Abstract
Spinal Cord Stimulation (SCS) is a treatment for chronic intractable pain powered by an implantable pulse generator with a rechargeable or non-rechargeable (NR) battery. SCS is performed in two stages (a trialling phase, followed by permanent device implantation); however, this necessitates two hospitalizations and may increase infection risk. This analysis explores the cost impact of both improvements in battery longevity and the adoption of a 1-step (direct-to-implant) SCS approach within the Italian National Health System (NHS).
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