scholarly journals Trial Versus No Trial of Spinal Cord Stimulation for Chronic Neuropathic Pain: Cost Analysis in United Kingdom National Health Service

2018 ◽  
Author(s):  
Rui V. Duarte ◽  
Simon Thomson
Keyword(s):  
Spinal Cord ◽  
Neuropathic Pain ◽  
United Kingdom ◽  
National Health Service ◽  
Health Service ◽  
Cost Analysis ◽  
National Health ◽  
Spinal Cord Stimulation ◽  
Chronic Neuropathic Pain

Patient and carer participation in old age psychiatry in England. Part II: models of participation

2011 ◽  
Vol 24 (2) ◽  
pp. 185-196 ◽  
Author(s):  
Susan Mary Benbow
Keyword(s):  
United Kingdom ◽  
Organizational Learning ◽  
National Health Service ◽  
Health Service ◽  
Old Age ◽  
National Health ◽  
Balance Of Power ◽  
Learning And Development ◽  
The United Kingdom ◽  
Old Age Psychiatry

ABSTRACTBackground: There are a number of models of patient and carer participation. Their usefulness and applicability to old age psychiatry is considered.Methods: Models of participation are reviewed and related to examples of participation initiatives drawn from the author's work in the context of the National Health Service in the United Kingdom.Results: Models of participation which emphasize collaboration and partnership are found to be useful. Simple interventions such as copying letters to patients and/or carers can lead to change in the balance of power between staff and patients/carers. Initiatives which draw on the experiences of patients and carers can facilitate organizational learning and development. Involving patients and carers in education offers a way to influence services and the staff working in them.Conclusion: Participation is better understood as a spectrum rather than a hierarchy. Old age psychiatry services would benefit from developing greater patient and carer participation at all levels.

Free drugs in clinical trials and their potential cost saving impact on the National Health Service: A retrospective cost analysis in Italy

Lung Cancer ◽  
2013 ◽  
Vol 81 (2) ◽  
pp. 236-240 ◽  
Author(s):  
Francesco Grossi ◽  
Carlo Genova ◽  
Nidia Diaz Gaitan ◽  
Maria Giovanna Dal Bello ◽  
Erika Rijavec ◽  
...  
Keyword(s):  
Clinical Trials ◽  
National Health Service ◽  
Health Service ◽  
Cost Saving ◽  
Cost Analysis ◽  
National Health ◽  
Potential Cost Saving ◽  
Potential Cost

First experience with chronic epidural spinal cord stimulation in Khanty-Mansi autonomous okrug — clinical observations

2021 ◽  
Vol LIII (2) ◽  
pp. 94-100
Author(s):  
Olga A. Bondarenko ◽  
Gaspar V. Gavrilov ◽  
Vadim A. Padurets ◽  
Roman V. Kasich
Keyword(s):  
Spinal Cord ◽  
Neuropathic Pain ◽  
Spinal Cord Stimulation ◽  
Pain Syndrome ◽  
Chronic Neuropathic Pain ◽  
Neuropathic Pain Syndrome ◽  
Epidural Stimulation ◽  
Cord Injury ◽  
Epidural Spinal Cord Stimulation ◽  
And Migration

Purpose of the work. The article is devoted to the first experience of epidural stimulation in the Khanty-Mansiysk Autonomous Okrug at the budgetary institution Surgut Clinical Trauma Hospital. Clinical examples are presented for two main indications for the application of this technique (disease of the operated spine, a consequence of spinal cord injury in combination with chronic neuropathic pain syndrome). Research methods. An assessment of the intensity of pain syndrome was given according to a visual analogue scale, the Pain Detect questionnaire; indicators of anxiety, depression on the HADS scale; quality of life according to the Oswestry questionnaire for a follow-up period of 6-12 months in patients with chronic epidural stimulation. Results. A positive assessment of the action during test neurostimulation was 63.3% (38 patients). Of the established permanent systems, a good result was achieved and persisted for 12 months or more in 96% (24 patients). It was necessary to change the stimulation parameters in 13% (3 patients). Revision of permanent systems was performed in 20% (5 patients), due to the progression of the degenerative-dystrophic process of the spine, damage and migration of system elements. Conclusions. Chronic epidural spinal cord stimulation has established itself as a personalized, highly effective, minimally invasive and safe method of treating chronic neuropathic pain syndromes. Multicomponent corrective action is of scientific interest and requires further study.

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