Spinal cord stimulation was associated with greater improvements in chronic back and leg pain than conventional medical management in a new meta-analysis.
Spinal cord stimulation therapies for chronic back and/or leg pain is superior to conventional medical management for reduced pain intensity and functional disability, new research suggests.Researchers performed a systematic review and network meta-analysis of 13 randomized clinical trials that compared conventional and novel SCS therapies with CMM.
Novel therapies included high frequency, burst, differential target multiplexed, and closed-loop SCS; conventional therapies included tonic SCS wave forms. The analysis included data from multiple follow-up points at 3, 6, 12, and 24 months, with 6-month data being those from the longest mutually reported timepoint across all outcomes.Both conventional and novel SCS therapies demonstrated superior efficacy vs CMM in pain reduction, but the novel SCS therapies were more likely to provide ≥ 50% reduction in back pain .
Quality of life improved with both types of SCS therapies, with novel SCS therapies yielding the highest MD in EQ-5D index score.
Leg Pain Pain Back Pain Chronic Pain Spinal Cord Stimulation Spinal Cord Disability Quality Of Life QOL Health Related Quality Of Life Health-Related Quality Of Life HRQOL Healthcare And Medical Technology Health And Medical Tech Health And Med Tech Health And Medical Technology Healthcare Technology Medical Technology Meta-Analysis Clinical Research Clinical Trials
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