The final, formatted version of the article will be published soon.
ORIGINAL RESEARCH article
Front. Pain Res.
Sec. Neuromodulatory Interventions
Volume 5 - 2024 |
doi: 10.3389/fpain.2024.1451284
This article is part of the Research Topic Insight in Neuromodulatory Interventions – 2023 / 2024 View all articles
Functional outcomes and healthcare utilization (HCU) trends in postsurgical and nonsurgical patients following high-frequency (10kHz) spinal cord stimulation (SCS) therapy
Provisionally accepted
Vinicius Tieppo Francio
1*
Logan Leavitt
1
John Alm
1*
Daniel Mok
1*
Byung-Jo Victor Yoon
1*
Niaman Nazir
1,2
Christopher M. Lam
1*
Usman Latif
1*
Timothy Sowder
1*
Edward Braun
1*
Andrew Sack
1*
Talal Khan
1
Dawood Sayed
1,2*- 1 University of Kansas Medical Center, Kansas City, United States
- 2 University of Kansas, Lawrence, Kansas, United States
Chronic low back pain (CLBP) is the leading cause of disability in the United States and is associated with a continuously increasing trajectory of healthcare expenditure. Thus, it is imperative to evaluate strategies aimed at reducing disability and improving healthcare utilization (HCU), particularly among high utilizers of healthcare resources, such as individuals with CLBP. Spinal cord stimulation (SCS) therapy has demonstrated efficacy in reducing pain, improving function, and decreasing HCU. However, various patient-specific factors must be considered as they may influence SCS outcomes. This study aimed to investigate whether a history of spinal surgery impacts functional outcomes and HCU trends following 10 kHz SCS therapy. This was a retrospective observational study of 160 subjects who underwent 10 kHz SCS implantation. Subjects were divided into surgical and nonsurgical cohorts for comparison This is the first study to compare pain, disability, and HCU trends between surgical and non-surgical populations after 10 kHz SCS therapy. The results indicated no statistically significant differences in pain and disability outcomes between the surgical and non-surgical groups. Furthermore, HCU trends, as measured by the mean number of emergency department and outpatient visits for interventional pain procedures, did not show statistically significant differences between the surgical and non-surgical groups. The results may suggest that a history of spinal surgery might not significantly impact the effectiveness of 10 kHz SCS therapy, yet further high-quality studies are needed.
Keywords: Spinal Cord Stimulation, Chronic low back pain, Failed Back Surgery Syndrome, persistent spinal pain syndrome, non-surgical refractory back pain, healthcare utilization, Disability
Received: 18 Jun 2024; Accepted: 10 Sep 2024.
Copyright: © 2024 Tieppo Francio, Leavitt, Alm, Mok, Yoon, Nazir, Lam, Latif, Sowder, Braun, Sack, Khan and Sayed. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Vinicius Tieppo Francio, University of Kansas Medical Center, Kansas City, United States
John Alm, University of Kansas Medical Center, Kansas City, United States
Daniel Mok, University of Kansas Medical Center, Kansas City, United States
Byung-Jo Victor Yoon, University of Kansas Medical Center, Kansas City, United States
Christopher M. Lam, University of Kansas Medical Center, Kansas City, United States
Usman Latif, University of Kansas Medical Center, Kansas City, United States
Timothy Sowder, University of Kansas Medical Center, Kansas City, United States
Edward Braun, University of Kansas Medical Center, Kansas City, United States
Andrew Sack, University of Kansas Medical Center, Kansas City, United States
Dawood Sayed, University of Kansas, Lawrence, 66045, Kansas, United States
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.