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




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)
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[article]
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 épinièreMots-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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118638
in Archives of Physical Medicine and Rehabilitation > 2014/12 (2014) . - p. 2279-2287[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 épinièreMots-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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118638 Pain. An illustrated resource (2003)
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 ; NevralgieMots-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-upDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=111996 Pain. An illustrated resource : Module 2 [Document multimédia] . - Mechelen : Mundipharma, 2003 . - ; CD-Rom.
Langues : Anglais (eng)
Descripteurs : HE Vinci
Douleur nociceptive ; NevralgieMots-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-upDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=111996 Exemplaires (1)
Cote Support Localisation Section Disponibilité 3002 CD audio, CD-Rom, DVD Louvain-la-Neuve Etagère Tour CD/DVD Prêt autorisé
DisponibleRepetitive Transcranial Magnetic Stimulation in Chronic Pain: A Review of the Literature / Ricardo Galhardoni in Archives of Physical Medicine and Rehabilitation, 2015/4 suppl. (2015)
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[article]
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 transcranienneMots-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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118483
in Archives of Physical Medicine and Rehabilitation > 2015/4 suppl. (2015) . - p. S156-S172[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 transcranienneMots-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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118483 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)
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[article]
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 transcranienneMots-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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119081
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 11 (2018) . - p. 2203-2215[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 transcranienneMots-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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119081
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