Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia

  • Juan Miguel Griego Pain and Palliative Care and Interventional Analgesia, La Asunción Clinic, Barranquilla, Colombia
  • María Patricia Gómez Anaesthesia Unit, Surgery Department, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Omar Fernando Gomezese Basic Sciences Department, Medical School, Universidad Industrial de Santander, Bucaramanga, Colombia
  • Adriana Margarita Cadavid Anaesthesia, Universidad de Antioquia, Medical School, Medellín, Colombia
  • Carlos Jaime Yepes Basic Sciences Department, Medical School, Universidad Pontificia Bolivariana, Medellín, Colombia
  • Tatiana Mayungo Pain Service, Hospital Universitario de San Vicente Fundación, Medellín, Colombia
  • Jorge Acosta-Reyes Public Health Department, Health Sciences School, Universidad del Norte, Barranquilla, Colombia
  • Héctor Julio Meléndez Basic Sciences Department, Medical School, Universidad Industrial de Santander, Bucaramanga, Colombia
  • José Julián López Pharmacy Department, School of Science, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Luis Enrique Chaparro Department of Anaesthesia, Medical School, University of Toronto, Toronto, Canada
  • Luis Fernando Cifuentes a. Pharmacology, Universidad de los Andes, Bogotá D.C., Colombia. b. Boston Scientific Colombia, Bogotá, D.C., Colombia
Keywords: Pain, Electric stimulation, Chronic pain, Angina pectoris, Anesthesia

Abstract

Introduction: Management of chronic pain by conventional means is usually insufficient, but the enhanced knowledge of the neurobiology of pain has led to the development of new treatments like spinal neurostimulation, with optimal short- and long-term results.

Objectives: To integrate and update clinical practice guidelines on the effectiveness and safety of spinal neurostimulation in the management of chronic pain.

Materials and methods: Search of practice guidelines, systematic reviews and clinical trials in the main databases (Cochrane, EMBASE, LILACS and MEDLINE), and assessment of their quality and level of evidence in order to propose recommendations for the management of chronic painful syndromes and cardiac and lower-limb ischemia.

Results: Suficient evidence was found to support the use of spinal neurostimulation for pain relief in cases of persistent pain after back surgery and also for complex regional pain syndrome. Growing evidence was found for the use of spinal neurostimulation in refractory angina pectoris and in painful ischemic lower limbs.

Conclusions: Neurostimulation is a minimally invasive technique useful for the management of persistent pain after back surgery and for complex regional pain syndrome.

References

1. Rokyta R, Fricová J. Neurostimulation methods in the treatment of chronic pain. Physiol Res. 2012;61:3-31.
2. Meier K, Jensen TS, Christensen BM, Molgaard ME, Sorensen JC, Nikolajsen L. Reduced areas of spontaneous neuropathic pain after spinal cord stimulation treatment. Clin J Pain. 2014;30:232-7.
3. Covarrubias A, Guevara U, Gutiérrez C, Betancourt JA, Córdova JA. Epidemiología del dolor crónico en México. Rev Mex Anest. 2010;33:207-13.
4. Carlo RR, Andrés AM, Victoria AM, Sara E, Manuel G. Toxina botulínica para tratamiento del dolor crónico. Revisión de la evidencia. Rev Colomb Anestesiol. 2014;42:205-13.
5. Guerrero AM, Gómez MP. Octavo estudio nacional del dolor. Asociación Colombiana para el Estudio del Dolor (ACED); 2014. Available from: http://www.acnweb.org/es/informacion/noticias/1124-viii-estudio-nacional-de-dolor-2014-prevalencia-del-dolor-cronico-en-colombia.html [accessed 03.02.14]

