4 résultat(s) recherche sur le mot-clé 'Neuralgia'    

 trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Health Care Resource Utilization and Medical Costs of Spinal Cord Injury With Neuropathic Pain in a Commercially Insured Population in the United States / Jay M. Margolis in Archives of Physical Medicine and Rehabilitation, 2014/12 (2014)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > 2014/12 (2014) . - p. 2279-2287 Titre : Health Care Resource Utilization and Medical Costs of Spinal Cord Injury With Neuropathic Pain in a Commercially Insured Population in the United States Type de document : Article Auteurs : Jay M. Margolis ; Paul Juneau ; Alesia Sadosky Article en page(s) : p. 2279-2287 Langues : Anglais (eng) Descripteurs : HE Vinci Nevralgie ; Rééducation et réadaptation ; Traumatismes de la moelle épinière Mots-clés : Cost of Illness  Coût de la maladie  Health expenditures  Dépenses de santé  Neuralgia  Spinal cord injuries  Utilization Review  Bilan opérationnel Résumé : Objective To evaluate health care resource use, costs, and cost drivers among patients with neuropathic pain (NeP) after spinal cord injury (SCI) in a commercially insured population. Design Retrospective longitudinal cohort study comparing SCI patients with and without NeP. Setting Truven Health MarketScan commercial claims database from 2005 through 2012. Participants Commercially insured SCI patients with NeP (n=3524) propensity score matched to SCI patients without NeP (n=3524). Interventions Not applicable. Main Outcomes Measures Health care resource utilization and expenditures for the 12 months after NeP onset (index event; identified through International Classification of Diseases, 9th Revision, Clinical Modification diagnosis 338.0x or use of NeP-specific antiepileptic drugs or NeP-specific antidepressants) in patients with SCI compared with matched patients without NeP. Results Utilization over 12 months postindex among patients with SCI-associated NeP was higher than among SCI-only patients for inpatient admissions (27.4% vs 22.1%), emergency department visits (36.7% vs 26.4%), and office visits per patient (mean + SD: 13.0+9.5 vs 9.5+8.3); all P values were <.001. all-cause expenditures showed adjusted incremental costs of confidence interval per patient with sci-associated nep during the postindex period.> Conclusions Patients with evidence of NeP secondary to SCI have significantly higher health care utilization and total costs compared with SCI patients without evidence of NeP. Factors contributing to NeP in patients with SCI need to be clinically assessed to determine the optimal approach for treating these individuals. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] [article] Health Care Resource Utilization and Medical Costs of Spinal Cord Injury With Neuropathic Pain in a Commercially Insured Population in the United States [Article] / Jay M. Margolis ; Paul Juneau ; Alesia Sadosky . - p. 2279-2287. Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > 2014/12 (2014) . - p. 2279-2287 Descripteurs : HE Vinci Nevralgie ; Rééducation et réadaptation ; Traumatismes de la moelle épinière Mots-clés : Cost of Illness  Coût de la maladie  Health expenditures  Dépenses de santé  Neuralgia  Spinal cord injuries  Utilization Review  Bilan opérationnel Résumé : Objective To evaluate health care resource use, costs, and cost drivers among patients with neuropathic pain (NeP) after spinal cord injury (SCI) in a commercially insured population. Design Retrospective longitudinal cohort study comparing SCI patients with and without NeP. Setting Truven Health MarketScan commercial claims database from 2005 through 2012. Participants Commercially insured SCI patients with NeP (n=3524) propensity score matched to SCI patients without NeP (n=3524). Interventions Not applicable. Main Outcomes Measures Health care resource utilization and expenditures for the 12 months after NeP onset (index event; identified through International Classification of Diseases, 9th Revision, Clinical Modification diagnosis 338.0x or use of NeP-specific antiepileptic drugs or NeP-specific antidepressants) in patients with SCI compared with matched patients without NeP. Results Utilization over 12 months postindex among patients with SCI-associated NeP was higher than among SCI-only patients for inpatient admissions (27.4% vs 22.1%), emergency department visits (36.7% vs 26.4%), and office visits per patient (mean + SD: 13.0+9.5 vs 9.5+8.3); all P values were <.001. all-cause expenditures showed adjusted incremental costs of confidence interval per patient with sci-associated nep during the postindex period.> Conclusions Patients with evidence of NeP secondary to SCI have significantly higher health care utilization and total costs compared with SCI patients without evidence of NeP. Factors contributing to NeP in patients with SCI need to be clinically assessed to determine the optimal approach for treating these individuals. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]

Pain. An illustrated resource (2003)

