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Daring discourse: economics of neuromodulation for the treatment of persistent spinal pain syndrome and complex regional pain syndrome
  1. David Anthony Provenzano1 and
  2. Jared Aaron Heller1,2
  1. 1 Pain Diagnostics and Interventional Care, Sewickley, Pennsylvania, USA
  2. 2 West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia, USA
  1. Correspondence to Dr David Anthony Provenzano, Pain Diagnostics and Interventional Care, Sewickley, Pennsylvania 15143, USA; davidprovenzano{at}hotmail.com

Abstract

The treatment options for patients with chronic pain conditions are impacted by recent research, patient needs, and insurance coverage. Although various factors affect the cost of healthcare, the economic burden on the patient and the healthcare system must be considered when choosing the appropriate treatments for each patient. This Daring Discourse aims to review and further clarify existing economic evaluations and thus examine cost-effectiveness with regards to neuromodulation for the treatment of persistent spinal pain syndrome and complex regional pain syndrome. Specific consideration is given to spinal cord stimulation, as it is a widely studied and implemented neuromodulation modality for the treatment of these debilitating conditions.

  • Back Pain
  • Complex Regional Pain Syndromes
  • Economics
  • Spinal Cord Stimulation
  • Pain Management

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Footnotes

  • Contributors DAP and JAH, were involved with literature review, data analysis, and manuscript preparation. All authors approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests DAP has consulted for Avanos, Boston Scientific, Medtronic, Nevro, and SI Bone. Pain Diagnostics and Interventional Care has received research support in the past from Avanos, Boston Scientific, Medtronic, Nevro, Stimgenics, and Abbott. JAH has no conflicts of interest to report.

  • Provenance and peer review Not commissioned; externally peer reviewed.