Diabetes complications

Long-term efficacy of high-frequency (10 kHz) spinal cord stimulation for the treatment of painful diabetic neuropathy: 24-Month results of a randomized controlled trial

Diabetes Res Clin PractPublished Randomised controlled trial

Authors' conclusion

Over 24 months, 10 kHz SCS provided durable pain relief and significant improvements in HRQoL and sleep. Furthermore, the majority of participants demonstrated neurological improvement. These long-term data support 10 kHz SCS as a safe and highly effective therapy for PDN.

Study context

Population
Patients with refractory painful diabetic neuropathy (PDN)142 with spinal cord stimulation (SCS) followed 24 months
Participants
216 patients
Comparison
10 kHz SCS plus conventional medical management (CMM) vs CMM alone
Methodological detailsprospective, multicenter, crossover permitted after 6 months
  • Prospective
  • Multicenter
  • Crossover permitted after 6 months

Primary result

As reported in the abstract

Pain reduction vs baseline with 10 kHz SCS (84 initial SCS+CMM and 58 crossovers from CMM) · 24 months

Mean pain reduction vs baseline

79.9%

Participants with ≥50% pain relief

90.1%

Further findings

Health-related quality of life (HRQoL), sleep and neurological function · 24 months

Clinically meaningful neurological improvement
65.7%
Significantly improved HRQoL and sleep

Safety

SCS explant due to infection

SCS systems explanted due to infection
5 (3.2%)

Original publication

Long-term efficacy of high-frequency (10 kHz) spinal cord stimulation for the treatment of painful diabetic neuropathy: 24-Month results of a randomized controlled trial. Diabetes Res Clin Pract. Published 1 August 2023. doi:10.1016/j.diabres.2023.110865

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