TENS in chronic pain management: a 11-year nationwide analysis using the French National Health Data System.

IF 2.2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Expert Review of Pharmacoeconomics & Outcomes Research Pub Date : 2026-07-01 Epub Date: 2026-06-25 DOI:10.1080/14737167.2026.2691988

Vincent Arcani, Anne Donnet, Sylvain Redon

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引用次数: 0

Abstract

Background: Chronic pain affects one in five people globally, frequently leading to complex polypharmacy. Transcutaneous electrical nerve stimulation (TENS) offers a non-pharmacological alternative to mitigate drug-related problems (DRPs) and reduce medication burden. This study evaluates a decade of real-world TENS utilization trends in France.

Research design and methods: We conducted a nationwide retrospective study (2014-2024) using the French National Health Data System (Open LPP). Metrics included rental and purchase volumes, associated expenditures, and the purchase-to-rental (P/R) ratio, utilized as a behavioral proxy for long-term therapeutic persistence.

Results: TENS initiations (rentals) increased 1.5-fold (91,709 to 158,947), while purchases grew 2.4-fold (17,362 to 41,784). Significant feminization was observed across all cohorts (p < 0.05). The overall P/R ratio was 22.7%. Women showed higher persistence than men (23.3% vs. 21.3%, p < 0.001). The highest persistence occurred in the 40-59 age group (25.4%), whereas the lowest was among patients under 19 (15.2%).

Conclusion: TENS utilization in France shows a strong upward trend. While long-term adoption has improved, persistence remains limited, particularly in younger populations. The P/R ratio serves as a critical marker of clinical adoption and access dynamics.

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慢性疼痛管理中的TENS：使用法国国家健康数据系统的11年全国分析。

背景：慢性疼痛影响全球五分之一的人，经常导致复杂的多重用药。经皮神经电刺激（TENS）为减轻药物相关问题（DRPs）和减轻药物负担提供了一种非药物替代方法。这项研究评估了法国十年来真实世界的TENS使用趋势。研究设计和方法：我们使用法国国家健康数据系统（Open LPP）进行了一项全国性的回顾性研究（2014-2024）。指标包括租赁和购买量、相关支出和购买/租赁（P/R）比率，作为长期治疗持久性的行为代理。结果：TENS启动（租赁）增加了1.5倍（91,709到158,947），而购买增长了2.4倍（17,362到41,784）。在所有队列中都观察到显著的女性化(p结论：法国TENS的使用率显示出强劲的上升趋势。虽然长期采用情况有所改善，但持久性仍然有限，特别是在年轻人群中。P/R比率是临床采用和获取动态的关键标志。

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

Expert Review of Pharmacoeconomics & Outcomes Research HEALTH CARE SCIENCES & SERVICES-PHARMACOLOGY & PHARMACY

CiteScore

4.00

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Expert Review of Pharmacoeconomics & Outcomes Research (ISSN 1473-7167) provides expert reviews on cost-benefit and pharmacoeconomic issues relating to the clinical use of drugs and therapeutic approaches. Coverage includes pharmacoeconomics and quality-of-life research, therapeutic outcomes, evidence-based medicine and cost-benefit research. All articles are subject to rigorous peer-review. The journal adopts the unique Expert Review article format, offering a complete overview of current thinking in a key technology area, research or clinical practice, augmented by the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.