Practice Parameters for the Use of Spinal Cord Stimulation in the Treatment of Chronic Neuropathic Pain

Cost Effectiveness in FBSS

Is SCS cost effective in the treatment of FBSS?

Yes.

Estimates of annual cost of non-surgical treatment

Straus BN. Chronic pain of spinal origin: The costs of intervention. Spine 27(22):2614-2619, 2002.
Abstract

Luo X, Pietrobon R, Sun SX, Liu GG, Hey L. Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. Spine 29:79-86, 2004.
Abstract

de Lissovoy G, Brown RE, Halpern M, Hassenbusch SJ, Ross E. Cost effectiveness of long-term intrathecal morphine for pain associated with failed back syndrome. Clin Ther 19:96-112, 1997.
Abstract

Bell GK, Kidd D, North RB. Cost-effectiveness analysis of spinal cord stimulation in treatment of failed back surgery syndrome. J Pain Symptom Manage 13:286-295, 1997.
Abstract | Wikistim Entry

FBSS Cost Effectiveness - Randomized controlled trials

North RB, Kidd D, Shipley J, Taylor R. Spinal cord stimulation versus reoperation for failed back surgery syndrome: a cost effectiveness and cost utility analysis based on a randomized, controlled trial. Neurosurgery 61(2):361-369, 2007.
Abstract | Wikistim Entry

Manca A, Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, Thomson S, O'Callaghan J, Eisenberg E, Milbouw G, et al. Quality of life, resource consumption and costs of spinal cord stimulation versus conventional medical management in neuropathic pain patients with failed back surgery syndrome (PROCESS trial). Eur J Pain12(8):1047-1058, 2008.
Abstract | Wikistim Entry

Clinical trials

Kumar K, Malik S, Demeria D. Treatment of chronic pain with spinal cord stimulation versus alternative therapies: cost-effectiveness analysis. Neurosurgery 51(1):106-116, 2002.
Abstract | Wikistim Entry

Blond S, Armignies P, Parker F, Dupard T, Guieu JD, Duquesnoy B, Christiaens JL. Chronic sciatalgia caused by sensitive deafferentiation following surgery for lumbar disk hernia: Clinical and therapeutic aspects. Apropos of 110 patients [French]. Neurochirurgie 37(2):86-95, 1991.
Abstract | Wikistim Entry

Modeling study

Taylor RS, Ryan J, O’Donnell R, Eldabe S, Kumar K, North R The cost-effectiveness of spinal cord stimulation in the treatment of failed back surgery syndrome. Clin J Pain 26(6):463-469 2010.
Abstract

Health Technology Assessment Information Service. Spinal cord (dorsal column) stimulation for chronic intractable pain. Plymouth Meeting, PA:ECRI, 1993.

Bell GK, Kidd D, North RB. Cost-effectiveness analysis of spinal cord stimulation in treatment of failed back surgery syndrome. J Pain Symptom Manage 13:286-295, 1997.
Abstract | Wikistim Entry

Cost descriptions lacking comparators

Devulder J, de Laat M, van Bastelaere M, Rolly G. Spinal cord stimulation: a valuable treatment for chronic failed back surgery patients. J Pain Symptom Manage 13(5):296-301, 1997.
Abstract | Wikistim Entry

Budd K. Spinal cord stimulation: cost-benefit study. Neuromodulation 5(2):75-78, 2002.
Abstract | Wikistim Entry

Bel S, Bauer BL. Dorsal column stimulation (DCS): cost to benefit analysis. Acta Neurochir 52(Suppl):121-23, 1991.
Abstract | Wikistim Entry