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Factors Associated with Long-term Risk of Recurrence after Percutaneous Radiofrequency Thermocoagulation of the Gasserian Ganglion for Patients with Trigeminal Neuralgia: A Multicenter Retrospective Analysis.

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收录情况： ◇ SCIE

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机构： [1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, No 45 Changchun Street, Xicheng District, Beijing, China, 100053 [2]Pain Clinic of Anesthesiology Department, Aerospace Central Hospital (Aerospace Clinical Medical School of Peking University), No 15 Yuquan Street, Haidian District, Beijing, China, 100049 [3]Department of Anesthesiology, Tongren Hospital, Capital Medical University, No 1 Dong Jiao Min Xiang, Dongcheng District, Beijing, China, 100730. [4]Department of Anesthesiology, Aerospace Central Hospital (Aerospace Clinical Medical School of Peking University), No 15 Yuquan Street, Haidian District, Beijing, China, 100049.

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关键词： trigeminal neuralgia radiofrequency thermocoagulation atypical facial pain recurrence-free survival prognostic index

摘要：

This study aimed to estimate risk factors associated with recurrence after radiofrequency thermocoagulation (RFT) of the gasserian ganglion among a large sample of patients with trigeminal neuralgia (TN) during a long-term follow-up. We performed a multicenter retrospective analysis of data from 1481 patients with TN who underwent RFT from 2005 through 2017. Recurrence-free survival (RFS) was assessed by Kaplan-Meier method. Risk factors of all patient characteristics were determined by using univariate and multivariate Cox regression analysis. Prognostic value was determined by prognostic index (PI) with regression coefficients and receiver-operating characteristic curve model. The median of RFS was 136 months (95%CI: 123.5-148.5). The rate of RFS was 85.3% (95%CI: 83.5-87.1%) at 1 year, 74.6% (95%CI: 72.2-77.0%) at 3 years, 68.0% (95%CI: 65.5-70.5%) at 5 years, and 54.9% (95%CI: 51.6-58.2%) at 10 years, respectively. Multivariate analysis showed that atypical facial pain (HR=16.914, 95%CI: 13.117-21.808, P<0.001), BNI (Barrow Neurological Institute) Class II/III facial hypesthesia pre-RFT (HR=2.473, 95%CI: 1.523-4.016, P<0.001)/(HR=3.288, 95%CI: 1.035-10.433, P=0.044), and history of previous MVD (microvascular decompression)/RFT/neurosurgeries≥2 (HR=1.642, 95%CI: 0.941-2.863, P=0.041)/(HR=2.808, 95%CI: 1.819-4.334, P<0.001)/(HR=3.832, 95%CI: 1.802-8.146, P<0.001) were independently associated to RFS. Patients with PI>0.764 were identified as high-risk for TN recurrence with a median RFS of 36 months (95%CI: 23.9-48.1) compared with those with PI<0.764 (HR=6.785, 95%CI: 5.371-8.573, P<0.001). Our results indicated which patients have a high risk for recurrence after RFT for treatment of TN. In addition, our findings might provide support for the clinical decision making before RFT procedure.

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出版当年[2018]版：

大类 | 3 区医学

小类 | 3 区麻醉学 3 区临床神经病学

最新[2023]版：

大类 | 3 区医学

小类 | 3 区麻醉学 3 区临床神经病学

JCR分区：

出版当年[2017]版：

Q2 ANESTHESIOLOGY Q2 CLINICAL NEUROLOGY

最新[2023]版：

Q2 CLINICAL NEUROLOGY Q2 ANESTHESIOLOGY

影响因子： 2.6 最新[2023版] 3.5 最新五年平均 3.209 出版当年[2017版] 3.406 出版当年五年平均 3.492 出版前一年[2016版] 2.893 出版后一年[2018版]

第一作者：

第一作者机构： [1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, No 45 Changchun Street, Xicheng District, Beijing, China, 100053 [2]Pain Clinic of Anesthesiology Department, Aerospace Central Hospital (Aerospace Clinical Medical School of Peking University), No 15 Yuquan Street, Haidian District, Beijing, China, 100049

通讯作者：

通讯机构： [1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, No 45 Changchun Street, Xicheng District, Beijing, China, 100053

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Factors Associated with Long-term Risk of Recurrence after Percutaneous Radiofrequency Thermocoagulation of the Gasserian Ganglion for Patients with Trigeminal Neuralgia: A Multicenter Retrospective Analysis.

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