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. 2021 Oct 1;34(4):509–533. doi: 10.3344/kjp.2021.34.4.509

Table 1.

Characteristics of the trials included in the systematic review and network meta-analysis

Author, year Management Number
of
patients
Age, yr Sex, M/F Pain
assessment
tool
Outcomes of interest
Incidence of PHN at 1 month Incidence of PHN at 3 months Incidence of PHN at 6 months Mean pain score at 1 month Mean pain score at 3 months Mean pain score at 6 months
Bulilete et al., 2019 [108] Valaciclovir + gabapentin 50 65.1 20/28 10-point VAS
Valaciclovir + placebo 48 66.0 18/30
Lee et al., 2016 [104] Valaciclovir + gabapentin 60 62.58 18/42 10-point Likert scale
Valaciclovir 60 61.83 25/35
Stepanović et al., 2015 [103] TENS 36 57.3 14/22 VAS
Symptomatic care 38 59.9 16/22
Antiviral agent 71 70.6 32/39
Antiviral + TENS 77 65.6 27/50
Makharita et al., 2015 [102] Acyclovir + pregabalin + saline (paravertebral) 70 56.2 31/37 VAS
Acyclovir + pregabalin + bupivacaine + dexamethasone (paravertebral) 73 56.8 34/36
Makharita et al., 2012 [101] Antiviral + pregabalin + saline (SGB) 30 59.6 14/16 VAS
Antiviral + pregabalin + bupivacaine + dexamethasone (SGB) 30 60.6 13/18
Krcevski Skvarc and Kamenik, 2010 [98] Antiviral + placebo 15 63 4/11 10 point Likert scale
Antiviral + pregabalin 14 67 6/8
Ji et al., 2009 [97] Acyclovir 64 68 28/36 VAS
Acyclovir + bupivacaine + methylprednisolone (paravertebral) 68 66 30/38
van Wijck et al., 2006 [96] Acyclovir 297 66 116/181 VAS
Acyclovir + bupivacaine + methylprednisolone (epidural) 301 66 118/183
Pasqualucci et al., 2000 [110] Acyclovir + prednisolone 279 66.9 125/154 VAS
Bupivacaine + epinephrine + methylprednisolone via epidural catheter 290 68.7 131/159
Ahmed et al., 1998 [94] Famciclovir 25 53 11/14 VAS 100 mm
PENS 25 56 12/13
Bowsher, 1997 [93] Acyclovir + amitriptyline 9 71.3 14/24 NR
Amitriptyline 29
Acyclovir + placebo 17 72.7 14/20
Placebo 17
Harding and Porter, 1991 [114] Acyclovir 24 62.1 6/17 VAS 100 mm
Placebo 22 70.6 9/19
Benoldi et al., 1991 [92] Prednisolone 9 68.5 4/5 NR
RTx 9 67.2 3/6
Acyclovir 9 67.1 6/3
Carbamazepine 9 63 3/6
Esmann et al., 1987 [88] Acyclovir + prednisolone 41 72.8 17/24 Slight, moderate, sever, attacks per day, highest grading
Acyclovir + placebo 37 71.4 8/29
Cobo et al., 1986 [87] Acyclovir 36 NR 13/23 None, mild, moderate, severe
Placebo 35 21/14
Balfour et al., 1983 [85] Acyclovir 52 NR 29/23 NR
Placebo 42 25/17
Esmann et al., 1982 [84] Acyclovir 27 65.7 10/17 NR
Placebo 29 68.6 10/19
Bean et al., 1982 [83] Acyclovir 19 53.2 6/13 NR
Placebo 10 50.5 7/3
Keczkes and Basheer, 1980 [115] Prednisolone 20 66.4 14/6 NR
Carbamazepine 20 68.5 14/6
Cui et al., 2018 [107] Acyclovir + pregabalin + ropivacaine + methylprednisolone (intracutaneous) 51 61.7 21/28 VAS
