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dc.contributor.authorPellegrini, Michael-
dc.contributor.authorChristelis, Nick-
dc.contributor.authorD'Urso, Paul-
dc.contributor.otherLewis, Philip-
dc.identifier.citationEpworth Research Institute Research Week 2017; Poster 35: pp 59en_US
dc.description.abstractINTRODUCTION: Chronic pain is a primary cause of patient-reported disability. Medical management focuses on analgesia, with non-responders often progressing to surgery. However, it was previously reported that 5-50% of chronic pain patients remained symptomatic following spinal surgery. Innovative management strategies such as Spinal Cord Stimulation (SCS) have thus become a focus for pain clinicians. SCS delivers electrical pulses to spinal nerves, modulating transmission of pain signals to the brain. However, SCS is not without complications and a poor response to stimulation, or long-term stimulation failure remain ongoing concerns. To allow improved prediction of trial stimulation outcomes, complication monitoring and the optimizing of long-term stimulation strategies, improved data collection and reporting is required. Clinical registries provide cost-effective means of gaining insights into best practice, therefore this study aims to develop an Epworth HealthCare-wide registry for collecting data on patients undergoing SCS procedures for chronic pain. METHODS: The Delphi technique was utilized to achieve consensus among expert clinicians on the minimum dataset to be captured that best reflected current clinical practice. This dataset was transferred to forms for both clinicians and participants to complete. Online forms and a database were developed via the web-based software 'WebQi'. RESULTS: The minimum dataset included standardized pain, function and quality-of-life measures to be collected pre- and post-procedurally. Broad agreement was reached among a group of ten clinicians, and the forms have been distributed. The registry is undergoing final modifications and revisions prior to final implementation. CONCLUSIONS: This study is the first of its kind in Australia. It has the potential to set a benchmark for system-wide approaches to data collection in SCS surgery and will facilitate reporting to the wider literature. It will promote interdisciplinary collaboration and has the potential to unify clinicians in continuous care improvement in a rapidly evolving, technology-driven setting.en_US
dc.subjectClinical Registriesen_US
dc.subjectChronic Painen_US
dc.subjectPatient-Reported Disabilityen_US
dc.subjectSpinal Surgeryen_US
dc.subjectSpinal Cord Stimulationen_US
dc.subjectPain Cliniciansen_US
dc.subjectLong-Term Stimulation Failureen_US
dc.subjectLong-Term Stimulation Strategiesen_US
dc.subjectComplication Monitoringen_US
dc.subjectData Collectionen_US
dc.subjectDelphi Techniqueen_US
dc.subjectMinimum Datasetsen_US
dc.subjectCurrent Clinical Practiceen_US
dc.subjectOnline Formsen_US
dc.subjectOnline Databaseen_US
dc.subjectStandardised Pain Measuresen_US
dc.subjectFuntion Measuresen_US
dc.subjectQuality-of-Life Measuresen_US
dc.subjectInterdisciplinary Collaborationen_US
dc.subjectContinuous Careen_US
dc.subjectSystem-Wide Approachesen_US
dc.subjectNeurosciences Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectRehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleDeveloping the Epworth HealthCare neuromodulation registry.en_US
dc.typeConference Posteren_US
dc.description.affiliatesDepartment of Anaesthesia & Perioperative Medicine, Central Clinical School, Faculty of Medicine, Nursing & Health Sciences, Monash University, Victoria, Australiaen_US
dc.description.affiliatesDepartment of Surgery, Central Clinical School, Faculty of Medicine, Nursing & Health Sciences, Monash University, Victoria, Australiaen_US
dc.description.conferencenameEpworth Research Institute Research Week 2017en_US
dc.description.conferencelocationEpworth Research Institute, Victoria, Australiaen_US
Appears in Collections:Neurosciences
Pain Management

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