Evidence map›Paper›PMID 34459276›Full record

ArticleThe Journal of international medical research2021

Spinal cord stimulation: a real-world data analysis on outcomes and differences between rechargeable and non-rechargeable implantable pulse generators.

Thorsten Luecke, Harald Kuhlmann, Melanie May, Marius Petermann, Berit Libutzki, Gunnar Jäehnichen

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 4 institutions in 3 countries.

Thorsten LueckeDepartment of Anaesthesia and Pain Therapy, Franziskus Hospital Linz-Remagen, Germany.
Harald KuhlmannNevro Corp., Redwood City, CA, United States.
Melanie MayHGC Healthcare Consultants GmbH, Duesseldorf, Germany.ORCID https://orcid.org/0000-0003-3910-773X
Marius PetermannHGC Healthcare Consultants GmbH, Duesseldorf, Germany.
Berit LibutzkiHGC Healthcare Consultants GmbH, Duesseldorf, Germany.ORCID https://orcid.org/0000-0002-0826-281X
Gunnar JäehnichenDepartment of Spinal Surgery, Roland Hospital, Bremen, Germany.
Nevro (United States) · USRoland Mills United (Germany) · DESt. Franziskus Hospital · DEUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn this analysis, we examined differences between rechargeable and non-rechargeable spinal cord stimulation (SCS) devices in patients with pain.

methodsWe conducted a retrospective, longitudinal claims data analysis using a German research database comprising 5 million statutory insured patients (2012-2017). Outcomes of demographics, patient pathways, and health care resource utilization (HCRU) in patients with initial SCS were collected.

resultsOf 150 patients in the database, 73 (49%) received a rechargeable device and 77 (51%) a non-rechargeable device. The average age was 62.5 years (51% female and 49% male patients). A significant decrease over a 3-year follow-up was observed in analgesic prescriptions (-18%), number of patient visits to a physician, and number of patients who were hospitalized. HCRU-related figures for patients with non-rechargeable neurostimulators increased in the last follow-up year whereas the group receiving rechargeable neurostimulators showed a steady decrease.

conclusionsSCS seems to be an effective way for patients with chronic pain to decrease pain and improve quality of life. Rechargeable devices seem to be superior to non-rechargeable devices owing to greater longevity and were found to be associated with continuous reduction of pain diagnoses, hospitalization, physician visits, and use of pain medication in our study.

Indexed as

Chronic PainSpinal Cord StimulationData AnalysisFemaleHumansMaleMiddle AgedQuality of LifeRetrospective Studieschronic painfailed back surgery syndromeimplantable pulse generatorpainpost-laminectomy syndromereal-world datarechargeableSpinal cord stimulation

Identifiers

PMID34459276
PMCPMC8408900
OpenAlexW3197748001

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.