Evidence map›Paper›PMID 31111898›Full record

ArticleMilitary medicine2019

Percutaneous Peripheral Nerve Stimulation for the Treatment of Chronic Pain Following Amputation.

Steven P Cohen, Christopher A Gilmore, Richard L Rauck, Denise D Lester, Robert J Trainer, Thomas Phan, Leonardo Kapural, James M North, Nathan D Crosby, Joseph W Boggs

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Military medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05046639 (Sciatic Block in Contralateral Limb for Treatment of Refractory Phantom and Residual Limb Pain; a Triple-Blind Randomized Crossover Controlled Trial), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT05046639 phase4terminatednot on this mapstarted 2021, after this paper: background citation

Sciatic Block in Contralateral Limb for Treatment of Refractory Phantom and Residual Limb Pain; a Triple-Blind Randomized Crossover Controlled Trial

TypeinterventionalSponsorNorthwestern UniversityRan2021 to 2023Enrolled1ConditionsPain, AmputationArms10 mL 2% lidocaine, 10 mL preservative free saline
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Cancer Pain Management-New Therapies.Current oncology reports · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Steven P CohenWalter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD.
Christopher A GilmoreCenter for Clinical Research, 145 Kimel Park Dr, Suite 330, Winston-Salem, NC.
Richard L RauckCenter for Clinical Research, 145 Kimel Park Dr, Suite 330, Winston-Salem, NC.
Denise D LesterHunter Holmes McGuire VA Medical Center, 1201 Broad Rock Blvd, Richmond, VA.
Robert J TrainerHunter Holmes McGuire VA Medical Center, 1201 Broad Rock Blvd, Richmond, VA.
Thomas PhanHunter Holmes McGuire VA Medical Center, 1201 Broad Rock Blvd, Richmond, VA.
Leonardo KapuralCenter for Clinical Research, 145 Kimel Park Dr, Suite 330, Winston-Salem, NC.
James M NorthCenter for Clinical Research, 145 Kimel Park Dr, Suite 330, Winston-Salem, NC.
Nathan D CrosbySPR Therapeutics, 22901 Millcreek Blvd, Suite 110, Cleveland, OH.
Joseph W BoggsSPR Therapeutics, 22901 Millcreek Blvd, Suite 110, Cleveland, OH.
Center for Clinical Research (United States) · USHunter Holmes McGuire VA Medical Center · USSprint PNS System (United States) · USWalter Reed National Military Medical Center · US

Funding

Peripheral nerve stimulation for amputee painR43NS066523 · NINDS · NDI MEDICAL, LLC · PI BOGGS, JOSEPH WILDER · 2009 to 2011
$269k
NINDS NIH HHS R43 NS066523
6 · The paper itself

Abstract

introductionChronic pain and reduced function are significant problems for Military Service members and Veterans following amputation. Peripheral nerve stimulation (PNS) is a promising therapy, but PNS systems have traditionally been limited by invasiveness and complications. Recently, a novel percutaneous PNS system was developed to reduce the risk of complications and enable delivery of stimulation without surgery. MATERIALS AND

methodsPercutaneous PNS was evaluated to determine if stimulation provides relief from residual and phantom limb pain following lower-extremity amputation. PNS leads were implanted percutaneously to deliver stimulation to the femoral and/or sciatic nerves. Patients received stimulation for up to 60 days followed by withdrawal of the leads.

resultsA review of recent studies and clinical reports found that a majority of patients (18/24, 75%) reported substantial (≥50%) clinically relevant relief of chronic post-amputation pain following up to 60 days of percutaneous PNS. Reductions in pain were frequently associated with reductions in disability and pain interference.

conclusionsPercutaneous PNS can durably reduce pain, thereby enabling improvements in quality of life, function, and rehabilitation in individuals with residual or phantom limb pain following amputation. Percutaneous PNS may have additional benefit for Military Service members and Veterans with post-surgical or post-traumatic pain.

Indexed as

AdultAmputation, SurgicalChronic PainFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementPhantom LimbTranscutaneous Electric Nerve StimulationTreatment Outcomeamputationperipheral nerve stimulationphantom painpost-amputation pain

Identifiers

PMID31111898
PMCPMC6614808
OpenAlexW2946355390

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.