A Retrospective Review of Real-world Outcomes Following 60-day Peripheral Nerve Stimulation for the Treatment of Chronic Pain.

Autor:	Huntoon MA; Department of Anesthesiology, Virginia Commonwealth University, Richmond, VA; SPR Therapeutics, Cleveland, OH., Slavin KV; Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL; Neurology Section, Jesse Brown Veterans Administration Medical Center, Chicago, IL., Hagedorn JM; Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN., Crosby ND; SPR Therapeutics, Cleveland, OH., Boggs JW; SPR Therapeutics, Cleveland, OH.
Jazyk:	angličtina
Zdroj:	Pain physician [Pain Physician] 2023 May; Vol. 26 (3), pp. 273-281.
Abstrakt:	Background: Real-world data can provide important insights into treatment effectiveness in routine clinical practice. Studies have demonstrated that in multiple different pain indications temporary (60-day) percutaneous peripheral nerve stimulation (PNS) treatment can produce significant relief, but few real-world studies have been published. The present study is the first real-world, retrospective review of a large database depicting outcomes at the end of a 60-day PNS treatment period. Objectives: Evaluate outcomes during a 60-day PNS treatment in routine clinical practice. Study Design: Secondary retrospective review. Methods: Anonymized records of 6,160 patients who were implanted with a SPRINT PNS System from August 2019 through August 2022 were retrospectively reviewed from a national real-world database. The percentage of patients with ? 50% pain relief and/or improvement in quality of life was evaluated and stratified by nerve target. Additional outcomes included average and worst pain score, patient-reported percentage of pain relief, and patient global impression of change. Results: Overall, 71% of patients (4,348/6,160) were responders with >= 50% pain relief and/or improvement in quality of life; pain relief among responders averaged 63%. The responder rate was largely consistent across nerve targets throughout the back and trunk, upper and lower extremities, and posterior head and neck. Limitations: This study was limited by its retrospective nature and reliance on a device manufacturer's database. Additionally, detailed demographic information and measures for pain medication usage and physical function were not assessed. Conclusions: This retrospective analysis supports recent prospective studies demonstrating that 60-day percutaneous PNS can provide significant relief across a wide range of nerve targets. These data serve an important role in complementing the findings of published prospective clinical trials.
Databáze:	MEDLINE
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