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St. Chiara University Hospital PISA – ITALY

St. Chiara University Hospital PISA – ITALY. The Pain Medicine Department Multidisciplinary Staff. UNIT HEAD : Prof. Paolo Poli - anesthesiologist Dott.ssa Lara Tollapi- anesthesiologist Dott.ssa Franca Bondi - reumatologist Dott. Walter Forli - neurosurgery

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St. Chiara University Hospital PISA – ITALY

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  1. St. Chiara University HospitalPISA – ITALY

  2. The Pain Medicine Department Multidisciplinary Staff • UNIT HEAD : • Prof. Paolo Poli - anesthesiologist • Dott.ssa Lara Tollapi- anesthesiologist • Dott.ssa Franca Bondi - reumatologist • Dott. Walter Forli - neurosurgery • Dott.ssa Mery Paroli - psychologist • Dott.ssa Antonella Ciaramella - psychiatric • NURSE STAFF: • Antonella Scocca - Nurse coordinator • Sabrina Inghirami - CS Nurse • Tatiana De Lucia - CS Nurse • Paola Lencioni - CS Nurse • Maida Natucci - Nurse Support • Maria Sadowska - Nurse Support • Maria Coppola - Secretary • Giuliana Rossano - Counselor

  3. Background 1 of 2 Spinal cordstimulation (SCS) is an efficacious therapy for chronic neuropathic paineven though pharmacological relief is insufficient. Atkinson et al.,2011; Kemler et al., 2000; Kumar et al., 2007; North et al., 2005; Simpson et al., 2009; Peng et al., 2007; Van Buyten et al., 2006

  4. Background 2 of 2 Three brands of SCS stimulators … Constant current with single power source Constant current with multiple power sources Constant voltage with a single power source Different brands of SCS for ... different technologies

  5. Aim of the study Compare the effectiveness in pain relief of three different types of stimulation in patients with diagnosis of chronic neuropathic pain during two years follow-up after the implant of SCS.

  6. Multidisciplinary Screening

  7. Sample 1/2 • FBSS: Failed Back Surgery Syndrome • LB: Low Back • Miscellanea: • Phantom Pain • Ischemic Pain • Post Herpetic Pain • Complex Pain Regional Syndrome • Arthritis • Genital Anal Pain MISCELLANEA 39 168 patients with neuropathic pain

  8. Sample 2/2 Observational study

  9. Study design 1/2 VAS 0 No pain 10 Worst possible pain • 3 dimensions of pain: • Sensory • Affective • Evaluative

  10. Study design 2/2 VAS 0 10 IPQ 3 mths 6 mths 12 mths 18 mths 24 mths Before implant T0 T1 T2 T3 T4 T5

  11. Results 1/2 Repeated Measures ANOVA - VAS F = 57.87 p <.0001

  12. Results 2/2 Repeated Measures ANOVA - IPQ dimensions p = n.s.

  13. Conclusions The present study proved SCS in itself to be effective in the treatment of chronic neuropathic pain, although no significant differences were shown among the three systems.

  14. Thanks to Arpa foundation that help us in research

  15. THANK YOU www.neuromodulation.it g.decarolis@email.it

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