Duarte, R. V. et al. (2022) Screening trials of spinal cord stimulation for neuropathic pain in England—a budget impact analysis. Frontiers in Pain Research, 3, 974904. (doi: 10.3389/fpain.2022.974904) (PMID:36147037) (PMCID:PMC9486155)
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Abstract
Screening trials of spinal cord stimulation (SCS) prior to full implantation of a device are recommended by expert guidelines and international regulators. The current study sought to estimate the budget impact of a screening trial of SCS and the costs or savings of discontinuing the use of a screening trial. A budget impact analysis was performed considering a study population that reflects the size and characteristics of a patient population with neuropathic pain in England eligible for SCS. The perspective adopted was that of the NHS with a 5-year time horizon. The base case analysis indicate that a no screening trial strategy would result in cost-savings to the NHS England of £400,000–£500,000 per year. Sensitivity analyses were conducted to evaluate different scenarios. If ≥5% of the eligible neuropathic pain population received a SCS device, cost-savings would be >£2.5 million/year. In contrast, at the lowest assumed cost of a screening trial (£1,950/patient), a screening trial prior to SCS implantation would be cost-saving. The proportion of patients having an unsuccessful screening trial would have to be ≥14.4% for current practice of a screening trial to be cost-saving. The findings from this budget impact analysis support the results of a recent UK multicenter randomized controlled trial (TRIAL-STIM) of a policy for the discontinuation of compulsory SCS screening trials, namely that such a policy would result in considerable cost-savings to healthcare systems.
Item Type: | Articles |
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Additional Information: | This research was funded by the National Institute for Health Research (NIHR) Policy Research Programme (PRP) (project number: NIHR201444). |
Keywords: | Budget impact analysis, spinal cord stimulation, screening trials, neuropathic pain, cost savings. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Taylor, Professor Rod |
Authors: | Duarte, R. V., Houten, R., Nevitt, S., Brookes, M., Bell, J., Earle, J., Gulve, A., Thomson, S., Baranidharan, G., North, R. B., Taylor, R. S., and Eldabe, S. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
Journal Name: | Frontiers in Pain Research |
Publisher: | Frontiers Media |
ISSN: | 2673-561X |
ISSN (Online): | 2673-561X |
Copyright Holders: | Copyright © 2022 Duarte, Houten, Nevitt, Brookes, Bell, Earle, Gulve, Thomson, Baranidharan, North, Taylor and Eldabe |
First Published: | First published in Frontiers in Pain Research 3: 974904 |
Publisher Policy: | Reproduced under a Creative Commons License |
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