Cochrane · systematic review · CD014789

Spinal cord stimulation for low back pain

Traeger, AC, Gilbert, SE, Harris, IA, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 3 · 42.9%Low 0 · 0%Moderate 3 · 42.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Spinal cord stimulation versus placebo for low back pain in adults

Population: adults with low back pain
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS, translated to a 0‐ to 100‐point scale, where 0 is no pain Medium‐term
Spinal cord stimulation vs placebo
no estimate extracted1 study · 50 participantsModerate
Downgraded: indirectness
Function Roland‐Morris Disability Questionnaire & Oswestry Disability Index translated to a 0‐ to 100‐point scale, where 0 is no disability or best function Medium‐term
Spinal cord stimulation vs placebo
no estimate extracted1 study · 50 participantsModerate
Downgraded: indirectness
Health‐related quality of life EQ‐5D, index from 0 to 1 where 0 is worst quality of life Medium‐term
Spinal cord stimulation vs placebo
no estimate extracted1 study · 50 participantsModerate
Downgraded: indirectness
Global assessment of efficacy ≥ 50% improvement in pain Medium‐term
Spinal cord stimulation vs placebo
no estimate extracted0 studies · 0 participantsUngraded
Withdrawals due to adverse events
Spinal cord stimulation vs placebo
no estimate extracted0 studies · 0 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adverse eventsc
Spinal cord stimulation vs placebo
no estimate extracted0 studies · 0 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Serious adverse eventsd
Spinal cord stimulation vs placebo
no estimate extracted0 studies · 0 participantsVery low
Downgraded: risk of bias, imprecision, indirectness