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脊髓刺激治疗的同意书——陷阱与解决方案

Consenting for Spinal Cord Stimulation - the Pitfalls and Solution.

作者信息

Mehta Vivek, Munglani Rajesh, Eyre Giles, Bajaj Gaurav, Abd-Elsayed Alaa, Poply Kavita

机构信息

Barts Health NHS Trust, Pain Research Centre, London, UK.

St Thomas Hospital, London, UK.

出版信息

Curr Pain Headache Rep. 2025 Feb 1;29(1):44. doi: 10.1007/s11916-024-01349-w.

DOI:10.1007/s11916-024-01349-w
PMID:39891805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11787249/
Abstract

PURPOSE OF REVIEW

To discuss the importance of the consenting process for patients undergoing spinal cord stimulation (SCS) therapy and understanding related complications and effects.

RECENT FINDINGS

Litigation for SCS/DRG related complications can be very costly, with the mean average settlement in cases relating to SCS being $303,173 dollars in the USA. According to the US Anaesthesia Closed Claims Project database, 10,546 claims related to pain medicine were made between 1990 and 2013; 43 of which were associated with SCS complications. This article will further explore consenting and complications within the context of SCS. Consenting for SCS is a crucial and very important step which potentially reflect on patients' expectations and outcomes.

摘要

综述目的

探讨脊髓刺激(SCS)治疗患者的知情同意过程的重要性,以及了解相关并发症和影响。

最新发现

与SCS/背根神经节(DRG)相关并发症的诉讼可能成本高昂,在美国,与SCS相关案件的平均和解金额为303,173美元。根据美国麻醉闭合索赔项目数据库,1990年至2013年间提出了10,546项与疼痛医学相关的索赔;其中43项与SCS并发症有关。本文将在SCS的背景下进一步探讨知情同意和并发症。SCS的知情同意是一个关键且非常重要的步骤,可能会影响患者的期望和治疗结果。

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Curr Pain Headache Rep. 2024 Dec;28(12):1289-1297. doi: 10.1007/s11916-024-01309-4. Epub 2024 Nov 4.
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Device-Related Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Comprehensive Review.与圆柱形脊髓刺激器植入相关的器械相关并发症:全面综述。
Curr Pain Headache Rep. 2024 Sep;28(9):941-947. doi: 10.1007/s11916-024-01280-0. Epub 2024 Jun 8.
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A Survey on the Choice of Spinal Cord Stimulation Parameters and Implantable Pulse Generators and on Reasons for Explantation.脊髓刺激参数与植入式脉冲发生器的选择及取出原因调查
Orthop Rev (Pavia). 2022 Nov 12;14(4):39648. doi: 10.52965/001c.39648. eCollection 2022.
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Twelve-Month results from multicenter, open-label, randomized controlled clinical trial comparing differential target multiplexed spinal cord stimulation and traditional spinal cord stimulation in subjects with chronic intractable back pain and leg pain.多中心、开放标签、随机对照临床试验的 12 个月结果,比较了慢性难治性腰痛和腿痛患者中差异靶向多路复用脊髓刺激与传统脊髓刺激的效果。
Pain Pract. 2021 Nov;21(8):912-923. doi: 10.1111/papr.13066. Epub 2021 Aug 27.
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