COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS
ABSTRACT Objective: This study aims to assess cost-effectiveness of caudal epidural block with transforaminal nerve root block in the treatment of degenerative diseases of the lumbar spine. Methods: A total of 47 patients with lumbar sciatica symptoms were included. Low back pain and leg pain were...
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Sociedade Brasileira de Ortopedia e Traumatologia
2024-10-01
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| Series: | Acta Ortopédica Brasileira |
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| author | Marília de Jesus Nogueira Anderson Gomes Marin Mariana Demétrio de Sousa Pontes Carlos Fernando Pereira da Silva Herrero |
| author_facet | Marília de Jesus Nogueira Anderson Gomes Marin Mariana Demétrio de Sousa Pontes Carlos Fernando Pereira da Silva Herrero |
| author_sort | Marília de Jesus Nogueira |
| collection | DOAJ |
| description | ABSTRACT Objective: This study aims to assess cost-effectiveness of caudal epidural block with transforaminal nerve root block in the treatment of degenerative diseases of the lumbar spine. Methods: A total of 47 patients with lumbar sciatica symptoms were included. Low back pain and leg pain were assessed using the visual analogue scale (VAS), both in the pre-procedure and one week after. The cost-effectiveness and value required to improve each point on the VAS were estimated using addition, division, and rule of three calculations. Results: For low back pain, scores ranging from 2 to 10 were found before the procedure, with a mean of 7.5 ± 2.14 (95%CI: 6.8–8.1). A week after, these scores ranged from 0 to 10, with a mean of 3.1±2.8 (95%CI: 2.3–4.0; p < 0.0001). Regarding leg pain, scores ranging from 1 to 10 were noted before the procedure, with a mean of 6.8 ± 2.5 (95%CI: 6.1–7.4). A week after, these scores ranged from 0 to 9, with mean of 2.4 ± 2.5 (95%CI: 1.8–3.1; p < 0.0001). The cost of the materials used during the procedure was 214.72 BRL. Conclusion: Caudal epidural with transforaminal nerve root block were a cost-effective treatment modality for patients with degenerative diseases of the lumbar spine. Level of evidence III, Retrospective cohort study. |
| format | Article |
| id | doaj-art-6080b7731b4d436b91d2d77e44304e2a |
| institution | OA Journals |
| issn | 1413-7852 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj-art-6080b7731b4d436b91d2d77e44304e2a2025-08-20T02:18:58ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522024-10-0132510.1590/1413-785220243205e276189COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSISMarília de Jesus Nogueirahttps://orcid.org/0000-0002-4390-3715Anderson Gomes Marinhttps://orcid.org/0000-0001-6192-3421Mariana Demétrio de Sousa Ponteshttps://orcid.org/0000-0001-5962-1467Carlos Fernando Pereira da Silva Herrerohttps://orcid.org/0000-0002-3387-4797ABSTRACT Objective: This study aims to assess cost-effectiveness of caudal epidural block with transforaminal nerve root block in the treatment of degenerative diseases of the lumbar spine. Methods: A total of 47 patients with lumbar sciatica symptoms were included. Low back pain and leg pain were assessed using the visual analogue scale (VAS), both in the pre-procedure and one week after. The cost-effectiveness and value required to improve each point on the VAS were estimated using addition, division, and rule of three calculations. Results: For low back pain, scores ranging from 2 to 10 were found before the procedure, with a mean of 7.5 ± 2.14 (95%CI: 6.8–8.1). A week after, these scores ranged from 0 to 10, with a mean of 3.1±2.8 (95%CI: 2.3–4.0; p < 0.0001). Regarding leg pain, scores ranging from 1 to 10 were noted before the procedure, with a mean of 6.8 ± 2.5 (95%CI: 6.1–7.4). A week after, these scores ranged from 0 to 9, with mean of 2.4 ± 2.5 (95%CI: 1.8–3.1; p < 0.0001). The cost of the materials used during the procedure was 214.72 BRL. Conclusion: Caudal epidural with transforaminal nerve root block were a cost-effective treatment modality for patients with degenerative diseases of the lumbar spine. Level of evidence III, Retrospective cohort study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000501500&lng=en&tlng=enCost-Effectiveness EvaluationLocal AnestheticsLow Back PainPain MeasurementSpinal DiseasesVisual Analog Scale |
| spellingShingle | Marília de Jesus Nogueira Anderson Gomes Marin Mariana Demétrio de Sousa Pontes Carlos Fernando Pereira da Silva Herrero COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS Acta Ortopédica Brasileira Cost-Effectiveness Evaluation Local Anesthetics Low Back Pain Pain Measurement Spinal Diseases Visual Analog Scale |
| title | COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS |
| title_full | COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS |
| title_fullStr | COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS |
| title_full_unstemmed | COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS |
| title_short | COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS |
| title_sort | combined techniques of caudal epidural block and transforaminal nerve root block in the treatment of degenerative diseases of the lumbar spine a cost effectiveness analysis |
| topic | Cost-Effectiveness Evaluation Local Anesthetics Low Back Pain Pain Measurement Spinal Diseases Visual Analog Scale |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000501500&lng=en&tlng=en |
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