Spinal cord stimulation for neuropathic pain: an evidence-based analysis
Medical Advisory Secretariat
Record ID 32005000253
The purpose of this health technology policy assessment was to determine the effectiveness of spinal cord stimulation (SCS) to manage chronic intractable neuropathic pain and to evaluate the adverse events and Ontario-specific economic profile of this technology.
Authors' results and conclusions: The authors of 6 health technology assessments concluded that evidence exists to support the effectiveness of SCS to decrease pain in various neuropathic pain syndromes. However, the quality of this evidence varied among reports from weak to moderate. The systematic review completed by MAS found high quality level 2 evidence that SCS decreases pain and level 3a evidence that it improves functional status and quality of life in some people with neuropathic pain conditions. The rate of technical failures was approximately 11%, which included electrode lead migration and/or malposition. Procedural complications included infection and dural puncture; each occurred at a rate of 1.2%.
Authors' recomendations: SCS may be considered for patients with chronic, neuropathic pain for whom standard pain treatments have failed and when there is no indication for surgical intervention to treat the underlying condition.
Authors' methods: Systematic review
Project Status: Completed
Year Published: 2005
URL for published report: http://www.health.gov.on.ca/english/providers/program/mas/tech/reviews/pdf/rev_scs_030105.pdf
URL for additional information: http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ohtas-reports-and-ohtac-recommendations/spinal-cord-stimulation-for-the-management-of-neuropathic-pain
English language abstract: An English language summary is available
Publication Type: Not Assigned
- Chronic Disease
- Manipulation, Spinal
- Nervous System Diseases
Organisation Name: Medical Advisory Secretariat
Contact Address: Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;
Contact Name: MASinfo.firstname.lastname@example.org
Contact Email: MASinfo.email@example.com
Copyright: Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.