6. Harstall C, Ospina M. How prevalent is chronic pain? Pain: Clin Updates. 2003;11:1-4.
7. Breivik H, Collett B, Ventafridda V,Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287-333.
8. Reid KJ, Harker J, Bala MM, Truyers C, Kellen E, Bekkering GE, et al. Epidemiology of chronic non-cancer pain in Europe: narrative review of prevalence, pain treatments and pain impact. Curr Med Res Opin. 2011;27:449-62.
9. Yepes CJ. Manejo del Dolor en Neurocirugía. In: Navarro JE, editor. Neurocirugía para médicos generales. Medellín (Col): Editorial Universidad de Antioquia; 2006. p. 559-66.
10. Salvatore M, Rimoldi J, Foenquinos G, Bigar P, Romero S. Neuroestimulación medular: nuestra experiencia. Rev Arg Neuroc. 2008;22:112-211.
11. Simpson EL, Duenas A, Holmes MW, Papaioannou D, Chilcott J. Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin: systematic review and economic evaluation. Health Technol Assess. 2009;13:1-154.
12. Manchikanti L, Abdi S, Atluri S, Benyamin RM, Boswell MV, Buenaventura RM, et al. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. Pain Physician. 2013;16 2 Suppl:S49-283.
13. Cruccu G, Aziz TZ, Garcia-Larrea L, Hansson P, Jensen TS, Lefaucheur JP, et al. EFNS guidelines on neurostimulation therapy for neuropathic pain. Eur J Neurol. 2007: 952-70.
14. Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al. Development of the AGREE II, part 1: performance, usefulness and areas for improvement. CMAJ. 2010;182:1045-52.
15. GRADE Working Group. Grading the quality of evidence and the strength of recommendations; 2014. BMC Health Serv Res. 2004;4:38.
16. Long DM. Failed bac surgery syndrome. Neurosurg Clin N Am. 1991;2:899-919.
17. Slipman CW, Shin CH, Patel RK, Isaac Z, Huston CW, Lipetz JS, et al. Etiologies of failed back surgery syndrome. Pain Med. 2002;3:200-14.
18. Mailis-Gagnon A, Furlan AD, Sandoval JA, Taylor R. Spinal cord stimulation for chronic pain. Cochrane Database Syst Rev. 2004;3:Cd003783.
19. Frey ME, Manchikanti L, Benyamin RM, Schultz DM, Smith HS, Cohen SP. Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. Pain Physician. 2009;12:379-97.
20. British Pain Society. Spinal Cord Stimulation for the management of pain: recommendations for best clinical practice. 2009. S Afr Med J. 2013;103:423-30.
21. Boswell MV, Trescot AM, Datta S, Schultz DM, Hansen HC, Abdi S, et al. Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain. Pain Physician. 2007;10:7-10.
22. North RB, Kidd D, Shipley J, Taylor RS. Spinal cord stimulation versus reoperation for failed back surgery syndrome: a cost effectiveness and cost utility analysis based on a randomized, controlled trial. Neurosurgery. 2007;61:361-8.
23. Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain. 2007;132:179-88.
24. Harden RN, Bruehl SP. Diagnosis of complex regional pain syndrome: signs, symptoms, and new empirically derived diagnostic criteria. Clin JPain. 2006;22:415-9.
25. Koes BW, Bouter LM, van der Heijden GJ. Methodological quality of randomized clinical trials on treatment eficac in low back pain. Spine. 1995;20:228-35.
26. Griego JM. Síndromes dolorosos regionales complejos, controversias y recientes conceptos. Acta Neurol Col. 2011;27:46-57.
27. Grabow TS, Tella PK, Raja SN. Spinal cord stimulation for complex regional pain syndrome: an evidence-based medicine review of the literature. Clin J Pain. 2003;19:371-83.
28. Kemler MA, Barendse GA, van Kleef M, de Vet HC, Rijks CP, Furnee CA, et al. Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy. N Engl J Med. 2000;343:618-24.
29. Kemler MA, De Vet HC, Barendse GA, Van Den Wildenberg FA, Van Kleef M. The effect of spinal cord stimulation in patients with chronic reflex sympathetic dystrophy: two years' follow-up of the randomized controlled trial. Ann Neurol. 2004;55:13-8.
30. Kemler MA, de Vet HC, Barends GA, van den Wildenberg FA, van Kleef M. Effect of spinal cord stimulation for chronic complex regional pain syndrome Type I: five-year final follow-up of patients in a randomized controlled trial. J Neurosurg. 2008;108:292-8.
31. Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, et al. ACC/AHA 2002 Guideline update for the management of patients with chronic stable angina-summary article: a report of the American college of cardiology/American heart association task force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation. 2003;107:149-58.
32. Eric B, Anne D, Eric A. Spinal cord stimulation for the management of refractory angina pectoris. J Pain Symptom Manage. 2006;31:251-65.
33. Van Hecke O, Torrance N, Smith BH. Chronic pain epidemiology an its clinical relevance. Br J Anaesth. 2013;111:13-8.
34. Ubbink DT, Vermeulen H. Spinal cord stimulation for non-reconstructable chronic critical leg ischaemia. Cochrane Database Syst Rev. 2013;2.
35. Brolmann FE, Ubbink DT, Nelson EA, Munte K, van der Horst CM, Vermeulen H. Evidence-based decisions for local and systemic wound care. Br J Surg. 2012;99:1172-83.
How to Cite
1.
Griego JM, Gómez MP, Gomezese OF, Cadavid AM, Jaime Yepes C, Mayungo T, Acosta-Reyes J, Meléndez HJ, López JJ, Chaparro LE, Cifuentes LF. Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia. Colomb. j. anesthesiol. [Internet]. 2016Oct.1 [cited 2020Sep.29];44(4):334–340. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/612

Downloads

Download data is not yet available.
Published
2016-10-01
How to Cite
1.
Griego JM, Gómez MP, Gomezese OF, Cadavid AM, Jaime Yepes C, Mayungo T, Acosta-Reyes J, Meléndez HJ, López JJ, Chaparro LE, Cifuentes LF. Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia. Colomb. j. anesthesiol. [Internet]. 2016Oct.1 [cited 2020Sep.29];44(4):334–340. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/612
Section
Clinical Practice Guides