An analysis of the components of pain, function, and health-related quality of life in patients with failed back surgery syndrome treated with spinal cord stimulation or conventional medical management

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Serval ID
serval:BIB_33844F9E93BA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
An analysis of the components of pain, function, and health-related quality of life in patients with failed back surgery syndrome treated with spinal cord stimulation or conventional medical management
Journal
Neuromodulation
Author(s)
Eldabe Sam, Kumar Krishna, Buchser Eric, Taylor Rod S.
ISSN
1094-7159
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
13
Number
3
Pages
201-209
Language
english
Abstract
Objectives: Failed back surgery syndrome (FBSS) patients experience pain, functional disability, and reduced health-related quality of life (HRQoL) despite anatomically successful surgery. Examining sub-dimensions of health outcomes measures provides insight into patient well-being.
Materials and Methods:
The international multicenter PROCESS trial collected detailed HRQoL (EuroQol-5D; Short-Form 36) and function (Oswestry Disability Index) information on 100 FBSS patients.
Results: At baseline, patients reported moderate-to-severe leg and back pain adversely affecting all dimensions of function and HRQoL. Compared with conventional medical management alone, patients also receiving spinal cord stimulation (SCS) reported superior pain relief, function, and HRQoL at six months on overall and most sub-component scores. The majority of these improvements with SCS were sustained at 24 months. Nonetheless, 36-40% of patients experienced ongoing marked disability (standing, lifting) and HRQoL problems (pain/discomfort).
Conclusions: Longer-term patient management and research must focus on these refractory FBSS patients with persisting poor function and HRQoL outcomes.
Keywords
Chronic pain, electrical stimulation, failed back surgery syndrome, quality of life, spinal cord stimulation, NEUROPATHIC PAIN, PROGNOSTIC-FACTORS, UNITED-KINGDOM, FOLLOW-UP, LEG PAIN, MULTICENTER, TRIAL, INDEX, SF-36
Web of science
Create date
17/08/2010 13:27
Last modification date
20/08/2019 13:19
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