Evidence map›Paper›PMID 32054146›Full record

ArticleNeurospine2020

Demographic Trends in Paddle Lead Spinal Cord Stimulator Placement: Private Insurance and Medicare Beneficiaries.

Lawal Labaran, Joshua Bell, Varun Puvanesarajah, Nikhil Jain, Jomar N Aryee, Micheal Raad, Amit Jain, Jonathan Carmouche, Hamid Hassanzadeh

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
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

9 authors at 3 institutions in 1 country.

Lawal LabaranDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Joshua BellDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Varun PuvanesarajahDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Nikhil JainDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Jomar N AryeeDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Micheal RaadDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Amit JainDepartment of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.
Jonathan CarmoucheInstitute for Orthopaedics and Neurosciences, Virginia Tech Carilion School of Medicine, Carilion Clinic, Roanoke, VA, USA.
Hamid HassanzadehDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
University of Virginia · USJohns Hopkins Hospital · USCarilion Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough spinal cord stimulators (SCS) continue to gain acceptance as a viable nonpharmacologic option for the treatment of chronic back pain, recent trends are not well established. The aim of this study was to evaluate recent overall demographic and regional trends in paddle lead SCS placement and to determine if differences in trends exist between private-payer and Medicare beneficiaries.

methodsA retrospective review of Medicare and private-payer insurance records from 2007-2014 was performed to identify patients who underwent a primary paddle lead SCS placement via a laminectomy (CPT-63655). Each study cohort was queried to determine the annual rate of SCS placements and demographic characteristics. Yearly SCS implantation rates within the study cohorts were adjusted per 100,000 beneficiaries. A chi-square analysis was used to compare changes in annual rates.

resultsA total of 31,352 Medicare and 2,935 private-payer patients were identified from 2007 to 2014. Paddle lead SCS placements ranged from 5.9 to 17.5 (p<0.001), 1.9 to 5.9 (p<0.001), and 5.2 to 14.5 (p<0.001) placements per 100,000 Medicare, private-payer, and overall beneficiaries respectively from 2007 to 2014. SCS placements peaked in 2013 with 19.6, 7.1, and 16.8 placements per 100,000 Medicare, private-payer, and overall patients.

conclusionThere was an overall increase in the annual rate of SCS placements from 2007 to 2014. Paddle lead SCS placements peaked in 2013 for Medicare, private-payer, and overall beneficiaries. The highest incidence of implantation was in the Southern region of the United States and among females. Yearly adjusted rates of SCSs were higher among Medicare patients at all time points.

Indexed as

Back painDemographyLaminectomyMedicareSpinal cord stimulation

Identifiers

PMID32054146
PMCPMC7338957
OpenAlexW3003639471

What OpenQuestion holds

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LicenceCC BY-NC
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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.