Hassenbusch 1995.
Methods | Case series Duration: Up to 60 months, mean duration 28.8 months |
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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) |
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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 |
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Outcomes | Discontinuation due to adverse events Adverse events Discontinuation due to insufficient pain relief Pain, continuous and proportion with at least 50% pain relief |
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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 |