Return to Work of Patients Treated With Spinal Cord Stimulation for Chronic Pain: A Systematic Review and Meta-Analysis

Moens, Maarten; Goudman, Lisa; Brouns, Raf; Espinoza, Alexis Valenzuela; Jaeger, Mats De; Huysmans, Eva; Putman, Koen; Verlooy, Jan

doi:10.1111/ner.12797

Cited by 22 publications

(15 citation statements)

References 42 publications

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“…Five patients mentioned return to work as a goal, mainly with the motives of being part of society again and feeling happier. This is an important goal, since it has been described in the literature that approximately 14% of unemployed patients will return to work during treatment with SCS . This suggests that probably not all patients who want to return to work will accomplish this goal.…”

Section: Resultsmentioning

confidence: 99%

Goal Identification Before Spinal Cord Stimulation: A Qualitative Exploration in Potential Candidates

et al. 2019

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Introduction Due to the difficulties encountered in the treatment process of patients with chronic pain, it is of utmost importance to involve patients themselves in their rehabilitation trajectory. Patient engagement can be obtained by motivating patients to select their own treatment goals. We hypothesize that applying goal setting, as a form of patient empowerment, in potential candidates for spinal cord stimulation (SCS) may further improve the outcome of SCS. As a first step in creating patient empowerment, patients' goals that they aim to achieve with SCS will be explored. Methods Fifteen patients suffering from failed back/neck surgery syndrome and scheduled for SCS were interviewed in depth. All interviews were audio recorded and analyzed using in vivo coding. Afterwards, the International Classification of Functioning, Disability and Health framework was used to structure the responses of patients. Results In the domain of bodily functions, all patients mentioned pain reduction, and 1 patient wanted to regain his previous sleep pattern. In the domain of activities, walking, sitting, driving a car, bending down, and picking up were the highest ranked goals. Regaining a social life was the highest ranked goal for participation. Eleven patients wanted to regain a feeling of happiness, and 5 patients wanted to focus on avoiding depression. Conclusion The interviews revealed a broad spectrum of individual patients' goals, highlighting the need of individually targeted rehabilitation trajectories in the field of neuromodulation. Goal identification could entail the first step towards individualized medicine in the SCS trajectory.

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Section: Resultsmentioning

confidence: 99%

Goal Identification Before Spinal Cord Stimulation: A Qualitative Exploration in Potential Candidates

et al. 2019

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“…Multiple studies have elaborated the significant benefit obtainable from SCS; the overall healthcare cost and utilization among patients with chronic low back pain is much lower following SCS initiation for both commercially insured and Medicare patients (31). After SCS, patients return to work earlier, are less reliant on disability pension, and use fewer days of sick leave (32,33). It is conceivable that if these disparities are permitted to continue, the gap will continue to widen.…”

Section: Discussionmentioning

confidence: 99%

Racial and Socioeconomic Disparities in Spinal Cord Stimulation Among the Medicare Population

Jones

Orhurhu

O’Gara

et al. 2021

Neuromodulation: Technology at the Neural Interface

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“…A meta-analysis indicated that SCS results in a higher prevalence of chronic pain patients at work compared to before treatment [ 37 ]. Previously, it has been demonstrated within patients with burn injuries, that those who did not work were characterized by low HRQoL [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

The Added Value of High Dose Spinal Cord Stimulation in Patients with Failed Back Surgery Syndrome after Conversion from Standard Spinal Cord Stimulation

Jaeger

Goudman

Putman

et al. 2020

JCM

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Patients with Failed Back Surgery Syndrome (FBSS) report a considerably lower health- related quality of life (HRQoL), compared to the general population. Spinal cord stimulation (SCS) is an effective treatment to offer pain relief in those patients. Despite initial treatment success of SCS, its effect sometimes wears off over time. This study investigates the added value of high dose SCS (HD-SCS) in patients with unsatisfactory conventional SCS, from a quality of life perspective. Seventy-eight FBSS patients who were treated with conventional SCS that failed to provide pain relief, were recruited in 15 centers. HRQoL was assessed before converting to HD-SCS (baseline) and three times after converting to HD-SCS using the EuroQol-5D-3L. Quality adjusted life years (QALY) were calculated and compared with conventional SCS. An overall significant increase over time was seen in utility values of the EQ5D-3L, as the mean value at baseline 0.283 (±0.21) increased to 0.452 (±0.29) at 12 months of HD-SCS. This average increase in utility coincides with an average increase of 0.153 (±0.24) QALY’s in comparison to continued conventional SCS. Besides the potential of HD-SCS to salvage patients with failed responses to conventional SCS, this treatment seems to be a more efficient treatment than conventional SCS.

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Return to Work of Patients Treated With Spinal Cord Stimulation for Chronic Pain: A Systematic Review and Meta-Analysis

Cited by 22 publications

References 42 publications

Goal Identification Before Spinal Cord Stimulation: A Qualitative Exploration in Potential Candidates

Goal Identification Before Spinal Cord Stimulation: A Qualitative Exploration in Potential Candidates

Racial and Socioeconomic Disparities in Spinal Cord Stimulation Among the Medicare Population

The Added Value of High Dose Spinal Cord Stimulation in Patients with Failed Back Surgery Syndrome after Conversion from Standard Spinal Cord Stimulation

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