Pain medicine

Global usage of spinal cord stimulation therapy for chronic pain syndromes: a systematic review and meta-analysis

Reg Anesth Pain MedPublished Systematic review and meta-analysis

Authors' conclusion

Significant associations exist between geographic regions and patient demographics in SCS research, with notable disparities in research concentration

Study context

Population
Adults (≥18 years) with chronic pain lasting ≥3 months treated with spinal cord stimulation (SCS), studies from 2000 onward187 studies
Outcome
Associations between geographic regions and patient age demographics in SCS research
Methodological detailsPRISMA guidelines, Five major databases searched through October 2024; randomised trials, comparative studies and case series with ≥10 patients included
  • PRISMA guidelines
  • Five major databases searched through October 2024; randomised trials, comparative studies and case series with ≥10 patients included

Pooled result

As reported in the abstract

Age distribution across geographic regions
  • Heterogeneity in age distributions across regions: Asian studies higher mean ages vs North America; European studies lower mean ages

Further pooled results

Industry funding of studies

Studies receiving industry funding
57%
Significant associations between funding source and geographic origin; research concentrated in high-income regions

Most prevalent condition globally

Post-surgical pain syndrome-thoracolumbar, share of cases
44.9%

Original publication

Global usage of spinal cord stimulation therapy for chronic pain syndromes: a systematic review and meta-analysis. Reg Anesth Pain Med. Published 31 August 2025. doi:10.1136/rapm-2025-106806

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