What question did this study set out to answer?

To determine the added value of integrating psychosocial assessments with clinical evaluations when selecting patients with chronic pain for spinal cord stimulation using an educational e-health tool.

July 20, 2022European Journal of PainOpen Access

Patient selection for spinal cord stimulation: The importance of an integrated assessment of clinical and psychosocial factors

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To determine the added value of integrating psychosocial assessments with clinical evaluations when selecting patients with chronic pain for spinal cord stimulation using an educational e-health tool.
Retrospective analysis of 482 chronic pain patients considered for spinal cord stimulation (SCS) between 2018 and 2019.
Evaluated correlations between clinical, psychosocial, and composite tool recommendations with trial results and 6-month post-implantation outcomes across 381 patients who received SCS.
Overall pain improvement was achieved in 76% of patients strongly recommended for SCS based on clinical factors alone.
Pain improvement rates dropped from 86% in patients without compromising psychosocial factors to 60% in those presenting with severe psychosocial problems.
Severity of psychosocial difficulties similarly reduced successful stimulation trial rates among patients clinically eligible or strongly eligible for SCS.

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Implication

Retrospective study demonstrates that psychosocial factors significantly influence spinal cord stimulation outcomes in chronic pain patients, highlighting the need for multidisciplinary assessment.

Cite This Study

Thomson et al. (2022) studied this question.

synapsesocial.com/papers/6a9035d8779e50c2dc90a723 https://doi.org/10.1002/ejp.2009

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Implication

Retrospective study demonstrates that psychosocial factors significantly influence spinal cord stimulation outcomes in chronic pain patients, highlighting the need for multidisciplinary assessment.

Patient selection for spinal cord stimulation: The importance of an integrated assessment of clinical and psychosocial factors

Key Points

Discussion

Implication

Cite This Study

Patient selection for spinal cord stimulation: The importance of an integrated assessment of clinical and psychosocial factors

Key Points

Discussion

Implication

Cite This Study

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