Kaare Meier

Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Appropriate referral and selection of patients with chronic pain for spinal cord stimulation : European consensus recommendations and e-health tool. / Thomson, Simon; Huygen, Frank; Prangnell, Simon; De Andrés, José; Baranidharan, Ganesan; Belaïd, Hayat; Berry, Neil; Billet, Bart; Cooil, Jan; De Carolis, Giuliano; Demartini, Laura; Eldabe, Sam; Gatzinsky, Kliment; Kallewaard, Jan W.; Meier, Kaare; Paroli, Mery; Stark, Angela; Winkelmüller, Matthias; Stoevelaar, Herman.

I: European Journal of Pain (United Kingdom), Bind 24, Nr. 6, 07.2020, s. 1169-1181.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Thomson, S, Huygen, F, Prangnell, S, De Andrés, J, Baranidharan, G, Belaïd, H, Berry, N, Billet, B, Cooil, J, De Carolis, G, Demartini, L, Eldabe, S, Gatzinsky, K, Kallewaard, JW, Meier, K, Paroli, M, Stark, A, Winkelmüller, M & Stoevelaar, H 2020, 'Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool', European Journal of Pain (United Kingdom), bind 24, nr. 6, s. 1169-1181. https://doi.org/10.1002/ejp.1562

APA

Thomson, S., Huygen, F., Prangnell, S., De Andrés, J., Baranidharan, G., Belaïd, H., Berry, N., Billet, B., Cooil, J., De Carolis, G., Demartini, L., Eldabe, S., Gatzinsky, K., Kallewaard, J. W., Meier, K., Paroli, M., Stark, A., Winkelmüller, M., & Stoevelaar, H. (2020). Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool. European Journal of Pain (United Kingdom), 24(6), 1169-1181. https://doi.org/10.1002/ejp.1562

CBE

Thomson S, Huygen F, Prangnell S, De Andrés J, Baranidharan G, Belaïd H, Berry N, Billet B, Cooil J, De Carolis G, Demartini L, Eldabe S, Gatzinsky K, Kallewaard JW, Meier K, Paroli M, Stark A, Winkelmüller M, Stoevelaar H. 2020. Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool. European Journal of Pain (United Kingdom). 24(6):1169-1181. https://doi.org/10.1002/ejp.1562

MLA

Vancouver

Thomson S, Huygen F, Prangnell S, De Andrés J, Baranidharan G, Belaïd H o.a. Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool. European Journal of Pain (United Kingdom). 2020 jul;24(6):1169-1181. https://doi.org/10.1002/ejp.1562

Author

Thomson, Simon ; Huygen, Frank ; Prangnell, Simon ; De Andrés, José ; Baranidharan, Ganesan ; Belaïd, Hayat ; Berry, Neil ; Billet, Bart ; Cooil, Jan ; De Carolis, Giuliano ; Demartini, Laura ; Eldabe, Sam ; Gatzinsky, Kliment ; Kallewaard, Jan W. ; Meier, Kaare ; Paroli, Mery ; Stark, Angela ; Winkelmüller, Matthias ; Stoevelaar, Herman. / Appropriate referral and selection of patients with chronic pain for spinal cord stimulation : European consensus recommendations and e-health tool. I: European Journal of Pain (United Kingdom). 2020 ; Bind 24, Nr. 6. s. 1169-1181.

Bibtex

@article{3d47de572892471d8a16e85b646b7e07,
title = "Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool",
abstract = "Background: Spinal cord stimulation (SCS) is an established treatment for chronic neuropathic, neuropathic-like and ischaemic pain. However, the heterogeneity of patients in daily clinical practice makes it often challenging to determine which patients are eligible for this treatment, resulting in undesirable practice variations. This study aimed to establish patient-specific recommendations for referral and selection of SCS in chronic pain. Methods: A multidisciplinary European panel used the RAND/UCLA Appropriateness Method (RUAM) to assess the appropriateness of (referral for) SCS for 386 clinical scenarios in four pain areas: chronic low back pain and/or leg pain, complex regional pain syndrome, neuropathic pain syndromes and ischaemic pain syndromes. In addition, the panel identified a set of psychosocial factors that are relevant to the decision for SCS treatment. Results: Appropriateness of SCS was strongly determined by the neuropathic or neuropathic-like pain component, location and spread of pain, anatomic abnormalities and previous response to therapies targeting pain processing (e.g. nerve block). Psychosocial factors considered relevant for SCS selection were as follows: lack of engagement, dysfunctional coping, unrealistic expectations, inadequate daily activity level, problematic social support, secondary gain, psychological distress and unwillingness to reduce high-dose opioids. An educational e-health tool was developed that combines clinical and psychosocial factors into an advice on referral/selection for SCS. Conclusions: The RUAM was useful to establish a consensus on patient-specific criteria for referral/selection for SCS in chronic pain. The e-health tool may help physicians learn to apply an integrated approach of clinical and psychosocial factors. Significance: Determining the eligibility of SCS in patients with chronic pain requires careful consideration of a variety of clinical and psychosocial factors. Using a systematic approach to combine evidence from clinical studies and expert opinion, a multidisciplinary European expert panel developed detailed recommendations to support appropriate referral and selection for SCS in chronic pain. These recommendations are available as an educational e-health tool (https://www.scstool.org/).",
keywords = "CHRONIC BACK, CRITERIA, DIABETIC PERIPHERAL NEUROPATHY, MANAGEMENT, OUTCOMES, PREDICTORS, RELIEF, SURGERY, THERAPY, VALIDITY",
author = "Simon Thomson and Frank Huygen and Simon Prangnell and {De Andr{\'e}s}, Jos{\'e} and Ganesan Baranidharan and Hayat Bela{\"i}d and Neil Berry and Bart Billet and Jan Cooil and {De Carolis}, Giuliano and Laura Demartini and Sam Eldabe and Kliment Gatzinsky and Kallewaard, {Jan W.} and Kaare Meier and Mery Paroli and Angela Stark and Matthias Winkelm{\"u}ller and Herman Stoevelaar",
year = "2020",
month = jul,
doi = "10.1002/ejp.1562",
language = "English",
volume = "24",
pages = "1169--1181",
journal = "European Journal of Pain",
issn = "1090-3801",
publisher = "JohnWiley & Sons Ltd.",
number = "6",

