Evidence map›Paper›PMID 34031856›Full record

ReviewPain and therapy2021

Pain Relief and Safety Outcomes with Cervical 10 kHz Spinal Cord Stimulation: Systematic Literature Review and Meta-analysis.

Ganesan Baranidharan, Beatrice Bretherton, Craig Montgomery, John Titterington, Tracey Crowther, Christopher Vannabouathong, Jason A Inzana, Anand Rotte

Open access · goldAbstract readReview
In one paragraph

Review in Pain and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Regulation of Human Respiration by Electrical Stimulation.Journal of evolutionary biochemistry and physiology · 2022
    Article
  7. 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

8 authors at 3 institutions in 2 countries.

Ganesan BaranidharanLeeds Teaching Hospitals NHS Trust Leeds, Leeds, UK. g.baranidharan@nhs.net.
Beatrice BrethertonLeeds Teaching Hospitals NHS Trust Leeds, Leeds, UK.
Craig MontgomeryLeeds Teaching Hospitals NHS Trust Leeds, Leeds, UK.
John TitteringtonLeeds Teaching Hospitals NHS Trust Leeds, Leeds, UK.
Tracey CrowtherLeeds Teaching Hospitals NHS Trust Leeds, Leeds, UK.
Christopher VannabouathongTelos Partners LLC, San Diego, CA, USA.
Jason A InzanaTelos Partners LLC, San Diego, CA, USA.
Anand RotteNevro Corp, Redwood City, CA, USA. anand.rotte@nevro.com.ORCID http://orcid.org/0000-0002-3452-7068
Leeds Teaching Hospitals NHS Trust · GBNevro (United States) · USUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain in head, neck, shoulders and upper limbs is debilitating, and patients usually rely on pain medications or surgery to manage their symptoms. However, given the current opioid epidemic, non-pharmacological interventions that reduce pain, such as spinal cord stimulation (SCS), are needed. The purpose of this study was to review the evidence on paresthesia-free 10 kHz SCS therapy for neck and upper extremity pain.

methodsSystematic literature search was performed for studies reporting outcomes for cervical 10 kHz SCS using date limits from May 2008 to November 2020. The study results were analyzed and described qualitatively. Additionally, when feasible, meta-analyses of the outcome data, with 95% confidence intervals (CIs), were conducted using both the fixed-effects (FE) and random-effects (RE) models.

resultsA total of 15 studies were eligible for inclusion. The proportion of patients who achieved ≥ 50% pain reduction was 83% (95% CI 77-89%) in both the FE and RE models. The proportion of patients who reduced/eliminated their opioid consumption was 39% (95% CI 31-46%) in the FE model and 39% (95% CI 31-48%) in the RE model. Pain or discomfort with the implant, lead migration, and infections were potential risks following cervical SCS. Explant rate was 0.1 (95% CI 0.0-0.2) events per 100 person-months, and no patients in the included studies experienced a neurological complication or paresthesia.

conclusionFindings suggest 10 kHz SCS is a promising, safe, minimally invasive alternative for managing chronic upper limb and neck pain.

Indexed as

10 kHz SCSCervical leadsDisabilityOpioidsPain relief

Identifiers

PMID34031856
PMCPMC8586436
OpenAlexW3165708050

What OpenQuestion holds

Textmetadata
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.