Evidence map›Paper›PMID 39060006›Full record

ArticleRegional anesthesia and pain medicine2025

Pain intensity and opioid consumption after temporary and permanent peripheral nerve stimulation: a 2-year multicenter analysis.

Tyler West, Nasir Hussain, Anuj Bhatia, Mariam ElSaban, Anthony E Kilgore, Marilly Palettas, Mahmoud Abdel-Rasoul, Saba Javed, Ryan S D'Souza

Abstract readMulticenter Study
In one paragraph

Article in Regional anesthesia and pain medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

9 authors.

Tyler WestDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0009-0007-3945-6100
Nasir HussainDepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.ORCID 0000-0003-0353-1002
Anuj BhatiaAnesthesia and Pain Medicine, University of Toronto Health Policy Management and Evaluation, Toronto, Ontario, Canada.ORCID 0000-0001-6292-8654
Mariam ElSabanDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Anthony E KilgorePhysical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA.
Marilly PalettasCenter for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Mahmoud Abdel-RasoulCenter for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Saba JavedDepartment of Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Ryan S D'SouzaDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA DSouza.Ryan@mayo.edu.ORCID 0000-0002-4601-9837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePeripheral nerve stimulation (PNS) is an emerging neuromodulation modality, yet there remains limited data highlighting its long-term effectiveness. The objective of this study was to report real-world data on pain intensity and opioid consumption after temporary and permanent PNS for chronic pain up to 24 months postimplantation.

methodsA retrospective study was conducted on all patients who received PNS implants at a multi-centered enterprise between January 1, 2014 and February 24, 2022. The two co-primary outcomes were: (1) change in pain intensity (11-point Numerical Rating Scale) from baseline to 12 months postimplant; and (2) comparison of the change in pain intensity between temporary and permanent PNS cohorts 12 months postimplant.

results126 patients were included in this analysis. Pain intensity significantly decreased 12 months postimplant in the overall cohort (mean difference (MD) -3.0 (95% CI -3.5 to -2.4), p<0.0001). No significant difference in this reduction was identified between temporary and permanent PNS cohorts (MD 0.0 (95% CI -1.1 to 1.0), p=1.00) 12 months postimplantation. Pain intensity significantly decreased in the overall, temporary, and permanent cohorts at all secondary time points (3, 6, and 24 months). No change in daily opioid consumption was observed at 6 and 12 months postimplant in the overall cohort.

conclusionThis study found that both temporary and permanent PNS may be effective for reducing pain intensity in patients with chronic pain up to 24 months postimplantation, although no changes in opioid consumption were observed. The decrease in pain intensity was comparable between patients receiving temporary versus permanent implants, highlighting that temporary PNS may achieve long-lasting clinical benefits. However, given the substantial loss to follow-up, further large-scale studies are needed to solidify conclusions about the efficacy of PNS.

Indexed as

Analgesics, OpioidChronic PainPain ManagementPain MeasurementTranscutaneous Electric Nerve StimulationAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeAnalgesics, OpioidCHRONIC PAINNeuromodulationPain ManagementPeripheral Nerve Injuries

Identifiers

PMID39060006
PMCPMC12703256

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.