Public ISBD Titre : Pain. An illustrated resource : Module 2 Type de document : Document multimédia Editeur : Mechelen : Mundipharma Année de publication : 2003 Format : CD-Rom Langues : Anglais (eng) Descripteurs : HE Vinci Douleur nociceptive ; Nevralgie Mots-clés : Traumatismes des tissus mous  Soft Tissue Injuries  Nociceptive Pain  Neuralgia Note de contenu : 1. Tissue injury 2. Nociceptive pain 3. Neuropathic pain : ectopic activity 4. Neuropathic pain : ephaptic activity 5. Wind-up Disponible en ligne : Non Pain. An illustrated resource : Module 2 [Document multimédia] . - Mechelen (Mechelen) : Mundipharma, 2003 . -  ; CD-Rom. Langues : Anglais (eng) Descripteurs : HE Vinci Douleur nociceptive ; Nevralgie Mots-clés : Traumatismes des tissus mous  Soft Tissue Injuries  Nociceptive Pain  Neuralgia Note de contenu : 1. Tissue injury 2. Nociceptive pain 3. Neuropathic pain : ectopic activity 4. Neuropathic pain : ephaptic activity 5. Wind-up Disponible en ligne : Non

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
3002	CD audio, CD-Rom, DVD	Louvain-la-Neuve	Etagère Tour CD/DVD	Prêt autorisé Disponible

Repetitive Transcranial Magnetic Stimulation in Chronic Pain: A Review of the Literature / Ricardo Galhardoni in Archives of Physical Medicine and Rehabilitation, 2015/4 suppl. (2015)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > 2015/4 suppl. (2015) . - p. S156-S172 Titre : Repetitive Transcranial Magnetic Stimulation in Chronic Pain: A Review of the Literature Type de document : Article Auteurs : Ricardo Galhardoni ; Guilherme S. Correia ; Haniel Araujo Article en page(s) : p. S156-S172 Langues : Anglais (eng) Descripteurs : HE Vinci Analgésie ; Douleur chronique ; Fibromyalgie ; Lombalgie ; Nevralgie ; Rééducation et réadaptation ; Stimulation magnétique transcranienne Mots-clés : Analgesia  Chronic pain  Complex regional pain syndromes  Syndrome douloureux régional complexe  Fibromyalgia  Low back pain  Neuralgia  Transcranial magnetic stimulation Résumé : Objective To review the literature on the analgesic effects of repetitive transcranial magnetic stimulation (rTMS) in chronic pain according to different pain syndromes and stimulation parameters. Data Sources Publications on rTMS and chronic pain were searched in PubMed and Google Scholar using the following key words: chronic pain, analgesia, transcranial magnetic stimulation, neuropathic pain, fibromyalgia, and complex regional pain syndrome. Study Selection This review only included double-blind, controlled studies with >10 participants in each arm that were published from 1996 to 2014 and written in English. Studies with relevant information for the understanding of the effects of rTMS were also cited. Data Extraction The following data were retained: type of pain syndrome, type of study, coil type, target, stimulation intensity, frequency, number of pulses, orientation of induced current, number of session, and a brief summary of intervention outcomes. Data Synthesis A total of 33 randomized trials were found. Many studies reported significant pain relief by rTMS, especially high-frequency stimulation over the primary motor cortex performed in consecutive treatment sessions. Pain relief was frequently >30% compared with control treatment. Neuropathic pain, fibromyalgia, and complex regional pain syndrome were the pain syndromes more frequently studied. However, among all published studies, only a few performed repetitive sessions of rTMS. Conclusions rTMS has potential utility in the management of chronic pain; however, studies using maintenance sessions of rTMS and assessing the effects of rTMS on the different aspects of chronic pain are needed to provide a more solid basis for its clinical application for pain relief. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] [article] Repetitive Transcranial Magnetic Stimulation in Chronic Pain: A Review of the Literature [Article] / Ricardo Galhardoni ; Guilherme S. Correia ; Haniel Araujo . - p. S156-S172. Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > 2015/4 suppl. (2015) . - p. S156-S172 Descripteurs : HE Vinci Analgésie ; Douleur chronique ; Fibromyalgie ; Lombalgie ; Nevralgie ; Rééducation et réadaptation ; Stimulation magnétique transcranienne Mots-clés : Analgesia  Chronic pain  Complex regional pain syndromes  Syndrome douloureux régional complexe  Fibromyalgia  Low back pain  Neuralgia  Transcranial magnetic stimulation Résumé : Objective To review the literature on the analgesic effects of repetitive transcranial magnetic stimulation (rTMS) in chronic pain according to different pain syndromes and stimulation parameters. Data Sources Publications on rTMS and chronic pain were searched in PubMed and Google Scholar using the following key words: chronic pain, analgesia, transcranial magnetic stimulation, neuropathic pain, fibromyalgia, and complex regional pain syndrome. Study Selection This review only included double-blind, controlled studies with >10 participants in each arm that were published from 1996 to 2014 and written in English. Studies with relevant information for the understanding of the effects of rTMS were also cited. Data Extraction The following data were retained: type of pain syndrome, type of study, coil type, target, stimulation intensity, frequency, number of pulses, orientation of induced current, number of session, and a brief summary of intervention outcomes. Data Synthesis A total of 33 randomized trials were found. Many studies reported significant pain relief by rTMS, especially high-frequency stimulation over the primary motor cortex performed in consecutive treatment sessions. Pain relief was frequently >30% compared with control treatment. Neuropathic pain, fibromyalgia, and complex regional pain syndrome were the pain syndromes more frequently studied. However, among all published studies, only a few performed repetitive sessions of rTMS. Conclusions rTMS has potential utility in the management of chronic pain; however, studies using maintenance sessions of rTMS and assessing the effects of rTMS on the different aspects of chronic pain are needed to provide a more solid basis for its clinical application for pain relief. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]

