Display options
Share it on

Neuromodulation. 2008 Oct 08;11(4):237-248. doi: 10.1111/j.1525-1403.2008.00171.x.

A DEMONSTRATION OF A PRESURGICAL BEHAVIORAL MEDICINE EVALUATION FOR CATEGORIZING PATIENTS FOR IMPLANTABLE THERAPIES: A PRELIMINARY STUDY.

Neuromodulation : journal of the International Neuromodulation Society

Kimberly Gardner Schocket, Robert J Gatchel, Anna Wright Stowell, Martin Deschner, Richard Robinson, Leland Lou, Tony Whitworth, Dana Bernstein

Affiliations

  1. The Eugene McDermott Center for Pain Management, University of Texas Southwestern Medical School at Dallas, TX.

PMID: 20657728 PMCID: PMC2909129 DOI: 10.1111/j.1525-1403.2008.00171.x

Abstract

OBJECTIVES: The aim of the current study was to evaluate the potential efficacy of a presurgical behavioral medicine evaluation (PBME) screening algorithm with patients undergoing evaluation for implantable pain management devices. METHODS: Sixty patients were evaluated for prognostic recommendations regarding outcomes from surgery for spinal cord stimulators and intrathecal pumps. Diagnostic interviews, review of medical charts, and psychosocial and functional measures were used in the initial evaluation. RESULTS: Patients were classified into one of four prognostic groups, from low to increasing risks: Green, Yellow-I, Yellow-II, and Red. The Green group showed the most positive biopsychosocial profile, while the Red groups showed the worst profiles. CONCLUSIONS: This preliminary study suggests that the PBME algorithm may be an effective method for categorizing patients into prognostic groups. Psychological and adverse clinical features appear to have the most power in the classification of such patients.

References

  1. Arch Gen Psychiatry. 1961 Jun;4:561-71 - PubMed
  2. Neurosurgery. 1979 Feb;4(2):141-5 - PubMed
  3. J Pain Symptom Manage. 2004 May;27(5):440-59 - PubMed
  4. Clin J Pain. 2001 Sep;17(3):206-14 - PubMed
  5. N Engl J Med. 2000 Aug 31;343(9):618-24 - PubMed
  6. J Bone Joint Surg Am. 1990 Feb;72(2):230-7 - PubMed
  7. Pain. 1994 Feb;56(2):211-216 - PubMed
  8. Spine (Phila Pa 1976). 1991 Sep;16(9):1068-74 - PubMed
  9. Spine (Phila Pa 1976). 2003 May 15;28(10):1051-60 - PubMed
  10. Pain. 1996 Dec;68(2-3):349-61 - PubMed
  11. Neurosurgery. 2002 Jul;51(1):106-15; discussion 115-6 - PubMed
  12. Spine (Phila Pa 1976). 1995 Feb 15;20(4):460-8 - PubMed
  13. Am J Public Health. 1996 May;86(5):726-8 - PubMed
  14. J Spinal Disord. 1993 Jun;6(3):242-4 - PubMed
  15. J Neurosurg. 1994 Mar;80(3):415-21 - PubMed
  16. J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62 - PubMed
  17. Physiotherapy. 1980 Aug;66(8):271-3 - PubMed
  18. Neurosurgery. 1993 Mar;32(3):384-94; discussion 394-5 - PubMed
  19. Pain. 1983 Sep;17(1):33-44 - PubMed
  20. Clin J Pain. 2001 Sep;17(3):200-5 - PubMed
  21. Spine J. 2001 Jul-Aug;1(4):274-82 - PubMed

Publication Types

Grant support