Pain medicine

Application of restorative neurostimulation for chronic mechanical low back pain in an older population with 2-year follow up

Reg Anesth Pain MedPublished Pooled analysis of three prospective clinical studies

Authors' conclusion

Patients derived significant and clinically meaningful benefit in disability, pain and HRQoL. When compared with a similarly indicated cohort of younger patients, there were no statistically or clinically significant differences.

Study context

Population
Patients with chronic mechanical low back pain (LBP) refractory to conservative management treated with restorative neurostimulation (ReActiv8-B, ReActiv8-C, ReActiv8-PMCF)261 with complete 2-year follow-up
Participants
65 vs 261
Comparison
Oldest quartile vs Entire population
  • Oldest quartilen = 65
  • Entire populationn = 261reference
Outcome
Change in disability (Oswestry Disability Index (ODI)) or pain score (NRS/VAS), proportion of patients per group
Follow-up
2 years from device activation
Methodological detailsaggregate analysis, completer analysis, age-quartile cohorts
  • Aggregate analysis
  • Completer analysis
  • Age-quartile cohorts

Pooled result

As reported in the abstract

≥50% pain improvement and 15-point ODI improvement · 2 years

≥50% pain improvement and 15-point ODI improvement · 2 years

15-point ODI improvement

Further pooled results

OutcomeOldest quartileEntire population
HRQoL (EQ5D-5L), baseline to 2 years0.7630.769
Baseline0.5680.544

Original publication

Application of restorative neurostimulation for chronic mechanical low back pain in an older population with 2-year follow up. Reg Anesth Pain Med. Published 9 March 2024. doi:10.1136/rapm-2023-105032

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