RT Journal Article T1 Real-World Outcomes Using a Spinal Cord Stimulation Device Capable of Combination Therapy for Chronic Pain: A European, Multicenter Experience. A1 Kallewaard, Jan Willem A1 Paz-Solis, Jose Francisco A1 De Negri, Pasquale A1 Canós-Verdecho, Maria Angeles A1 Belaid, Hayat A1 Thomson, Simon J A1 Abejón, David A1 Vesper, Jan A1 Mehta, Vivek A1 Rigoard, Philippe A1 Maino, Paolo A1 Love-Jones, Sarah A1 Peña, Isaac F A1 Bayerl, Simon A1 Perruchoud, Christophe A1 Bougeard, Renaud A1 Mertz, Cleo A1 Pei, Yu A1 Jain, Roshini K1 SCS K1 chronic pain K1 combination therapy K1 customized stimulation field targeting K1 spinal cord stimulation AB Given the differing mechanisms thought to underlie therapeutic sub- and supra-perception-based neurostimulative modalities, Spinal Cord Stimulation (SCS) systems designed for combined delivery of these approaches may help improve analgesic outcomes and quality of life, and reduce treatment failures. This multicenter, observational case-series evaluated 188 patients with chronic back and/or leg pain implanted with an SCS device capable of sequential or simultaneous delivery of sub-perception and supra-perception stimulation programming (i.e., combination therapy) at 16 in Europe. Following implantation, patients were provided with an array of advanced supra-perception programs (e.g., paresthesia-based SCS using multiple independent current sources), and a custom set of sub-perception programs optimized with specific waveforms and/or field shapes. A mean overall pain score of 7.9 ± 1.7 (Standard Deviation (SD)) was reported pre-trial (Baseline). Overall pain was reduced by 4.4 ± 2.8 points (NRS) at 3-months (n = 117) and at 12 months post-implant (n = 90), respectively (p SN 2077-0383 YR 2021 FD 2021-09-10 LK https://hdl.handle.net/10668/27357 UL https://hdl.handle.net/10668/27357 LA en DS RISalud RD Apr 8, 2025