• Pain physician · Apr 2013

    Review

    Intrathecal infusion systems for long-term management of chronic non-cancer pain: an update of assessment of evidence.

    • Frank J E Falco, Vikram B Patel, Salim M Hayek, Timothy R Deer, Stephanie Geffert, Jie Zhu, Obi Onyewu, Sareta Coubarous, Howard S Smith, and Laxmaiah Manchikanti.
    • Mid Atlantic Spine & Pain Physicians, Newark, DE, USA.
    • Pain Physician. 2013 Apr 1;16(2 Suppl):SE185-216.

    BackgroundIntrathecal infusion systems are often used for patients with intractable pain when all else fails, including surgery. There is, however, some concern as to the effectiveness and safety of this treatment.Study Design  A systematic review of intrathecal infusion systems for long-term management of chronic non-cancer pain.ObjectiveTo evaluate and update the effect of intrathecal infusion systems in managing chronic non-cancer pain.MethodsThe available literature on intrathecal infusion systems in managing chronic pain was reviewed. The quality assessment and clinical relevance criteria utilized were the Cochrane Musculoskeletal Review Group criteria as utilized for interventional techniques for randomized trials and the Newcastle-Ottawa Scale criteria for observational studies. The level of evidence was classified as good, fair, and limited or poor based on the quality of evidence developed by the U.S. Preventative Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to December 2012, and manual searches of the bibliographies of known primary and review articles.Outcome MeasuresThe primary outcome measure was pain relief with short-term relief < 12 months and long-term relief ≥ 12 months. Secondary outcome measures were improvement in functional status, psychological status, return to work, and reduction in opioid intake.ResultsThere were 28 studies identified for this systematic review. Of these, 21 were excluded from further review. A total of 7 non-randomized studies met inclusion criteria for methodological quality assessment. No randomized trials met the inclusion requirements.The evidence is limited based on observational studies.LimitationsThe limitations of this systematic review include the paucity of literature.ConclusionThe evidence is limited for intrathecal infusion systems.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.