Patient Outcomes and Spinal Cord Stimulation: A Retrospective Case Series Evaluating Patient Satisfaction, Pain Scores, and Opioid Requirements

Rebecca A. Sanders, Susan M. Moeschler, Halena M. Gazelka, Tim J. Lamer, Zhen Wang, Wenchun Qu, Bryan C. Hoelzer

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Introduction: Spinal cord stimulators (SCS) are used to treat various chronic pain states. Establishing patient outcomes in terms of pain control, opioid medication use, and overall satisfaction is vital in maintaining SCS's role in clinical practice. Methods: All patients who underwent SCS implantation between January 2001 and December 2011 at a tertiary academic pain medicine center were included if he or she underwent permanent cervical or thoracolumbar dorsal column SCS implantation and age was 18 or greater. For the 199 patients who met inclusion criteria, data were collected retrospectively. Preimplant information included indication for implantation, Numeric Rating Scale (NRS) score, and dose in oral morphine equivalents (OME). Postimplant NRS score was recorded at 6 months and 1 year. OME requirement and patient satisfaction were determined at 1 year postimplantation. Results: This data set showed an overall decrease in OME requirements and NRS scores at both 6 months and 1 year. These differences were statistically significant (P < 0.01) compared to preimplantation values. Additionally, 84.27% of patients were satisfied with their implants at 1 year. Patient outcomes were analyzed further in respect to implant indication; groups included failed back surgery syndrome (FBSS), complex regional pain syndrome (CRPS), angina, and other. For all groups, there were statistically significant (P < 0.01) decreases in NRS scores at 6 months and 1 year. In the FBSS and CRPS groups, statistically significant (P < 0.02) decreases in OME usage existed. Conclusion: Retrospective review of patients with spinal cord stimulators revealed OME reduction at 1 year for those patients in the FBSS and CRPS groups; patient satisfaction at 1 year and NRS score reduction at 6 months and 1 year were statistically significant for all groups.

Original languageEnglish (US)
Pages (from-to)899-904
Number of pages6
JournalPain Practice
Volume16
Issue number7
DOIs
StatePublished - Sep 1 2016

Fingerprint

Spinal Cord Stimulation
Patient Satisfaction
Opioid Analgesics
Failed Back Surgery Syndrome
Morphine
Pain
Complex Regional Pain Syndromes
Spinal Cord
Pain Clinics
Chronic Pain
Medicine

Keywords

  • observational study
  • opioids
  • outcomes
  • pain measurement
  • spinal cord stimulators

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Patient Outcomes and Spinal Cord Stimulation : A Retrospective Case Series Evaluating Patient Satisfaction, Pain Scores, and Opioid Requirements. / Sanders, Rebecca A.; Moeschler, Susan M.; Gazelka, Halena M.; Lamer, Tim J.; Wang, Zhen; Qu, Wenchun; Hoelzer, Bryan C.

In: Pain Practice, Vol. 16, No. 7, 01.09.2016, p. 899-904.

Research output: Contribution to journalArticle

Sanders, Rebecca A. ; Moeschler, Susan M. ; Gazelka, Halena M. ; Lamer, Tim J. ; Wang, Zhen ; Qu, Wenchun ; Hoelzer, Bryan C. / Patient Outcomes and Spinal Cord Stimulation : A Retrospective Case Series Evaluating Patient Satisfaction, Pain Scores, and Opioid Requirements. In: Pain Practice. 2016 ; Vol. 16, No. 7. pp. 899-904.
@article{5e0796c6b17944499dbda3d3e6a77c96,
title = "Patient Outcomes and Spinal Cord Stimulation: A Retrospective Case Series Evaluating Patient Satisfaction, Pain Scores, and Opioid Requirements",
abstract = "Introduction: Spinal cord stimulators (SCS) are used to treat various chronic pain states. Establishing patient outcomes in terms of pain control, opioid medication use, and overall satisfaction is vital in maintaining SCS's role in clinical practice. Methods: All patients who underwent SCS implantation between January 2001 and December 2011 at a tertiary academic pain medicine center were included if he or she underwent permanent cervical or thoracolumbar dorsal column SCS implantation and age was 18 or greater. For the 199 patients who met inclusion criteria, data were collected retrospectively. Preimplant information included indication for implantation, Numeric Rating Scale (NRS) score, and dose in oral morphine equivalents (OME). Postimplant NRS score was recorded at 6 months and 1 year. OME requirement and patient satisfaction were determined at 1 year postimplantation. Results: This data set showed an overall decrease in OME requirements and NRS scores at both 6 months and 1 year. These differences were statistically significant (P < 0.01) compared to preimplantation values. Additionally, 84.27{\%} of patients were satisfied with their implants at 1 year. Patient outcomes were analyzed further in respect to implant indication; groups included failed back surgery syndrome (FBSS), complex regional pain syndrome (CRPS), angina, and other. For all groups, there were statistically significant (P < 0.01) decreases in NRS scores at 6 months and 1 year. In the FBSS and CRPS groups, statistically significant (P < 0.02) decreases in OME usage existed. Conclusion: Retrospective review of patients with spinal cord stimulators revealed OME reduction at 1 year for those patients in the FBSS and CRPS groups; patient satisfaction at 1 year and NRS score reduction at 6 months and 1 year were statistically significant for all groups.",
keywords = "observational study, opioids, outcomes, pain measurement, spinal cord stimulators",
author = "Sanders, {Rebecca A.} and Moeschler, {Susan M.} and Gazelka, {Halena M.} and Lamer, {Tim J.} and Zhen Wang and Wenchun Qu and Hoelzer, {Bryan C.}",
year = "2016",
month = "9",
day = "1",
doi = "10.1111/papr.12340",
language = "English (US)",
volume = "16",
pages = "899--904",
journal = "Pain Practice",
issn = "1530-7085",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Patient Outcomes and Spinal Cord Stimulation

