Skip to main content

Table 3 Qualitative summary of efficacy outcomes

From: Spinal cord stimulation in the treatment of refractory angina: systematic review and meta-analysis of randomised controlled trials

A. SCS vs. active comparator studies

Trial Name/author

Outcome

Within group difference SCS

Within group difference Control

Between group difference SCS vs. control

ESBY 1998 (vs CABG)

Nitrate drug usage

6-mo +

6-mo +

6-mo =

  

2-yr +

2-yr +

2-yr =

 

Exercise capacity

6-mo =

6-mo +

6-mo --

 

Total mortality

NR

NR

6-mo +

  

NR

NR

2-yr =

  

NR

NR

5-yr =

 

Non fatal morbidity

NR

NR

6-mo =

 

Ischemic burden

6-mo =

6-mo =

6-mo =

 

HRQoL (QLQ-AP & NHP)

6-mo +

6-mo +

6-mo =

  

2-yr +

2-yr +

2-yr =

  

6-mo +

6-mo+

6-mo =

 

Angina

   

SpiRiT 2006* (vs PMR)

Exercise capacity

3-mo +

3-mo =

3-mo =

  

12-mo =

12-mo =

12-mo =

 

CCS class

3-mo +

3-mo +

3-mo +

  

12-mo +

12-mo +

12-mo =

 

HRQoL (SF-36 &

3-mo +

3-mo +

3-mo =

 

SAQ)*

12-mo +

12-mo +

12-mo =

B. SCS vs no SCS/SCS OFF studies

Trial Name/author

Outcome

Within group difference SCS

Within group difference Control

Between group difference SCS vs. control

DeJongste 1994

Exercise capacity

+

=

+

 

Nitrate drug usage

+

=

+

 

HRQoL (ADL score)

+

=

+

Hautvast 1998

Exercise capacity

+

=

+

 

Nitrate drug usage

+

=

=

 

HRQoL (LASA)

+

=

=

 

Ischemic burden

+

=

=

Jessurun 1999

Exercise capacity

NR

NR

=

 

Ischemic burden

NR

NR

=

 

Nitrate drug usage

NR

NR

=

DiPede 2001 Eddicks 2007

Ischemic burden

NR

NR

=

 

Exercise capacity

NR

NR

+

 

Nitrate drug usage

NR

NR

+

 

HRQoL (SAQ)

NR

NR

+/=

 

(EQ-5D)

NR

NR

+

 

CCS class

NR

NR

+

 

Angina attacks

NR

NR

+

  1. *additional data supplied by authors
  2. HRQOL: health-related quality of life; ADL: activities of daily living score; SF-35: Short-form 36 questionnaire; NHP: Nottingham Health Profile; QLQ-AP: Quality of Life Questionnaire – Angina Pectoris; SAQ: Seattle Angina Questionnaire; SAS: Social Activity Scale; LASA: Linear Analogue Self Assessment; VAS – visual analogue scale; 6-MWT: 6 minute walk test; NR: not reported
  3. +: within group – improvement (P ≤ 0.05) in outcome with SCS or control at follow up compared to baseline; between group – superior (P ≤ 0.05) outcome at follow up with SCS compared to control
  4. -: within group – worsening (P ≤ 0.05) in outcome with SCS or control at follow up compared to baseline; between group – superior (P ≤ 0.05) outcome at follow up with control compared to SCS
  5. =: within group – no change (P > 0.05) in outcome with SCS or control at follow up compared to baseline; between group – no difference (P > 0.05) outcome at follow up of SCS compared to control