Evidence map›Paper›PMID 34575196›Full record

ArticleJournal of clinical medicine2021

Real-World Outcomes Using a Spinal Cord Stimulation Device Capable of Combination Therapy for Chronic Pain: A European, Multicenter Experience.

Jan Willem Kallewaard, Jose Francisco Paz-Solis, Pasquale De Negri, Maria Angeles Canós-Verdecho, Hayat Belaid, Simon J Thomson, David Abejón, Jan Vesper, Vivek Mehta, Philippe Rigoard and 9 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

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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

19 authors.

Jan Willem KallewaardDepartment of Anesthesiology and Pain Medicine, Rijnstate Hospital, 6815 Arnhem, The Netherlands.ORCID 0000-0002-7681-1796
Jose Francisco Paz-SolisDepartment of Neurosurgery, University Hospital La Paz, 28046 Madrid, Spain.
Pasquale De NegriAORN S. Anna & S. Sebastiano, 81100 Caserta, Italy.
Maria Angeles Canós-VerdechoMultidisciplinary Unit for Pain Treatment, University and Polytechnic Hospital La Fe, 46026 Valencia, Spain.ORCID 0000-0002-0173-8002
Hayat BelaidFondation Adolphe de Rothschild, 75019 Paris, France.
Simon J ThomsonPain Management, Mid and South Essex University Hospitals NHSFT, Basildon SS16 5NL, UK.ORCID 0000-0002-3027-9343
David AbejónPain Unit, Hospital Universitario Quirónsalud, 28223 Madrid, Spain.
Jan VesperDepartment of Functional Neurosurgery and Stereotaxy, University Medical Center Heinrich Heine University, 40225 Düsseldorf, Germany.
Vivek MehtaPain & Anaesthesia Research Centre, St. Bartholomew's Hospital, Bart's Health, London EC1A 7BE, UK.
Philippe RigoardPrismatics Lab & Spine Surgery and Neuromodulation Department, Poitiers University Hospital, 86021 Poitiers, France.
Paolo MainoPain Management Center, Neurocenter of Southern Switzerland, 6900 Lugano, Switzerland.
Sarah Love-JonesAnaesthetics and Pain Management, Southmead Hospital, Bristol FCW5 P9, UK.
Isaac F PeñaPain Unit, Virgen Del Rocio University Hospital, 41013 Sevilla, Spain.ORCID 0000-0001-6393-5311
Simon BayerlNeurosurgery, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
Christophe PerruchoudPain Clinic, La Tour Hospital, 1217 Meyrin, Switzerland.
Renaud BougeardClinique du Val d'Ouest, 69130 Écully, France.
Cleo MertzBoston Scientific Neuromodulation, 1861 Brussels, Belgium.
Yu PeiBoston Scientific Neuromodulation, Valencia, CA 91355, USA.
Roshini JainBoston Scientific Neuromodulation, Valencia, CA 91355, USA.

Funding

Boston Scientific Corporation NA
6 · The paper itself

Abstract

Given the differing mechanisms thought to underlie therapeutic sub- and supra-perception-based neurostimulative modalities, Spinal Cord Stimulation (SCS) systems designed for combined delivery of these approaches may help improve analgesic outcomes and quality of life, and reduce treatment failures. This multicenter, observational case-series evaluated 188 patients with chronic back and/or leg pain implanted with an SCS device capable of sequential or simultaneous delivery of sub-perception and supra-perception stimulation programming (i.e., combination therapy) at 16 in Europe. Following implantation, patients were provided with an array of advanced supra-perception programs (e.g., paresthesia-based SCS using multiple independent current sources), and a custom set of sub-perception programs optimized with specific waveforms and/or field shapes. A mean overall pain score of 7.9 ± 1.7 (Standard Deviation (SD)) was reported pre-trial (Baseline). Overall pain was reduced by 4.4 ± 2.8 points (NRS) at 3-months (

Indexed as

chronic paincombination therapycustomized stimulation field targetingSCSspinal cord stimulation

Identifiers

PMID34575196
PMCPMC8466217

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Registered trials

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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.