Acyclovir + pregabalin + saline (intracutaneous) 51 61.8 20/28
Cui et al., 2017 [105] Acyclovir + ropivacaine + methylprednisolone (intracutaneous) 48 63.7 21/26 VAS
Acyclovir 48 63.0 19/27
Ni et al., 2017 [106] Acyclovir + triamcinolone + lidocaine (subcutaneous) 50 63.84 23/27 NRS
Acyclovir 50 65.86 24/26
Zheng et al., 2019 [109] Famciclovir + pregabalin + placebo (cervical root block) 70 63.41 31/39 11 point scale
Famciclovir + pregabalin + lidocaine + triamcinolone + cobalamine (cervical root block) 70 65.84 29/41
Hwang et al., 1999 [79] Acyclovir + bupivacaine + methylprednisolone (continuous epidural infusion) 40 60.8 18/22 VRS 0-100
Acyclovir 35 56.1 9/26
Wan et al., 2019 [120] Sham 48 64.87 20/28 VAS
PRF on gasserian ganglion 48 66.01 23/25
Hügler et al., 2002 [116] Human albumin (placebo) 20 67.65 NR VAS
VZVIG 20 71.6
Cui et al., 2016 [117] Valacyclovir + methylene blue + lidocaine (intradermal) 32 69.5 13/19 VAS 100 mm
Valacyclovir + lidocaine (intradermal) 32 72.5 11/21
Payne et al., 1989 [91] Placebo 17 70 10/7 NR
Isoprinosine 21 70 10/11
Wood et al., 1994 [111] Acyclovir 7 days 101 58 39/62 0-5; non-noticeable to excruciating
Acyclovir 7 days + prednisoone 21 days 99 59 37/62
Acyclovir 21 days 101 59 38/63
Acyclovir 21 days + prednisolone 21 days 99 60 39/60
McGill et al., 1983 [86] Placebo 20 68.8 7/13 0-3
Acyclovir 17 70.4 3/14
Wassilew et al., 1987 [89] Acyclovir 29 62.5 9/20 0-5
Placebo 31 63.4 6/25
Mandal et al., 1988 [90] Acyclovir 26 67.4 11/15 0-4
Placebo 30 68.4 9/21
Lee et al., 1999 [95] Acyclovir + mepivacaine (stellate ganglion block) 10 65.0 3/7 VAS 0-100 mm
Acyclovir 10 67.2 5/5
Harding et al., 1986 [119] 1% lignocaine & 0.5% marcaine (stellate ganglion block) NR 71.5 NR VAS 0-100 mm
Placebo 72.2
Kanodia and Singhal, 2011 [99] Acyclovir + pregabalin 23 46 19/4 VAS 100 mm
Acyclovir + placebo 22 47 17/5
Kanodia et al., 2012 [100] Acyclovir + gabapentin 300 mg/day 15 64 11/4 VAS 100 mm
Acyclovir + gabapentin 600 mg/day 14 65 9/5
Acyclovir + gabapentin 900 mg/day 13 65 10/3
Placebo 14 63 11/3
Manabe et al., 2004 [118] Acyclovir + bupivacaine (continous epidural infusion, intermittent epidural bolus) 29 67 9/20 VAS
Acyclovir + normal saline (continous epidural infusion) + bupivacaine (intermittent epidural bolus) 27 65 13/14
Clemmensen and Andersen, 1984 [112] ACTH 17 55 10/7 0-4
Prednisolone 19 56 13/6
Placebo 19 56 10/9
Eaglstein et al., 1970 [113] Triamcinolone 15 NR NR NR
Placebo 19

PHN: postherpetic neuralgia, TENS: transcutaneous electrical nerve stimulation, SGB: stellate ganglion block, PENS: percutaneous electrical nerve stimulation, RTx: radiotherapy, PRF: pulsed radiofrequency, VZVIG: varicella zoster vaccine immunoglobulin, ACTH: adrenocorticotropic hormone, NR: not reported, VAS: visual analogue scale, NRS: numerical rating scale.