关于与盘相关的坐骨髓炎的外围注射类固醇注射后结果的预测者:一项德尔菲共识研究
Siobhan Stynes1,2, Nadine Foster3,4, John O' Dowd5
1School of Medicine, Keele University, Keele, United Kingdom. s.stynes@keele.ac.uk.
概括
专家们在14个关键预测因素上达成共识,即在严重的 sciatica 患者中成功注射外周止痛类固醇 (ESI) 的关键预测因素. 这些因素,包括健康状况和疼痛强度,可以指导治疗决策.
科学领域:
- 疼痛管理 疼痛管理
- 神经外科 神经外科
- 康复医学是康复的医学.
背景情况:
- 除外注射类固醇注射 (ESI) 对严重的 sciatica 提供了适度的缓解,但患者的选择仍然具有挑战性.
- 缺乏明确的证据可以确定哪些患者从ESI中获益最多.
- 确定ESI结果的预测因素对于优化治疗至关重要.
研究的目的:
- 建立专家的共识,以潜在的预测者ESI后的结果与磁盘相关的坐骨髓炎.
- 确定患者的特征和影响ESI成功的因素.
- 为了指导临床决策,以治疗 sciatica.
主要方法:
- 通过专家的共识,编制了一份潜在预测因素的综合清单.
- 进行了两轮的在线Delphi研究,对44名和33名专家进行了调查.
- 共识被定义为参与专家之间70%的协议.
主要成果:
- 创建了61个初始项目,在研究期间增加了28个项目.
- 14个项目达到了专家的共识,作为ESI结果的潜在预测因素.
- 共识预测因素包括健康,药物,疼痛,心理社会,成像和注射因素.
结论:
- 专家共识确定了14个关键预测因素,用于ESI在 sciatica 的结果.
- 这些预测因素在临床实践中经常收集.
- 这些发现可以改善患者选择和治疗 sciatica 的有效性.
相关概念视频
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