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Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations.

Publication ,  Journal Article
Venkatraman, V; Bharmi, R; Coletti, F; Gellad, ZF; Lempel, N; Amit, R; Blank, N; Brown, J; Kumar, C; Fishman, M; Vallejo, R; Datta, D ...
Published in: J Pain
December 2023

Spinal cord stimulation is an effective treatment for those experiencing chronic back and leg pain but requires a temporary evaluation period (SCSeval) before permanent implantation. We present real-world data from 7,000 patients who underwent SCSeval while utilizing a mobile digital health platform for education, feedback, and outcomes collection during their surgical journey. We analyzed preoperative patient demographics, characterized patient pain profiles using the patient-reported outcomes measurement information system-29 surveys, and calculated the rates of conversion from temporary to permanent spinal cord stimulation (SCS) implantation. Between August 1, 2021, and March 2, 2023, 7,000 patients (mean age 59.1, 59.6% female) underwent SCSeval procedures while utilizing a mobile application. Patients commonly experienced aching, sharp, stabbing, tingling, numb, and burning pain. Patients had tried multiple prior therapies and wanted to reduce their use of opioids and pain medications. Overall, 90.1% of the patients had a successful SCSeval, and 80.4% of those converted to permanent implant, with the highest rates among those who underwent SCSeval in a hospital setting. There was a significant improvement in all domains of pain as evaluated by pre and postoperative patient-reported outcomes measurement information system-29 surveys. This study supports the use of digital health technology as part of the SCS journey to improve the patient experience and allow for robust patient-reported outcomes collection. The overall rate of SCSeval to permanent SCS in our study of 72.4% was higher than national rates of 64%, suggesting that an app may allow clinicians to better quantify changes in chronic pain and provide more insight into choosing to implant SCS permanently. PERSPECTIVE: This article presents real-world evidence from a digital health platform for therapy education and outcomes collection from patients undergoing spinal cord stimulation evaluation procedures. Such tools could allow for better pain characterization and allow for more nuanced tracking of patient outcomes among those with chronic pain.

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Published In

J Pain

DOI

EISSN

1528-8447

Publication Date

December 2023

Volume

24

Issue

12

Start / End Page

2228 / 2239

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Spinal Cord Stimulation
  • Spinal Cord
  • Pain Management
  • Male
  • Humans
  • Female
  • Chronic Pain
  • Anesthesiology
  • Analgesics, Opioid
 

Citation

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Chicago
ICMJE
MLA
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Venkatraman, V., Bharmi, R., Coletti, F., Gellad, Z. F., Lempel, N., Amit, R., … Lad, S. P. (2023). Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations. J Pain, 24(12), 2228–2239. https://doi.org/10.1016/j.jpain.2023.07.008
Venkatraman, Vishal, Rupinder Bharmi, Filippo Coletti, Ziad F. Gellad, Noa Lempel, Roy Amit, Nicholas Blank, et al. “Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations.J Pain 24, no. 12 (December 2023): 2228–39. https://doi.org/10.1016/j.jpain.2023.07.008.
Venkatraman, Vishal, et al. “Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations.J Pain, vol. 24, no. 12, Dec. 2023, pp. 2228–39. Pubmed, doi:10.1016/j.jpain.2023.07.008.
Venkatraman V, Bharmi R, Coletti F, Gellad ZF, Lempel N, Amit R, Blank N, Brown J, Kumar C, Fishman M, Vallejo R, Datta D, Reeve BB, Chakravarthy K, Sharan AD, Lad SP. Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations. J Pain. 2023 Dec;24(12):2228–2239.
Journal cover image

Published In

J Pain

DOI

EISSN

1528-8447

Publication Date

December 2023

Volume

24

Issue

12

Start / End Page

2228 / 2239

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Spinal Cord Stimulation
  • Spinal Cord
  • Pain Management
  • Male
  • Humans
  • Female
  • Chronic Pain
  • Anesthesiology
  • Analgesics, Opioid