Needs, priorities, and attitudes of individuals with spinal cord injury toward nerve stimulation devices for bladder and bowel function: a survey.
Journal
Spinal cord
ISSN: 1476-5624
Titre abrégé: Spinal Cord
Pays: England
ID NLM: 9609749
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
21
12
2019
accepted:
26
08
2020
revised:
21
08
2020
pubmed:
9
9
2020
medline:
16
10
2021
entrez:
8
9
2020
Statut:
ppublish
Résumé
Survey. To investigate the needs and priorities of people with spinal cord injury for managing neurogenic bladder and bowel function and to determine their willingness to adopt neuromodulation interventions for these functions. Anonymous online survey. It was advertised by word-of-mouth by community influencers and social media, and by advertisement in newsletters of advocacy groups. Responses from 370 individuals (27% female, 73% male) were included. Bladder emptying without catheters was the top priority for restoring bladder function, and maintaining fecal continence was the top priority for restoring bowel function. The biggest concerns regarding external stimulation systems were wearing a device with wires connecting to electrodes on the skin and having to don and doff the system daily as needed. The biggest concerns for implanted systems were the chances of experiencing problems with the implant that required a revision surgery or surgical removal of the whole system. Respondents were willing to accept an external (61%) or implanted (41%) device to achieve improved bladder or bowel function. Bladder and bowel dysfunction remain important unmet challenges for individuals living with SCI who answered our survey. These individuals are willing to accept some potential risks of nerve stimulation approaches given potential benefits. Additional consumer input is critical for guiding both research and translation to clinical use and personalized medicine.
Identifiants
pubmed: 32895475
doi: 10.1038/s41393-020-00545-w
pii: 10.1038/s41393-020-00545-w
pmc: PMC7642195
mid: NIHMS1624585
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1216-1226Subventions
Organisme : RRD VA
ID : IK2 RX001962
Pays : United States
Organisme : U.S. Department of Veterans Affairs (VA)
ID : RX001962
Références
Anderson KD. Targeting recovery: priorities of the spinal cord-injured population. J Neurotrauma. 2004;21:1371–83.
doi: 10.1089/neu.2004.21.1371
pubmed: 15672628
French JS, Anderson-Erisman KD, Sutter M. What do spinal cord injury consumers want? A review of spinal cord injury consumer priorities and neuroprosthesis from the 2008 neural interfaces conference. Neuromodulation J Int Neuromodulation Soc. 2010;13:229–31.
doi: 10.1111/j.1525-1403.2009.00252.x
Bragge P, Piccenna L, Middleton JW, et al. Developing a spinal cord injury research strategy using a structured process of evidence review and stakeholder dialogue. Part I: rapid review of SCI prioritisation literature. Spinal Cord. 2015;53:714–20.
doi: 10.1038/sc.2015.85
pubmed: 26099213
Braaf S, Lennox A, Nunn A, Gabbe B. Social activity and relationship changes experienced by people with bowel and bladder dysfunction following spinal cord injury. Spinal Cord. 2017;55:679–86.
doi: 10.1038/sc.2017.19
pubmed: 28244500
Park SE, Elliott S, Noonan VK, et al. Impact of bladder, bowel and sexual dysfunction on health status of people with thoracolumbar spinal cord injuries living in the community. J Spinal Cord Med. 2017;40:548–59.
doi: 10.1080/10790268.2016.1213554
pubmed: 27576584
Ren J, Chew DJ, Biers S, Thiruchelvam N. Electrical nerve stimulation to promote micturition in spinal cord injury patients: a review of current attempts. Neurourol Urodyn. 2016;35:365–70.
doi: 10.1002/nau.22730
pubmed: 25663151
Brindley GS. The first 500 patients with sacral anterior root stimulator implants: general description. Paraplegia. 1994;32:795–805.
pubmed: 7708419
Martens FMJ, Heesakkers JPFA. Clinical results of a brindley procedure: sacral anterior root stimulation in combination with a rhizotomy of the dorsal roots. Adv Urol. 2011;2011:709708.
doi: 10.1155/2011/709708
pubmed: 21738530
pmcid: 3124141
Creasey GH. Electrical stimulation of sacral roots for micturition after spinal cord injury. Urol Clin North Am. 1993;20:505–15.
pubmed: 8351775
Wheeler JS, Walter JS, Sibley P. Management of incontinent SCI patients with penile stimulation: preliminary results. J Am Paraplegia Soc. 1994;17:55–9.
doi: 10.1080/01952307.1994.11735917
pubmed: 8064287
Lee Y-H, Creasey GH. Self-controlled dorsal penile nerve stimulation to inhibit bladder hyperreflexia in incomplete spinal cord injury: a case report. Arch Phys Med Rehabil. 2002;83:273–7.
