Spinal cord stimulation as treatment for complex regional pain syndrome should be considered earlier than last resort therapy.
Neuromodulation
; 16(2): 125-41, 2013.
Article
en En
| MEDLINE
| ID: mdl-23441988
ABSTRACT
BACKGROUND:
Spinal cord stimulation (SCS), by virtue of its historically described up-front costs and level of invasiveness, has been relegated by several complex regional pain syndrome (CRPS) treatment algorithms to a therapy of last resort. Newer information regarding safety, cost, and efficacy leads us to believe that SCS for the treatment of CRPS should be implemented earlier in a treatment algorithm using a more comprehensive approach.METHODS:
We reviewed the literature on pain care algorithmic thinking and applied the safety, appropriateness, fiscal or cost neutrality, and efficacy (S.A.F.E.) principles to establish an appropriate position for SCS in an algorithm of pain care. RESULTS ANDCONCLUSION:
Based on literature-contingent considerations of safety, efficacy, cost efficacy, and cost neutrality, we conclude that SCS should not be considered a therapy of last resort for CRPS but rather should be applied earlier (e.g., three months) as soon as more conservative therapies have failed.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Síndromes de Dolor Regional Complejo
/
Estimulación de la Médula Espinal
/
Colonias de Salud
Límite:
Humans
Idioma:
En
Revista:
Neuromodulation
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos