Time-Dependent Efficacy and Safety of Percutaneous Treatments for Lateral Epicondylitis: A Systematic Review and Network Meta-Analysis.

According to the forest plot ( Figure 3D ) and SUCRA analysis ( Table 1 ; Figure S8.2 and Table S8.2 ), DN emerged as the most promising intervention, achieving the highest ranking (SUCRA 93.8%) and exhibiting the most favorable efficacy trend (SMD −0.92, 95% CI −1.88 to 0.04), although this comparison did not reach statistical significance.

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Notably, PRP also demonstrated statistical superiority over placebo (MD −0.96, 95% CI −1.90 to −0.02), although it ranked fifth (SUCRA 53.8%).Conversely, while DN ranked third (SUCRA 64.3%) ( Table 1 ; Figure S8.4 and Table S8.4 ), it failed to reach statistical significance (MD −1.19, 95% CI −2.59 to 0.21) due to wide confidence intervals.

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