Evidence map›Paper›PMID 21938604›Full record

GuidelineSchmerz (Berlin, Germany)2011

[Epidural spinal cord stimulation for therapy of chronic pain. Summary of the S3 guidelines].

V Tronnier, R Baron, F Birklein, S Eckert, H Harke, D Horstkotte, P Hügler, M Hüppe, B Kniesel, C Maier and 5 more

Erratum issuedAbstract readEnglish AbstractPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in Schmerz (Berlin, Germany), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 34 citations in OpenAlex.

  1. Cardiac shock wave therapy and myocardial perfusion in severe coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. [Neuromodulation for neuropathic pain].Schmerz (Berlin, Germany) · 2014
    Article
  8. Review
  9. [Chronic chest pain].Schmerz (Berlin, Germany) · 2014
    Review
  10. Article
  11. Highly effective.Deutsches Arzteblatt international · 2012
    Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

15 authors at 9 institutions in 1 country.

V TronnierNeurochirurgische Klinik, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Deutschland. volker.tronnier@uk-sh.de
R Baron
F Birklein
S Eckert
H Harke
D Horstkotte
P Hügler
M Hüppe
B Kniesel
C Maier
G Schütze
R Thoma
R D Treede
V Vadokas
Arbeitsgruppe zur Erstellung der S3-Leitlinie
Heart and Diabetes Center North Rhine-Westphalia · DEBG University Hospital Bergmannsheil Bochum · DEHeidelberg University · DEJohannes Gutenberg University Mainz · DEUniversity Hospital Schleswig-Holstein · DEMünchen Klinik · DESLK-Kliniken Heilbronn · DEUniversitäres Kinderwunschzentrum Lübeck · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidural spinal cord stimulation (SCS) is a reversible but invasive procedure which should be used for neuropathic pain, e.g. complex regional pain syndrome I (CRPS) and for mostly chronic radiculopathy in connection with failed back surgery syndrome following unsuccessful conservative therapy. Epidural SCS can also successfully be used after exclusion of curative procedures and conservative therapy attempts for vascular-linked pain, such as in peripheral arterial occlusive disease stages II and III according to Fontaine and refractory angina pectoris. Clinical practice has shown which clinical symptoms cannot be successfully treated by epidural SCS, e.g. pain in complete paraplegia syndrome or atrophy/injury of the sensory pathways of the spinal cord or cancer pain. A decisive factor is a critical patient selection as well as the diagnosis. Epidural SCS should always be used within an interdisciplinary multimodal therapy concept. Implementation should only be carried out in experienced therapy centers which are in a position to deal with potential complications.

Indexed as

Angina PectorisChronic PainComplex Regional Pain SyndromesElectric Stimulation TherapyElectrodes, ImplantedEpidural SpaceEvidence-Based MedicineFailed Back Surgery SyndromeHumansRadiculopathySpinal Cord

Identifiers

PMID21938604
OpenAlexW92424517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.