Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain

Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain

Mayank Gupta, Mahoua Ray, Nicole Ladesich, Akshat Gupta Neuroscience Research Center, LLC, Overland Park, KS, USACorrespondence: Mayank Gupta 10995 Quivira, Overland Park, KS, 66201, USATel +913 339-9437Fax +913 339-9538Email kansaspaindoctor@gmail.comBackground: Chronic pain is a common condition a...

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Autores principales: Gupta M, Ray M, Ladesich N, Gupta A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
chronic pain
pain management
spinal cord stimulation
health care costs
opioid analgesics
Medicine (General)
R5-920
Acceso en línea:https://doaj.org/article/6854fd45b3124311a137f6c28015df28
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spelling oai:doaj.org-article:6854fd45b3124311a137f6c28015df282021-12-02T19:17:36ZHealth-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain1178-7090https://doaj.org/article/6854fd45b3124311a137f6c28015df282021-12-01T00:00:00Zhttps://www.dovepress.com/health-care-utilization-and-outcomes-with-10-khz-spinal-cord-stimulati-peer-reviewed-fulltext-article-JPRhttps://doaj.org/toc/1178-7090Mayank Gupta, Mahoua Ray, Nicole Ladesich, Akshat Gupta Neuroscience Research Center, LLC, Overland Park, KS, USACorrespondence: Mayank Gupta 10995 Quivira, Overland Park, KS, 66201, USATel +913 339-9437Fax +913 339-9538Email kansaspaindoctor@gmail.comBackground: Chronic pain is a common condition associated with decreased quality of life and increased health-care costs. Opioid analgesics are routinely used to treat chronic pain despite limited evidence of long-term efficacy. Spinal cord stimulation at a frequency of 10 kilohertz (10kHz-SCS) has been shown to be effective for treating chronic pain.Objective: This study was conducted to evaluate the effects of 10kHz-SCS on patients’ pain intensity, volume of pain interventions, and opioid intake in a real-world setting.Study Design: This study was a retrospective review of patient data.Setting: The study was conducted at a single, community-based clinic.Methods: Outcomes including pain relief, quality of life, opioid intake, and rate of health-care usage were evaluated using data from patients who were implanted with a 10kHz-SCS device to treat chronic pain. These outcomes were then compared for the pre- and post-implant periods.Results: A total of 47 patients with a mean follow-up duration of 15.6 ± 6.2 months were included in this analysis. Mean pain relief was 73 ± 22% and 89% were responders at the final follow-up visit. The rate of medical interventions fell from 3.48± 3.05 per year before starting 10kHz-SCS to 0.49± 1.16 per year afterward (P < 0.001). Of 30 patients with available opioid consumption data, 89% maintained or decreased their intake after implant.Conclusion: Retrospective data from a single center, with minimal exclusion criteria shows clinically significant pain relief with 10kHz-SCS, accompanied by significant indirect benefits including stable or reduced opioid use and reduced interventional procedures.Keywords: chronic pain, pain management, spinal cord stimulation, health care costs, opioid analgesicsGupta MRay MLadesich NGupta ADove Medical Pressarticlechronic painpain managementspinal cord stimulationhealth care costsopioid analgesicsMedicine (General)R5-920ENJournal of Pain Research, Vol Volume 14, Pp 3675-3683 (2021)
institution DOAJ
collection DOAJ
language EN
topic chronic pain
pain management
spinal cord stimulation
health care costs
opioid analgesics
Medicine (General)
R5-920
spellingShingle chronic pain
pain management
spinal cord stimulation
health care costs
opioid analgesics
Medicine (General)
R5-920
Gupta M
Ray M
Ladesich N
Gupta A
Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain
description Mayank Gupta, Mahoua Ray, Nicole Ladesich, Akshat Gupta Neuroscience Research Center, LLC, Overland Park, KS, USACorrespondence: Mayank Gupta 10995 Quivira, Overland Park, KS, 66201, USATel +913 339-9437Fax +913 339-9538Email kansaspaindoctor@gmail.comBackground: Chronic pain is a common condition associated with decreased quality of life and increased health-care costs. Opioid analgesics are routinely used to treat chronic pain despite limited evidence of long-term efficacy. Spinal cord stimulation at a frequency of 10 kilohertz (10kHz-SCS) has been shown to be effective for treating chronic pain.Objective: This study was conducted to evaluate the effects of 10kHz-SCS on patients’ pain intensity, volume of pain interventions, and opioid intake in a real-world setting.Study Design: This study was a retrospective review of patient data.Setting: The study was conducted at a single, community-based clinic.Methods: Outcomes including pain relief, quality of life, opioid intake, and rate of health-care usage were evaluated using data from patients who were implanted with a 10kHz-SCS device to treat chronic pain. These outcomes were then compared for the pre- and post-implant periods.Results: A total of 47 patients with a mean follow-up duration of 15.6 ± 6.2 months were included in this analysis. Mean pain relief was 73 ± 22% and 89% were responders at the final follow-up visit. The rate of medical interventions fell from 3.48± 3.05 per year before starting 10kHz-SCS to 0.49± 1.16 per year afterward (P < 0.001). Of 30 patients with available opioid consumption data, 89% maintained or decreased their intake after implant.Conclusion: Retrospective data from a single center, with minimal exclusion criteria shows clinically significant pain relief with 10kHz-SCS, accompanied by significant indirect benefits including stable or reduced opioid use and reduced interventional procedures.Keywords: chronic pain, pain management, spinal cord stimulation, health care costs, opioid analgesics
format article
author Gupta M
Ray M
Ladesich N
Gupta A
author_facet Gupta M
Ray M
Ladesich N
Gupta A
author_sort Gupta M
title Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain
title_short Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain
title_full Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain
title_fullStr Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain
title_full_unstemmed Health-Care Utilization and Outcomes with 10 kHz Spinal Cord Stimulation for Chronic Refractory Pain
title_sort health-care utilization and outcomes with 10 khz spinal cord stimulation for chronic refractory pain
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/6854fd45b3124311a137f6c28015df28
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AT guptaa healthcareutilizationandoutcomeswith10khzspinalcordstimulationforchronicrefractorypain
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