Differential Target Multiplexed Spinal Cord Stimulation
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Spinal Cord Stimulation.
- Кому может быть актуально
- Состояния в реестре: Failed Back Surgery Syndrome, Persistent Spinal Pain Syndrome Type 2. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Бельгия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Differential Target Multiplexed Spinal Cord Stimulation: a Multicenter Cohort Study
Обзор
Evaluation of the effectiveness of differential target multiplexed spinal cord stimulation for treatment of chronic back and leg pain. Additionally, a subgroup analysis will be performed to evaluate potential differences between paddle/surgical leads versus percutaneous leads.
Вмешательства
- Устройство Spinal Cord Stimulation
differential target multiplexed stimulation
Первичные конечные точки
- Overall pain intensity with Visual Analogue Scale (VAS) [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
Вторичные конечные точки (12)
- Back pain intensity with Visual Analogue Scale (VAS) [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Leg pain intensity with Visual Analogue Scale (VAS) [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Pain medication use [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Functional disability [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Health related quality of life [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Patient global impression of change [Срок оценки: Evaluated at 1 month, 6 months and 12 months of DTM SCS.]
- Clinical holistic responder status [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Patients' individual competencies for self-management [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Work status [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Pain catastrophizing [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Symptoms of central sensitisation. [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
- Anxiety and Depression. [Срок оценки: The change between the baseline screening and the evaluation 1 month after DTM stimulation, 6 months and 12 months]
Критерии участия
Критерии включения
- Patients with severe chronic pain (> 5 on numeric rating scale, NRS) for at least 6 months due to FBSS (PSPS T2) and suitable for treatment with DTM SCS according to the treating physician
- Age > 18 years
- Patient has been informed of the study procedures and has given written informed consent
- Patient willing to comply with study protocol including attending the study visits
Критерии исключения
- Expected inability of the patient to receive or properly operate the spinal cord stimulation system
- History of coagulation disorder, lupus erythematosus, diabetic neuropathy, rheumatoid arthritis, or morbus Bechterew
- Active malignancy
- Addiction to drugs, alcohol (>5 units per day) and/or medication
- Evidence of an active disruptive psychiatric disorder or other known condition that may impact perception of pain, compliance to the intervention, and/or ability to evaluate treatment outcome as determined by investigator
- Immune deficiency (e.g. HIV positive, immunosuppressive treatment)
- Life expectancy < 1 year
- Local infection or any other skin disorder at site of incision
- Pregnancy
- Other implanted active medical device
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Бельгия · 14 центров
- Universitair Ziekenhuis Brussel — Jette
- ZNA — Antwerp
- AZ Sint-Jan Brugge-Oostende — Bruges
- AZ Sint-Lucas Brugge — Bruges
- Jessa Ziekenhuis — Hasselt
- AZ Groeninge — Kortrijk
- UZ Leuven — Leuven
- Heilig Hart Ziekenhuis Lier — Lier
- … и ещё 6 центров
Публикации
- Goudman L, De Smedt A, Eldabe S, Rigoard P, Billot M, Roulaud M; DETECT consortium; Moens M. Differential target multiplexed spinal cord stimulation in patients with Persistent Spinal Pain Syndrome Type II: a study protocol for a 12-month multicentre cohort study (DETECT). BMJ Open. 2024 Nov 9;14(11):e083610. doi: 10.1136/bmjopen-2023-083610. PMID 39521475
Идентификаторы
NCT: NCT05068011 · DETECT