[Medical and economic reflections on Restore and Itrel neurostimulation systems for neuropathic pain treatment].
In 2007, four patients where implanted with the Restore neurostimulation system for intractable chronic leg pain at the Poitiers Hospital. The potential for improving the patients' quality of life and medical-economic concerns motivated this choice for these highly selected patients. In this paper, we propose brief clinical case reports and discuss the reasons for choosing this new rechargeable system, even though it was initially more expensive than the standard neurostimulation system (Itrel 3). All patients receiving implants declared that they were very satisfied with the quality of stimulation provided by Restore and noted a significant improvement in their quality of life. If this solution becomes advantageous from an economic point of view, clinical data should lend support to the utility of this technological innovation for patients who have hitherto been in treatment failure.
Simonneau
A
A
Service de neurochirurgie, CHU La Milétrie, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France. adrien.simonneau@gmail.com
d'Houtaud
S
S
Djabarouti
M
M
Giot
J-P
JP
Magnam
J
J
Bataille
B
B
Lapierre
F
F
Rigoard
P
P
D000328:Adult; D004599:Electric Stimulation Therapy / Q000191:economics*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D007866:Leg / Q000473:pathology; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects; D010146:Pain / Q000191:economics* / Q000209:etiology; D059408:Pain Management; D017060:Patient Satisfaction; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000191:economics* / Q000628:therapy*; D011788:Quality of Life; D012585:Sciatica / Q000628:therapy; D004561:Transcutaneous Electric Nerve Stimulation; D016896:Treatment Outcome