Data Gap in Sacral Neuromodulation Documentation: Call to Improve Documentation Protocols.

Area of Science:

• Urology
• Biomedical Engineering
• Neurosurgery

Background:

• Sacral neuromodulation (SNM) is a treatment for lower urinary tract dysfunction.
• Optimizing SNM therapy relies on detailed threshold testing and programming parameters.

Purpose of the Study:

• To quantify the documentation of SNM threshold testing and programming parameters.
• To identify areas for improvement in SNM therapy outcomes and technology development.

Main Methods:

• Retrospective review of 127 records from 40 SNM patients.
• Screening for qualitative and quantitative SNM documentation across various visit types (PNE, S1, S2, follow-up).

Main Results:

• Threshold testing documentation was most complete during initial implant (PNE, S1) and less so for subsequent stages (S2) and follow-ups.
• Qualitative data was common, but quantitative values, specific contact use, and programming settings were frequently missing.
• Documentation gaps were noted for motor and sensory thresholds, as well as device programming and therapy logs.

Conclusions:

• Significant gaps exist in the documentation of SNM threshold testing and programming parameters.
• More detailed documentation could enhance parameter titration for improved therapy.
• Improved data collection can inform the design of future SNM technologies.