| Autor: |
Vafi Salmasi, Mohammad Reza Rasouli, Ming C. Kao, Einar Ottestad, Abdullah Sulieman Terkawi, Garret Morris, Xiang Qian, Stephen Coleman, David C. Talavera, Heather Poupore-King, Kristen Slater, Michael S. Leong |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Frontiers in Pain Research, Vol 4 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2673-561X |
| DOI: |
10.3389/fpain.2023.1331883 |
| Popis: |
IntroductionPsychological evaluation is required by insurance companies in the United States prior to proceeding with a spinal cord stimulation or a dorsal root ganglion stimulation trial. Since January 2017, we implemented a Multidisciplinary Team Conference for Neuromodulation in our center to facilitate the collaboration between pain physicians and psychologists and to optimize screening of neuromodulation candidates. This study aims to report the impact of this team conference on improvement of neuromodulation outcome in our center.MethodsAppropriateness of neuromodulation were discussed in the team conference after initial visit with the pain specialist and psychological evaluation. For this study, we prospectively and retrospectively collected data on neuromodulation candidates who went through the team conference and those who did not as controls.ResultsWe discussed 461 patients in the team conference sessions from January 2017 to July 2023. Out of these, a spinal cord stimulator or a dorsal root ganglion stimulator trial was performed in 164 patients with 80.5% (132 cases) trial success rate leading to 140 implants. Out of these implants, 26 (18.6%) explanted and 21 (15%) required revision in 41 (29.3%) patients. We performed neuraxial neuromodulation trial for 70 patients without going through the team conference from January 2016 to July 2023 with a trial success rate of 45.7% (32 cases). In this group, 7 (21.9%) and 6 (18.8%) patients underwent explant and revision. The differences between the groups were statistically significant for trial success rate (odds ratio of 4.9 with p-value of |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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