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Can I read The Impact of Spinal Cord Stimulation on Opioid Utilization in Failed Back Surgery Syndrome and Spinal Surgery Naïve Patients on EtoBox?
The Impact of Spinal Cord Stimulation on Opioid Utilization in Failed Back Surgery Syndrome and Spinal Surgery Naïve Patients by Adam Rupp; Vinicius Tieppo Francio; Jonathan M. Hagedorn; Timothy Deer; Dawood Sayed is a Medicine article available to read on EtoBox.
What is The Impact of Spinal Cord Stimulation on Opioid Utilization in Failed Back Surgery Syndrome and Spinal Surgery Naïve Patients about?
Background Spinal cord stimulation (SCS) has been utilized for failed back surgery syndrome (FBSS) with well-documented improvements in pain and function. However, limited studies have investigated the relationship between spinal surgery, SCS and opioid use outcomes. Methods A narrative review utilizing the scale for the quality assessment of narrative review articles (SANRA) methodology looking at trials involving SCS and opiates. Results Twenty-six studies met inclusion criteria. Surgery-naïve subjects had the greatest mean opioid dose reduction of 50.39% morphine milliequivalents, and the greatest number of patients who discontinued opioids at 53.72%. No statistical analysis was performed due to heterogeneous data. Conclusion SCS has a positive impact on opioid reduction, regardless of prior spinal surgical history. However, due to a lack of homogenous data, a formal conclusion comparing outcomes between spinal surgical histories cannot be drawn. There is an inherent difficulty in evaluating this topic given its complexity and multifactorial origin. Studies would require collaboration between pain physicians, societies and industry. Even then, patient biases such as psychologica
Who reads The Impact of Spinal Cord Stimulation on Opioid Utilization in Failed Back Surgery Syndrome and Spinal Surgery Naïve Patients?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Adam Rupp; Vinicius Tieppo Francio; Jonathan M. Hagedorn; Timothy Deer; Dawood Sayed
- Publisher
- Elsevier BV
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)