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. 2010 Jan 20;2010(1):CD006605. doi: 10.1002/14651858.CD006605.pub2

Hassenbusch 1995.

Methods Case series
Duration: Up to 60 months, mean duration 28.8 months
Participants N = 18 enrolled
Primary condition: Neuropathic pain, including arachnoiditis (n = 9), chronic neuropathy (n = 3), traumatic intercostal neuralgia (n = 2), phantom pain (n = 1), lumbrosacral plexopathy (n = 1), spinal cord injury (n = 1), reflex sympathetic dystrophy (n = 1)
Baseline pain score: Mean 8.5 (SD 0.92)/10 NRS
Time since onset: Not reported
Mean age: 46.6 years (range 40 to 77 years)
Female: Percentage not reported
Previous opioid analgesia: 15/18 took narcotics, including percocet (n = 6), Darvocet (n = 3), Dilaudid (n = 2), Vicodin (n = 2), morphine (n = 1), Tylox (n = 1)
Interventions Intrathecal morphine
Initial dose: Mean 0.49 (SD 0.24) mg/hour (n = 8)
Titrated up mean 1.11 (SD 0.61) mg/hour (n = 7)
Or, intrathecal sufentanil citrate
Initial dose: Mean 0.67 (SD 0.22) ug/hour (n = 10)
Titrated up to mean 2.39 (SD 0.95) ug/hour (n = 11)
Supplemental analgesia: At last follow‐up 12/18 still used some supplemental opioid analgesia, and 11/18 used nonopioid medications
Outcomes Discontinuation due to adverse events
Adverse events
Discontinuation due to insufficient pain relief
Pain, continuous and proportion with at least 50% pain relief
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Comparability of patients at baseline and follow‐up (continuous data) 
 All outcomes Low risk All patients followed up
Selection method random or consecutive Low risk Consecutive
Prospective Low risk Prospective
Free from confounding treatment(s) High risk Supplemental opioid and nonopioid analgesics allowed
Patient compliance monitored and reported at at least 85%? Low risk Pump administration
Attrition and right censoring less than 15% (continuous data) 
 All outcomes Low risk All patients followed up
Funding from a source without financial conflict of interest? Unclear risk Not reported