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Table 4 Study & participant characteristics

From: What factors influence pain scores following Corticosteroid injection in patients with Greater Trochanteric Pain Syndrome? A systematic review

Author, date, country

Study design

Sample (N =)

Mean age (years)

Sex (% Female)

Diagnostic Criteria

Intervention

Comparator

Time frames

Primary outcome measure

Secondary outcome measures

Bolton et al. (2018) UK [3]

Prospective cohort

127

63.5

90%

None. Based on the diagnosis of the referring clinician

Ultra-sound guided corticosteroid injections to trochanteric bursa

N/A

Pre-procedure, 6 weeks, 6 months, and 12 months

NRS pain scoring at rest and with activity

Health- Related Quality of Life

Cohen et al. USA [13]

Multi centre double blind randomised controlled study

65

55.2

86.50%

Three months history of insidious onset lateral hip pain. Tender to palpate and one of: pain at maximal hip rotation, abduction or adduction. Pain with forced hip abduction and pseudo-radicular pain down lateral thigh

Fluoroscopically guided trochanteric corticosteroid injections (CSI)

Landmark- guided (blind) cortico-steroid injections (CSI)

Pre-procedure and 1 month post- procedure. 3 months if positive outcome after 1 month

NRS pain at rest and with activity in the last week

SF-36, Oswestry disability index, reduction in drug use, global perceived effect, and a composite successful outcome

Farmer et al. USA [19]

Retrospective cohort

25

Not reported

Not reported

Pain over GT with tenderness on palpation

Landmark-guided corticosteroid injection (CSI)

N/A

No comments on the timing of measurements

Resolution of pain (rating of change)

Harris hip score (HHS), leg length discrepancy, offset of hip, time to injection, number of injections

Jarlborg et al. Switzerland [33]

Secondary analysis of Double blinded placebo controlled randomised trial

44

58.9

83.10%

One month history of lateral hip pain with tenderness on palpation. Pain score over 4 and not improving with conservative management

Ultrasound guided Glucocorticoid injection and local anaesthetic

Placebo injection

Baseline, 30 min, daily for 1 week, weekly for 1 month, 3 months and 6 months

Pain NRS for the previous 24 h period

Oswestry and WOMAC

Mao et al. USA [42]

Retrospective cohort

140

58.2

89.20%

None. Based on the diagnosis of the referring clinician

Fluoroscopically-guided trochanteric corticosteroid injections

N/A

Pre-procedure, immediately post- procedure and 1 week post procedure

VAS score (unspecifieda)

Nil

McEvoy et al. USA [43]

Retrospective cohort

65

53

86%

Not specific. Clinical diagnosis of GTPS based on the diagnosis of the referring clinician and not improving with conservative management

Ultrasound-guided trochanteric corticosteroid injections

N/A

Pre-procedure, Evening after injection, day 1,2,3,7 and 14

VAS score (unspecifieda)

Nil

Mitchell et al. USA [46]

Randomised controlled study

40 (30 included in analysis)

50.4

96.50%

Lateral hip pain when walking or at night when side lying, tenderness on palpation, VAS over 5, not improved with conservative management, no tears of Gluteal or other tendons around the hip on USS

Ultrasound-guided corticosteroid injection (CSI)

Landmark-guided CSI

Baseline, during procedure, 2 weeks & 6 months

VAS score (unspecifieda)

Therapeutic duration, time-to-next intervention, and costs

Park et al. Rep of Korea [54]

Retrospective cohort

137

65.4

78%

Over three month history of lateral hip pain with tenderness on palpation. No improvement with conservative management

Ultrasound-guided trochanteric bursa injection

N/A

Pre-procedure, 1 month, 3 months and 6 months

Verbal Numeric Pain Scale (VNPS) (unspecifieda) Harris Hip Score (HHS)

Nil

  1. aVAS score unspecified: No comment on how the score was asked ie at rest/with activity, at time of asking or other a period of time