Spinal cord stimulation effectively restores functional disability
in chronic pain patients. Improvement in function significantly increases the
ability of patients to return to their work.
A detailed systematic review and meta-analysis discovered the remarkable results after spinal cord stimulation in attenuating specific chronic pain syndromes and helped patients on returning to work. Due to the considerable adverse effect of chronic pain on work-related outcomes, the efficiency of interventions to reduce the disease burden gets underscore. However, the spinal cord stimulation (SCS) provides relief from chronic pain syndromes efficiently. The study involved evaluation of evidence related to SCS impact on patients ability to work again.
The studies published in EMBASE, SCOPUS, Web of
Science and PubMed up to October 2017 were taken for analysis. The risk of bias
was assessed through the modified version of the downs and black checklist, and
the data were pooled by using random effects meta-analysis. The study protocol
was registered before the introduction of the review process.
A total of 2835 articles were screened, and out of them, 15 full-text articles with low risk of bias met the criteria. Seven trials were sufficient enough to get data for meta-analysis on binary outcomes. The patients who received SCS showed high frequency at work as compared to before treatment (p < 0.001). Also, the high odds of the return to work were confirmed by SCS received group (p < 0.001).
As per these results, SCS found beneficial in restoring functional ability which helps patients to returning to work.
Neuromodulation
Return to Work of Patients Treated With Spinal Cord Stimulation for Chronic Pain: A Systematic Review and Meta-Analysis.
Maarten Moens et al.
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