further investigation through a prospective study and can potentially influence clinical decision making and prognosis for patients receiving SIJ injections. MDPI 2022-11-23 /pmc/articles/PMC9739978/ /pubmed/36497595 http://dx.doi.org/10.3390/ijerph192315519 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chandrupatla, Rahul S. Shahidi, Bahar Bruno, Kelly Chen, Jeffrey L. A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections |
title | A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections |
title_full | A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections |
title_fullStr | A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections |
title_full_unstemmed | A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections |
title_short | A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections |
title_sort | retrospective study on patient-specific predictors for non-response to sacroiliac joint injections |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9739978/ https://www.ncbi.nlm.nih.gov/pubmed/36497595 http://dx.doi.org/10.3390/ijerph192315519 |
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