doi: 10.1053/apmr.2002.28817
pubmed: 11833034
Opisso E, Borau A, Rijkhoff NJM. Subject-controlled stimulation of dorsal genital nerve to treat neurogenic detrusor overactivity at home. Neurourol Urodyn. 2013;32:1004–9.
doi: 10.1002/nau.22359
pubmed: 23281007
Bourbeau DJ, Gustafson KJ, Brose SW. At-home genital nerve stimulation for individuals with SCI and neurogenic detrusor overactivity: a pilot feasibility study. J Spinal Cord Med. 2019;42:360–70.
doi: 10.1080/10790268.2017.1422881
pubmed: 29334338
Bhadra N, Bhadra N, Kilgore K, Gustafson KJ. High frequency electrical conduction block of the pudendal nerve. J Neural Eng. 2006;3:180–7.
doi: 10.1088/1741-2560/3/2/012
pubmed: 16705274
pmcid: 3375816
Craggs M, McFarlane J. Neuromodulation of the lower urinary tract. Exp Physiol. 1999;84:149–60.
doi: 10.1111/j.1469-445X.1999.tb00080.x
pubmed: 10081715
Wheeler TL, Bowel and Bladder Workshop Participants, de Groat W, Eisner K, Emmanuel A, French J, et al. Translating promising strategies for bowel and bladder management in spinal cord injury. Exp Neurol. 2018;306:169–76.
doi: 10.1016/j.expneurol.2018.05.006
pubmed: 29753647
Anderson KD. Consideration of user priorities when developing neural prosthetics. J Neural Eng. 2009;6:055003.
doi: 10.1088/1741-2560/6/5/055003
pubmed: 19721182
Myer ENB, Petrikovets A, Slocum PD, et al. Risk factors for explantation due to infection after sacral neuromodulation: a multicenter retrospective case-control study. Am J Obstet Gynecol. 2018;219:78.e1–e9.
doi: 10.1016/j.ajog.2018.04.005
Weber PB, Kapur R, Gwinn RP, Zimmerman RS, Courtney TA, Morrell MJ. Infection and erosion rates in trials of a cranially implanted neurostimulator do not increase with subsequent neurostimulator placements. Stereotact Funct Neurosurg. 2017;95:325–9.
doi: 10.1159/000479288
pubmed: 5804848
pmcid: 5804848
Wexner SD, Hull T, Edden Y, et al. Infection rates in a large investigational trial of sacral nerve stimulation for fecal incontinence. J Gastrointest Surg J Soc Surg Aliment Tract. 2010;14:1081–9.
doi: 10.1007/s11605-010-1177-z
National Spinal Cord Injury Statistical Center. Spinal cord injury facts and figures at a glance. J Spinal Cord Med. 2014;37:355–6.
doi: 10.1179/1079026814Z.000000000260
Wyndaele J-J. The management of neurogenic lower urinary tract dysfunction after spinal cord injury. Nat Rev Urol. 2016;13:705–14.
doi: 10.1038/nrurol.2016.206
pubmed: 27779229
Inskip JA, Lucci V-EM, McGrath MS, Willms R, Claydon VE. A community perspective on bowel management and quality of life after spinal cord injury: the influence of autonomic dysreflexia. J Neurotrauma. 2018;35:1091–105.
doi: 10.1089/neu.2017.5343
pubmed: 29239268
pmcid: 5908418
Adriaansen JJ, van Asbeck FW, van Kuppevelt D, Snoek GJ, Post MW. Outcomes of neurogenic bowel management in individuals living with a spinal cord injury for at least 10 years. Arch Phys Med Rehabil. 2015;96:905–12.
doi: 10.1016/j.apmr.2015.01.011
pubmed: 25620716
Burns AS, St-Germain D, Connolly M, et al. Phenomenological study of neurogenic bowel from the perspective of individuals living with spinal cord injury. Arch Phys Med Rehabil. 2015;96:49–55.
doi: 10.1016/j.apmr.2014.07.417
pubmed: 25172370
Nafees B, Lloyd AJ, Ballinger RS, Emmanuel A. Managing neurogenic bowel dysfunction: what do patients prefer? A discrete choice experiment of patient preferences for transanal irrigation and standard bowel management. Patient Prefer Adherence. 2016;10:195–204.
doi: 10.2147/PPA.S96082
pubmed: 26937179
pmcid: 4764299
Sanders PMH, Ijzerman MJ, Roach MJ, Gustafson KJ. Patient preferences for next generation neural prostheses to restore bladder function. Spinal Cord. 2011;49:113–9.
doi: 10.1038/sc.2010.65
pubmed: 20531360
Harvey LA, Dijkers MP. Surveys can provide valuable data but careful consideration needs to be given to the methods used to sample the population of interest. Spinal Cord. 2020;58:257–8.
doi: 10.1038/s41393-020-0433-7
pubmed: 32152431