}

RIS

TY - JOUR

T1 - Appropriate referral and selection of patients with chronic pain for spinal cord stimulation

T2 - European consensus recommendations and e-health tool

AU - Thomson, Simon

AU - Huygen, Frank

AU - Prangnell, Simon

AU - De Andrés, José

AU - Baranidharan, Ganesan

AU - Belaïd, Hayat

AU - Berry, Neil

AU - Billet, Bart

AU - Cooil, Jan

AU - De Carolis, Giuliano

AU - Demartini, Laura

AU - Eldabe, Sam

AU - Gatzinsky, Kliment

AU - Kallewaard, Jan W.

AU - Meier, Kaare

AU - Paroli, Mery

AU - Stark, Angela

AU - Winkelmüller, Matthias

AU - Stoevelaar, Herman

PY - 2020/7

Y1 - 2020/7

N2 - Background: Spinal cord stimulation (SCS) is an established treatment for chronic neuropathic, neuropathic-like and ischaemic pain. However, the heterogeneity of patients in daily clinical practice makes it often challenging to determine which patients are eligible for this treatment, resulting in undesirable practice variations. This study aimed to establish patient-specific recommendations for referral and selection of SCS in chronic pain. Methods: A multidisciplinary European panel used the RAND/UCLA Appropriateness Method (RUAM) to assess the appropriateness of (referral for) SCS for 386 clinical scenarios in four pain areas: chronic low back pain and/or leg pain, complex regional pain syndrome, neuropathic pain syndromes and ischaemic pain syndromes. In addition, the panel identified a set of psychosocial factors that are relevant to the decision for SCS treatment. Results: Appropriateness of SCS was strongly determined by the neuropathic or neuropathic-like pain component, location and spread of pain, anatomic abnormalities and previous response to therapies targeting pain processing (e.g. nerve block). Psychosocial factors considered relevant for SCS selection were as follows: lack of engagement, dysfunctional coping, unrealistic expectations, inadequate daily activity level, problematic social support, secondary gain, psychological distress and unwillingness to reduce high-dose opioids. An educational e-health tool was developed that combines clinical and psychosocial factors into an advice on referral/selection for SCS. Conclusions: The RUAM was useful to establish a consensus on patient-specific criteria for referral/selection for SCS in chronic pain. The e-health tool may help physicians learn to apply an integrated approach of clinical and psychosocial factors. Significance: Determining the eligibility of SCS in patients with chronic pain requires careful consideration of a variety of clinical and psychosocial factors. Using a systematic approach to combine evidence from clinical studies and expert opinion, a multidisciplinary European expert panel developed detailed recommendations to support appropriate referral and selection for SCS in chronic pain. These recommendations are available as an educational e-health tool (https://www.scstool.org/).

AB - Background: Spinal cord stimulation (SCS) is an established treatment for chronic neuropathic, neuropathic-like and ischaemic pain. However, the heterogeneity of patients in daily clinical practice makes it often challenging to determine which patients are eligible for this treatment, resulting in undesirable practice variations. This study aimed to establish patient-specific recommendations for referral and selection of SCS in chronic pain. Methods: A multidisciplinary European panel used the RAND/UCLA Appropriateness Method (RUAM) to assess the appropriateness of (referral for) SCS for 386 clinical scenarios in four pain areas: chronic low back pain and/or leg pain, complex regional pain syndrome, neuropathic pain syndromes and ischaemic pain syndromes. In addition, the panel identified a set of psychosocial factors that are relevant to the decision for SCS treatment. Results: Appropriateness of SCS was strongly determined by the neuropathic or neuropathic-like pain component, location and spread of pain, anatomic abnormalities and previous response to therapies targeting pain processing (e.g. nerve block). Psychosocial factors considered relevant for SCS selection were as follows: lack of engagement, dysfunctional coping, unrealistic expectations, inadequate daily activity level, problematic social support, secondary gain, psychological distress and unwillingness to reduce high-dose opioids. An educational e-health tool was developed that combines clinical and psychosocial factors into an advice on referral/selection for SCS. Conclusions: The RUAM was useful to establish a consensus on patient-specific criteria for referral/selection for SCS in chronic pain. The e-health tool may help physicians learn to apply an integrated approach of clinical and psychosocial factors. Significance: Determining the eligibility of SCS in patients with chronic pain requires careful consideration of a variety of clinical and psychosocial factors. Using a systematic approach to combine evidence from clinical studies and expert opinion, a multidisciplinary European expert panel developed detailed recommendations to support appropriate referral and selection for SCS in chronic pain. These recommendations are available as an educational e-health tool (https://www.scstool.org/).

KW - CHRONIC BACK

KW - CRITERIA

KW - DIABETIC PERIPHERAL NEUROPATHY

KW - MANAGEMENT

KW - OUTCOMES

KW - PREDICTORS

KW - RELIEF

KW - SURGERY

KW - THERAPY

KW - VALIDITY

U2 - 10.1002/ejp.1562

DO - 10.1002/ejp.1562

M3 - Journal article

C2 - 32187774

AN - SCOPUS:85082971819

VL - 24

SP - 1169

EP - 1181

JO - European Journal of Pain

JF - European Journal of Pain

SN - 1090-3801

IS - 6

ER -