Recent advances and future directions in spinal cord stimulation for chronic pain: a multidisciplinary perspective.

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Nantthasorn Zinboonyahgoon, Choopong Luansritisakul, Bunpot Sithinamsuwan, Mark Plazier, Nilesh Patel
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引用次数: 0

Abstract

Purpose of review: This review aims to provide a comprehensive, multidisciplinary perspective on recent advancements and future directions in spinal cord stimulation (SCS) for chronic pain management. It emphasizes the evolving science of patient selection, technological innovations, cost-effectiveness considerations, and future direction of SCS in pain medicine.

Recent findings: Significant progress has been made in optimizing patient outcomes through refined patient selection, including validated data driven predictive tool which integrated psychological profiling and standard trial stimulation protocol. Technological advancements such as closed-loop stimulation and new waveform have improved efficacy, durability, and patient satisfaction. While SCS is cost-effective in high-income countries, economic evaluations in low- and middle-income settings, such as Thailand, have not yet considered it a cost-effective treatment due to differences in willingness to pay and the cost of conservative treatment. Future direction of SCS may include, restorative SCS for spinal cord injury, new waveforms such as sub-perception stimulation, and multimodal neuromodulation.

Summary: SCS has undergone many significant transformations in recent years. The integration of clinical, psychosocial and technological knowledge are and will be the key success factors of this transformation. Multidisciplinary collaboration, ongoing research, and the adoption of advanced technologies promise to further personalize and advance therapy.

脊髓刺激治疗慢性疼痛的最新进展和未来方向:多学科视角。
综述目的:本综述旨在对脊髓刺激治疗慢性疼痛的最新进展和未来发展方向提供一个全面的、多学科的观点。它强调了不断发展的患者选择科学、技术创新、成本效益考虑以及疼痛医学中SCS的未来方向。最新发现:通过优化患者选择,包括整合心理分析和标准试验刺激方案的验证数据驱动预测工具,在优化患者结果方面取得了重大进展。技术进步,如闭环刺激和新的波形,提高了疗效,耐用性和患者满意度。虽然SCS在高收入国家具有成本效益,但在泰国等低收入和中等收入国家的经济评估中,由于支付意愿和保守治疗费用的差异,它尚未被认为是一种具有成本效益的治疗方法。未来的研究方向可能包括:脊髓损伤恢复性SCS、亚知觉刺激等新波形、多模态神经调节等。摘要:近年来,SCS经历了许多重大变革。临床、社会心理和技术知识的整合是并将是这一转变的关键成功因素。多学科合作、持续的研究和先进技术的采用有望进一步个性化和推进治疗。
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来源期刊
Current Opinion in Supportive and Palliative Care
Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.70
自引率
0.00%
发文量
54
期刊介绍: A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.
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