T2 - A Retrospective Case Series Evaluating Patient Satisfaction, Pain Scores, and Opioid Requirements

AU - Sanders, Rebecca A.

AU - Moeschler, Susan M.

AU - Gazelka, Halena M.

AU - Lamer, Tim J.

AU - Wang, Zhen

AU - Qu, Wenchun

AU - Hoelzer, Bryan C.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - Introduction: Spinal cord stimulators (SCS) are used to treat various chronic pain states. Establishing patient outcomes in terms of pain control, opioid medication use, and overall satisfaction is vital in maintaining SCS's role in clinical practice. Methods: All patients who underwent SCS implantation between January 2001 and December 2011 at a tertiary academic pain medicine center were included if he or she underwent permanent cervical or thoracolumbar dorsal column SCS implantation and age was 18 or greater. For the 199 patients who met inclusion criteria, data were collected retrospectively. Preimplant information included indication for implantation, Numeric Rating Scale (NRS) score, and dose in oral morphine equivalents (OME). Postimplant NRS score was recorded at 6 months and 1 year. OME requirement and patient satisfaction were determined at 1 year postimplantation. Results: This data set showed an overall decrease in OME requirements and NRS scores at both 6 months and 1 year. These differences were statistically significant (P < 0.01) compared to preimplantation values. Additionally, 84.27% of patients were satisfied with their implants at 1 year. Patient outcomes were analyzed further in respect to implant indication; groups included failed back surgery syndrome (FBSS), complex regional pain syndrome (CRPS), angina, and other. For all groups, there were statistically significant (P < 0.01) decreases in NRS scores at 6 months and 1 year. In the FBSS and CRPS groups, statistically significant (P < 0.02) decreases in OME usage existed. Conclusion: Retrospective review of patients with spinal cord stimulators revealed OME reduction at 1 year for those patients in the FBSS and CRPS groups; patient satisfaction at 1 year and NRS score reduction at 6 months and 1 year were statistically significant for all groups.

AB - Introduction: Spinal cord stimulators (SCS) are used to treat various chronic pain states. Establishing patient outcomes in terms of pain control, opioid medication use, and overall satisfaction is vital in maintaining SCS's role in clinical practice. Methods: All patients who underwent SCS implantation between January 2001 and December 2011 at a tertiary academic pain medicine center were included if he or she underwent permanent cervical or thoracolumbar dorsal column SCS implantation and age was 18 or greater. For the 199 patients who met inclusion criteria, data were collected retrospectively. Preimplant information included indication for implantation, Numeric Rating Scale (NRS) score, and dose in oral morphine equivalents (OME). Postimplant NRS score was recorded at 6 months and 1 year. OME requirement and patient satisfaction were determined at 1 year postimplantation. Results: This data set showed an overall decrease in OME requirements and NRS scores at both 6 months and 1 year. These differences were statistically significant (P < 0.01) compared to preimplantation values. Additionally, 84.27% of patients were satisfied with their implants at 1 year. Patient outcomes were analyzed further in respect to implant indication; groups included failed back surgery syndrome (FBSS), complex regional pain syndrome (CRPS), angina, and other. For all groups, there were statistically significant (P < 0.01) decreases in NRS scores at 6 months and 1 year. In the FBSS and CRPS groups, statistically significant (P < 0.02) decreases in OME usage existed. Conclusion: Retrospective review of patients with spinal cord stimulators revealed OME reduction at 1 year for those patients in the FBSS and CRPS groups; patient satisfaction at 1 year and NRS score reduction at 6 months and 1 year were statistically significant for all groups.

KW - observational study

KW - opioids

KW - outcomes

KW - pain measurement

KW - spinal cord stimulators

UR - http://www.scopus.com/inward/record.url?scp=84985906220&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84985906220&partnerID=8YFLogxK

U2 - 10.1111/papr.12340

DO - 10.1111/papr.12340

M3 - Article

C2 - 26310826

AN - SCOPUS:84985906220

VL - 16

SP - 899

EP - 904

JO - Pain Practice

JF - Pain Practice

SN - 1530-7085

IS - 7

ER -