Evidence map›Paper›PMID 34842489›Full record

ArticleJournal of diabetes science and technology2022

A Real-World Analysis of High-Frequency 10 kHz Spinal Cord Stimulation for the Treatment of Painful Diabetic Peripheral Neuropathy.

Jeffrey L Chen, Andrew W Hesseltine, Sara E Nashi, Shawn M Sills, Tory L McJunkin, Sandeep Patil, Manish Bharara, David L Caraway, Elizabeth S Brooks

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  6. Review
  7. Spinal Cord Stimulation for Painful Diabetic Neuropathy.Journal of diabetes science and technology · 2024
    Review
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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

9 authors at 5 institutions in 1 country.

Jeffrey L ChenCenter for Pain, University of California San Diego, San Diego, CA, USA.
Andrew W HesseltineLoma Linda University, Loma Linda, CA, USA.
Sara E NashiTriHealth Physician Partners, Cincinnati, OH, USA.
Shawn M SillsTouchstone Interventional Pain Center, Medford, OR, USA.
Tory L McJunkinArizona Pain Specialists, Scottsdale, AZ, USA.
Sandeep PatilNevro Corp., Redwood City, CA, USA.
Manish BhararaNevro Corp., Redwood City, CA, USA.ORCID 0000-0002-1992-4110
David L CarawayNevro Corp., Redwood City, CA, USA.
Elizabeth S BrooksNevro Corp., Redwood City, CA, USA.
Nevro (United States) · USArizona Pain Specialists · USLoma Linda University · USTriHealth · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes is one of the most prevalent chronic health conditions and diabetic neuropathy one of its most prevalent and debilitating complications. While there are treatments available for painful diabetic peripheral neuropathy (pDPN), their effectiveness is limited.

methodThis retrospective, multi-center, real-world review assessed pain relief and functional improvements for consecutive patients with diabetic neuropathy aged ≥18 years of age who were permanently implanted with a high-frequency (10 kHz) spinal cord stimulation (SCS) device. Available data were extracted from a commercial database.

resultsIn total 89 patients consented to being included in the analysis. Sixty-one percent (54/89) of participants were male and the average age was 64.4 years (SD = 9.1). Most patients (78.7%, 70/89) identified pain primarily in their feet or legs bilaterally. At the last assessment, 79.5% (58/73) of patients were treatment responders, defined as having at least 50% patient-reported pain relief from baseline. The average time of follow-up was 21.8 months (range: 4.3 to 46.3 months). A majority of patients reported improvements in sleep and overall function relative to their baseline.

conclusionsThis real-world study in typical clinical practices found 10 kHz SCS provided meaningful pain relief for a substantial proportion of patients refractory to current pDPN management, similar to published literature. This patient population has tremendous unmet needs and this study helps demonstrate the potential for 10 kHz SCS to provide an alternative pain management approach.

Indexed as

Diabetes MellitusDiabetic NeuropathiesSpinal Cord StimulationAdolescentAdultHumansMaleMiddle AgedPainPain ManagementRetrospective StudiesTreatment Outcome10 kHz SCSdiabetesHF-SCSneuropathyPainful diabetic peripheral neuropathy

Identifiers

PMID34842489
PMCPMC8861794
OpenAlexW3217132092

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.