Impact of Spinal Cord Stimulation on Opioid Dose Reduction: A Nationwide Analysis.

ABSTRACT:

Background

Opioid misuse in the USA is an epidemic. Utilization of neuromodulation for refractory chronic pain may reduce opioid-related morbidity and mortality, and associated economic costs.

Objective

To assess the impact of spinal cord stimulation (SCS) on opioid dose reduction.

Methods

The IBM MarketScan® database was retrospectively queried for all US patients with a chronic pain diagnosis undergoing SCS between 2010 and 2015. Opioid usage before and after the procedure was quantified as morphine milligram equivalents (MME).

Results

A total of 8497 adult patients undergoing SCS were included. Within 1 yr of the procedure, 60.4% had some reduction in their opioid use, 34.2% moved to a clinically important lower dosage group, and 17.0% weaned off opioids ent

SUBMITTER: Adil SM 

PROVIDER: S-EPMC7735866 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature