Cochrane · systematic review · CD013577
Epidural corticosteroid injections for lumbosacral radicular pain
Oliveira, CB, Maher, CG, Ferreira, ML, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 25%Low 0 · 0%Moderate 3 · 75%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings ‐ short‐term follow‐up
Population: lumbosacral radicular pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Leg pain ‒short‐term | no estimate extracted | 8 studies · 949 participants | Moderate Downgraded: risk of bias |
Disability ‒short‐term (> 2 weeks but ≤ 3 months) Disability reported using multiple scales (RMDQ and ODI). Disability scores were converted to a common 0 to 100 scale. Higher scores indicate greater disability. | no estimate extracted | 12 studies · 1367 participants | Moderate Downgraded: risk of bias |
Minor adverse events** ‒short‐term (> 2 weeks but ≤ 3 months) Minor adverse events provided as the proportion of patients reporting any untoward medical occurrence after an epidural injection without hospitalisations. | RR 1.14 [0.91, 1.42] | 8 studies · 877 participants | Very low Downgraded: risk of bias |
Major adverse events** ‒short‐term (> 2 weeks but ≤ 3 months) Major adverse events provided as the proportion of patients reporting any untoward medical occurrence after an epidural injection with hospitalizations. | no estimate extracted | 1 study · 160 participants | Moderate Downgraded: risk of bias |