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CompletedNCT04737746CAREstimUpdated Jul 4, 2025

Caregiver Burden and Correlation With Clinical Outcome in Spinal Cord Stimulation for Chronic Neuropathic Pain

An observational study in Pain, Chronic, Pain, Neuropathic and Failed Back Surgery Syndrome, sponsored by AZ Delta. Completed at 2 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-04.

Sponsored by AZ Delta · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
42
Ages
18 Years and older
Sex
All
01

Study summary

Prospective multicentric observational trial on caregiver burden, caregiver satisfaction and clinical outcome in spinal cord stimulation for chronic neuropathic pain.

Read the detailed description

Spinal cord stimulation is an effective therapy for chronic neuropathic pain. After careful selection, the satisfaction for the patient is often considerable. The investigators want to investigate the caregiver burden for relatives of patients who are treated with spinal cord stimulation. This will be evaluated by appropriate scores at baseline, during neurostimulator trial and 3,6 and 12 months after implantation. At the same time the patient satisfaction and pain reduction will also be evaluated independently.

In this prospective cohort different parameters will be assessed at baseline, trial, 3, 6 and 12 months follow-up for the patient and their caregiver.

For the patient this will include Numeric Rating scale (NRS) for leg and back pain, Oswestry Disability Index (ODI), EuroQuality of Life-5 Dimensions score (EQ5D), opiate use and Relation Quality Index (RQI).

For the caregiver the Zarit Burden Index (ZBI), Relation Quality Index (RQI) and Modified Caregiver Strain Index (MCSI).

With regard to the research questions, subgroup analysis will be performed regarding to age, sex, education, neurostimulation pattern, surgical vs percutaneous lead placement, working status of both patient and caregiver and caregiver relation characteristics.

02

Conditions studied

  • Pain, Chronic
  • Pain, Neuropathic
  • Failed Back Surgery Syndrome
03

In context

Chronic Pain

3,227 studies on the registry are indexed under Chronic Pain; 729 are open to participants now.

This study's enrollment of 42 is below the median of 120 across 753 observational studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

AZ Delta is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All patients who are considered to be treated with spinal cord stimulation in AZ Delta hospital and Jan Yperman hospital between 1/1/2021 and 31/12/2021 are potentially eligible for inclusion. The inclusion is not limited to a specific device and all different types of routinely used spinal cord stimulation systems and neurostimulation modalities are included: percutaneous of surgical lead placement in both thoracic or cervical location. All patients follow the standard flow for screening and reimbursement (neuro pain platform and MAO)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients Age > 18 years
  • Patients with an identified spousal or offspring caregiver
  • Patients receiving neurostimulator for the first time
  • Patient complies to reimbursement criteria for spinal cord stimulation in Belgium

Exclusion criteria

Exclusion Criteria:

  • Non-spinal cord type of neuromodulation (DRG, occipital, peripheral nerve, )
  • Revision cases, previous neuromodulation
  • Patients unable to consent for this study
  • Patients without identified spousal or offspring caregiver
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
42 participants (actual)
Target follow-up
13 Months
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Zarit Burden index

    Zarit Burden index measures the burden of a caregiver in 12 questions

    Time frame: baseline to 12 months

  2. relation quality index caregiver

    Time frame: baseline to 12 months

  3. caregiver strain index

    Time frame: baseline to 12 months

Secondary outcomes

  1. NRS pain leg and back

    numeric rating scale

    Time frame: baseline to 12 months

  2. Oswestry Disability Index

    Time frame: baseline to 12 months

  3. EuroQol five dimensions EQ-5D

    Time frame: baseline to 12 months

  4. relation quality index patient

    Time frame: baseline to 12 months

  5. analgetics dose

    analgetics ( paracetamol, opiates, opioids, non steroidal anti inflammatory and anti neuropathic pain medication

    Time frame: baseline to 12 months

07

Study locations

2 sites
  • Jan Ypermanziekenhuis
    Ieper, 8900, Belgium
  • AZ Delta
    Roeselare, 8800, Belgium
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2021 to primary completion in Mar 2024, 38 months.

Of 336 non-industry observational studies under Chronic Pain, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 56. This study's 38 months is above that.

Counting every sponsor, half of 362 studies reached it within 24 months; a quarter within 12 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 26, 2021
First posted
Feb 4, 2021
StartActual
Jan 18, 2021
Primary completionActual
Mar 31, 2024
CompletionActual
Mar 31, 2024
Last update
Jul 4, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04737746
Lead sponsor
AZ Delta
Responsible party
Dimitri Vanhauwaert (neurosurgeon, AZ Delta) — Principal investigator
First posted
Feb 4, 2021
Start date
Jan 18, 2021
Primary completion
Mar 31, 2024
Completion
Mar 31, 2024
Last update
Jul 4, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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