SCS for CRPS: A Review of Cost-Effectiveness Models.

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Daniel R Briggi, James Reilly, Josiel Garcia, Wyatt Kupperman
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引用次数: 0

Abstract

Purposeof review: The provision of a review of current literature on the cost-effectiveness of employing SCS in the treatment of CRPS.

Recent findings: Four studies were included in this review, with authorship in the United States, Canada, Europe, and Australia. Each study individually supported the cost-effectiveness of SCS in the treatment of CRPS, with the incremental cost of one quality-adjusted life year found to be AUD 2,321 - USD 22,084, all below a willingness to pay estimated at USD 50,000. One of the four studies was rated American Academy of Neurology (AAN) Grade II, three of the four studies were rated AAN Grade III, and an overall Class C evaluation was assigned to this evidence. SCS can be cost-effective in the treatment of patients with CRPS when considering a time horizon of at least ten years. Current evidence, however, remains weak and less invasive options remain first-line.

CRPS的SCS:成本效益模型综述。
综述目的:对目前文献中应用SCS治疗CRPS的成本-效果进行综述。最新发现:本综述纳入了四项研究,作者分别来自美国、加拿大、欧洲和澳大利亚。每项研究都单独支持SCS治疗CRPS的成本效益,发现一个质量调整生命年的增量成本为2,321澳元- 22,084美元,均低于估计的50,000美元的支付意愿。四项研究中有一项被评为美国神经病学学会(AAN) II级,四项研究中有三项被评为AAN III级,该证据的总体评价为C级。考虑到至少10年的时间跨度,SCS在治疗CRPS患者方面具有成本效益。然而,目前的证据仍然薄弱,侵入性较小的选择仍然是一线选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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