Robot-Guided Neuronavigated Repetitive Transcranial Magnetic Stimulation (rTMS) in Central Neuropathic Pain / Charles Quesada in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 11 (2018)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 11 (2018) . - p. 2203-2215 Titre : Robot-Guided Neuronavigated Repetitive Transcranial Magnetic Stimulation (rTMS) in Central Neuropathic Pain Type de document : Article Auteurs : Charles Quesada ; Benjamin Pommier ; Camille Fauchon Article en page(s) : p. 2203-2215 Langues : Anglais (eng) Descripteurs : HE Vinci Nevralgie ; Rééducation et réadaptation ; Stimulation magnétique transcranienne Mots-clés : Motor cortex  Cortex moteur  Neuralgia  Transcranial magnetic stimulation Résumé : Objectives To confirm and extend previous results involving repetitive transcranial magnetic stimulation (rTMS) aimed at alleviating refractory central neuropathic pain (CNP). To evaluate pain relief in detail and to assess ongoing benefits after one year of treatment. Design Prospective observational study. Setting University hospital. Outpatient settings. Participants Patients (N=80) with chronic central pain after brain or spinal cord injuries. Interventions High-frequency (20Hz) neuronavigated-rTMS sessions were applied on the primary motor cortex using a figure-of-eight coil positioned by a robotized arm. Patients received a minimum of 4 consecutive sessions, each separated by 3-4 weeks. Main Outcome Measures Percentage of pain relief (%R), duration of pain relief (DPR), numeric rating scale (NRS), neuropathic pain symptom inventory (NPSI), and pain relief score (PRS). Results Seventy-one patients completed the study. On average, after the first 4 sessions, %R was 28% and DPR was 11 days. Fifty-four patients (76%) were responders with a permissive threshold of ≥10%R and 61% (43 patients) with a stringent threshold ≥30%R. After 12 months of treatment (15 sessions) we observed a cumulative effect on %R (48%), DPR (20d), and on the prevailing NPSI sub-score (-28%). This effect reached significance after 4 sessions and was further maintained over 12 months. Across participants, more than 1000 rTMS sessions were delivered over 6 years without any adverse effect. Conclusion These results confirm that multiple rTMS sessions are both safe and have potential as a treatment for CNP. An ongoing randomized controlled trial will allow teasing out of this effect from placebo analgesia. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] [article] Robot-Guided Neuronavigated Repetitive Transcranial Magnetic Stimulation (rTMS) in Central Neuropathic Pain [Article] / Charles Quesada ; Benjamin Pommier ; Camille Fauchon . - p. 2203-2215. Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 11 (2018) . - p. 2203-2215 Descripteurs : HE Vinci Nevralgie ; Rééducation et réadaptation ; Stimulation magnétique transcranienne Mots-clés : Motor cortex  Cortex moteur  Neuralgia  Transcranial magnetic stimulation Résumé : Objectives To confirm and extend previous results involving repetitive transcranial magnetic stimulation (rTMS) aimed at alleviating refractory central neuropathic pain (CNP). To evaluate pain relief in detail and to assess ongoing benefits after one year of treatment. Design Prospective observational study. Setting University hospital. Outpatient settings. Participants Patients (N=80) with chronic central pain after brain or spinal cord injuries. Interventions High-frequency (20Hz) neuronavigated-rTMS sessions were applied on the primary motor cortex using a figure-of-eight coil positioned by a robotized arm. Patients received a minimum of 4 consecutive sessions, each separated by 3-4 weeks. Main Outcome Measures Percentage of pain relief (%R), duration of pain relief (DPR), numeric rating scale (NRS), neuropathic pain symptom inventory (NPSI), and pain relief score (PRS). Results Seventy-one patients completed the study. On average, after the first 4 sessions, %R was 28% and DPR was 11 days. Fifty-four patients (76%) were responders with a permissive threshold of ≥10%R and 61% (43 patients) with a stringent threshold ≥30%R. After 12 months of treatment (15 sessions) we observed a cumulative effect on %R (48%), DPR (20d), and on the prevailing NPSI sub-score (-28%). This effect reached significance after 4 sessions and was further maintained over 12 months. Across participants, more than 1000 rTMS sessions were delivered over 6 years without any adverse effect. Conclusion These results confirm that multiple rTMS sessions are both safe and have potential as a treatment for CNP. An ongoing randomized controlled trial will allow teasing out of this effect from placebo analgesia. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]