AI Article Synopsis
- The field of neurostimulation for chronic pain is advancing quickly, emphasizing the importance of not just technological improvements but also surgical planning and postoperative care for optimal patient outcomes.
- Experts conducted a thorough literature review from multiple databases to provide evidence-based recommendations for preoperative assessment, surgical techniques, and postoperative management, using rigorous grading criteria for studies.
- The NACC's guidance aims to enhance the overall efficiency and safety of neuromodulation procedures, addressing the entire patient journey from planning to recovery, and is intended for use in the global medical community.
Article Abstract
Introduction: The field of neurostimulation for the treatment of chronic pain is a rapidly developing area of medicine. Although neurostimulation therapies have advanced significantly as a result of technologic improvements, surgical planning, device placement, and postoperative care are of equal importance to optimize outcomes. This Neurostimulation Appropriateness Consensus Committee (NACC) project intends to provide evidence-based guidance for these often-overlooked areas of neurostimulation practice.
Materials And Methods: Authors were chosen based on their clinical expertise, familiarity with the peer-reviewed literature, research productivity, and contributions to the neuromodulation literature. Section leaders supervised literature searches of MEDLINE, BioMed Central, Current Contents Connect, Embase, International Pharmaceutical Abstracts, Web of Science, Google Scholar, and PubMed from the last NACC publication in 2017 to the present. Identified studies were graded using the United States Preventive Services Task Force criteria for evidence and certainty of net benefit. Recommendations are based on evidence strength and consensus when evidence was scant.
Results: This NACC project provides guidance on preoperative assessment, intraoperative techniques, and postoperative management in the form of consensus points with supportive evidence. These results are based on grade of evidence, strength of consensus, and expert opinion.
Conclusions: The NACC has given guidance for a surgical plan that encompasses the patient journey from the planning stage through the surgical experience and postoperative care. The overall recommendations are designed to improve efficacy and the safety of patients undergoing these neuromodulation procedures and are intended to apply throughout the international community.
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| http://dx.doi.org/10.1016/j.neurom.2021.10.015 | DOI Listing |
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