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An outcome facet was required to identify studies where allosensitization was associated with wait time and/or renal allograft survival.
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Patients returning postal questionnaires report worse outcomes after facet injection.
Patients who did not return their questionnaires also reported better outcomes after facet joint injections than patients who did return their questionnaires.
The results from the Patient's Global Impression of Change (PGIC) scores prior to age and gender matching indicate that patients who did not return their questionnaires seem to have better outcomes after facet joint injections compared to patients who did return their questionnaires.
Perhaps the true outcomes from lumbar facet injections lie somewhere between the poorer results reported by those returning questionnaires and the better results from patients reporting by telephone.
The main limitation of this study is also related to the main purpose of the study, to determine if outcomes from lumbar facet injection depend on the method of data collection.
Objectives: To describe a method for observing lumbar segmental rigidity and to show how motion measurements and pain/disability questionnaires can be used to evaluate outcomes of combined facet injections and stretching exercises.
In conclusion, the findings of this study showed that patients who did not return their questionnaires (and thus were interviewed by telephone) reported clinically significantly better overall outcomes after lumbar facet joint injections compared to patients who did return their questionnaires.
As noted above, patients who were interviewed by telephone reported better overall 1-month outcomes (PGIC) after facet joint injections compared to patients who did return their questionnaires and were also much less likely to report that they were worse after injection.
No studies have investigated the impact that MCs may have on patient outcomes from lumbar facet injections.
Having a longer follow-up time period was not considered necessary for this current study because if the presence of Modic changes was an additional or significant source of the patients' low back pain, these Modic positive patients should have reported worse outcomes after the facet joint injections within this 1 month time frame.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com