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Trends in spinal cord stimulation utilization: change, growth and implications for the future
  1. Courtney Chow and
  2. Richard Rosenquist
  1. Department of Pain Management, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr Richard Rosenquist, Department of Pain Management, Cleveland Clinic, Cleveland, OH 44195, USA; rosenqr{at}ccf.org

Abstract

Chronic pain impacts more than 100 million Americans and has a significant impact on the economy and quality of life. Spinal cord stimulation (SCS) has demonstrated efficacy in managing a growing number of chronic pain conditions. This in combination with an increasing number of physicians trained in SCS placement has produced significant changes in utilization, expense and sites of service related to SCS. In particular, there has been a large increase in SCS placement by non-surgeons, use of percutaneous leads and performance in ambulatory surgery centers instead of inpatient settings. There are also notable differences in SCS use related to age, race, insurance coverage and geography. There is a large potential market and use of these therapies is predicted to grow from $2.41 billion in 2020 to $4.12 billion US dollars globally by 2027. At the same time, there is increasing scrutiny around utilization of this therapy related to cost, complications, long-term efficacy and explant rates that has the potential to impact access to this therapy in the future. We must examine our indications, technique and management to optimize outcomes and utilization of SCS going forward.

  • spinal cord stimulation
  • back pain
  • chronic pain

Data availability statement

Data sharing not applicable as no datasets generated and/or analyzed for this study.

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Data availability statement

Data sharing not applicable as no datasets generated and/or analyzed for this study.

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Footnotes

  • Contributors Both authors were involved with the conceptualization, literature, writing and editing at all phases of the manuscript. Overall content guarantor RWR.

  • 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 None declared.

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