The cost effectiveness of spinal cord stimulation in the treatment of pain: a systematic review of the literature

In this systematic review, we identified and evaluated studies of the cost effectiveness of spinal cord stimulation (SCS) for the treatment of chronic pain. Published reports were identified from a systematic search of a number of general medical electronic databases (Medline, CINAHL, and EMBASE), a...

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Bibliographic Details
Published in:Journal of Pain and Symptom Management 2004-04, Vol.27 (4), p.370-378
Main Authors: Taylor, Rod S., Taylor, Rebecca J., Van Buyten, Jean-Pierre, Buchser, Eric, North, Richard, Bayliss, Sue
Format: Article
Language:English
Subjects:
Biological and medical sciences
cost effectiveness
Cost-Benefit Analysis
costs and cost analysis
Electric Stimulation Therapy - economics
Humans
Medical sciences
Pain - physiopathology
Pain Management
Palliative Care - economics
Palliative Care - methods
Pharmacology. Drug treatments
Spinal Cord - physiopathology
spinal cord stimulation
Systematic review
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Summary:In this systematic review, we identified and evaluated studies of the cost effectiveness of spinal cord stimulation (SCS) for the treatment of chronic pain. Published reports were identified from a systematic search of a number of general medical electronic databases (Medline, CINAHL, and EMBASE), and specialist economic databases (NHS Centre for Reviews and Dissemination Economic Evaluation Database, and Health Economics Evaluation Database). Reference lists of retrieved reports were also searched, and contact was made with experts in the field. Of the 99 abstracts identified, 14 studies were considered to meet the inclusion criteria of the review. We found that across a range of medical indications, the initial healthcare acquisition costs of SCS implantation are consistently offset by a reduction in post-implant healthcare resource demand and costs. Further research is required to formally examine the cost effectiveness of SCS.
ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2003.09.009