相关实验视频

Updated: Jun 13, 2026

Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation

Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation

Published on: July 16, 2014

住院神经调节的价值:国家对Paddle脊髓刺激结果的分析

Bhav Jain¹, Matthew Alexander Abikenari¹, Sina Sadeghzadeh¹

¹Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA.

|February 20, 2026

概括

门诊脊髓刺激 (SCS) 与住院手术一样安全,但成本明显低. 这种方法为大多数患者提供了同等的结果,改善了慢性疼痛管理的获取和公平性.

科学领域:

神经外科神经外科
疼痛管理疼痛管理
卫生经济学卫生经济学

背景情况:

脊髓刺激 (SCS) 是慢性疼痛和退行性脊柱疾病的关键治疗方法.
由于复杂性,Paddle Lead SCS植入通常在住院患者中进行,但设置影响尚不清楚.
这项研究调查了划船SCS交付的成本,再接收,并发症和差异.

研究的目的:

评估与划SCS相关的总成本,90天再入院率和并发症率.
根据程序设置,评估SCS交付中的社会经济差异.
为了比较住院患者和门诊患者的SCS植入结果.

主要方法:

追溯分析Merative MarketScan数据 (2007-2023) 对于成年人导SCS植入的数据.
结果包括总成本,90天再入院和并发症率.
使用多变量回归和倾向得分匹配来调整混因素.

主要成果:

在13704名患者中,89.4%的患者接受了门诊手术.
在匹配后,住院和门诊组之间的并发症和再入院率相似.
住院手术的成本显著增加 (5341.15美元的差异),而再入院和并发症随着时间的推移而下降.

结论:

门诊式SCS为适当选择的患者提供了可比的短期安全性和显著较低的成本.
住院植入适用于高风险患者,付款人政策应支持这两种情况.
确保跨设置的覆盖面对患者获得和在SCS治疗中的公平性至关重要.

关键词:

慢性疼痛管理慢性疼痛管理卫生经济学卫生经济学医疗保健中的差异住院患者与门诊患者对比神经调节是一种神经调节.程序的结果程序的结果脊髓刺激是一种脊髓刺激.

更多相关视频

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Published on: June 26, 2018

Author Spotlight: Advancing Spinal Cord Stimulation - Exploring the Cellular Responses of Motor Neurons Through Patch-Clamp Electrophysiology

Author Spotlight: Advancing Spinal Cord Stimulation - Exploring the Cellular Responses of Motor Neurons Through Patch-Clamp Electrophysiology

Published on: September 8, 2023

相关概念视频

Blood and Nerve Supply to the Bones

Blood and Nerve Supply to the Bones

Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...