Diabetes complications

Where does spinal cord stimulation fit into the international guidelines for refractory painful diabetic neuropathy? a consensus statement

Diabetes Res Clin PractPublished Consensus statement

Methodological detailsexpert panel, verbal consensus, Each participant voiced their opinion after reviewing available data; verbal consensus reached during the meeting (December 10, 2022)
  • Expert panel
  • Verbal consensus
  • Each participant voiced their opinion after reviewing available data; verbal consensus reached during the meeting (December 10, 2022)

Recommendations

As issued by the authors

  1. For refractory PDN, opioids are a high-risk option that do not provide a long-term solution and should not be used

  2. For appropriately selected individuals, spinal cord stimulation (SCS) is an effective, safe and durable treatment option

  3. High-frequency SCS (10 kHz) shows strong efficacy and improves quality of life

  4. Strict screening criteria should be used to prioritize candidates for SCS

Original publication

Where does spinal cord stimulation fit into the international guidelines for refractory painful diabetic neuropathy? a consensus statement. Diabetes Res Clin Pract. Published December 2023. doi:10.1016/j.diabres.2023.110763

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