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Cost-effectiveness analysis of spinal cord stimulation in treatment of failed back surgery syndrome.

Authors
  • Bell, G K
  • Kidd, D
  • North, R B
Type
Published Article
Journal
Journal of Pain and Symptom Management
Publisher
Elsevier
Publication Date
May 01, 1997
Volume
13
Issue
5
Pages
286–295
Identifiers
PMID: 9185434
Source
Medline
License
Unknown

Abstract

This article presents an analysis of the medical costs of spinal cord stimulation (SCS) therapy in the treatment of patients with failed back surgery syndrome (FBSS). We compared the medical costs of SCS therapy with an alternative regimen of surgeries and other interventions. Externally powered (external) and fully internalized (internal) SCS systems were considered separately. Clinical management models of each of the therapy alternatives were derived from the clinical literature, retrospective data sets, expert opinion, and published diagnostic and therapy protocols. No value was placed on pain relief or improvements in the quality of life that successful SCS therapy can generate. We found that by reducing the demand for medical care by FBSS patients, SCS therapy can lower medical costs. On average, given current screening and efficacy rates, SCS therapy pays for itself within 5.5 years. For those patients for whom SCS therapy is clinically efficacious, the therapy pays for itself within 2.1 years.

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