The Neuromodulation Appropriateness Consensus Committee on Best Practices for Dorsal Root Ganglion Stimulation
The Neuromodulation Appropriateness Consensus Committee on Best Practices for Dorsal Root Ganglion Stimulation
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DOI：
10.1111/ner.12845
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发表时间：
2019-01-01
期刊：
影响因子：
2.8
通讯作者：
Mekhail, Nagy
中科院分区：
文献类型：
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作者：
Deer, Timothy R.;Pope, Jason E.;Mekhail, Nagy
神经调节适当性共识委员会（NACC）致力于提高神经调节的安全性和有效性，从而改善接受神经调节治疗的患者的生活。随着神经调节的不断创新，需要对最佳实践进行不断发展的审查。背根神经节（DRG）刺激显著改善了复杂区域疼痛综合征（CRPS）等疾病的治疗。通过国际神经调节学会（INS）的资助和组织领导，NACC重新召开会议，制定最佳实践共识文件的选择，植入和使用DRG刺激治疗慢性疼痛syndrome.MethodsThe NACC进行了全面的文献检索发表的文章约DRG从1995年到2017年6月。然后共审查了2538篇文章摘要，并根据美国预防服务工作组制定的评分标准对选定文章的证据强度进行评级。分级证据被认为是沿着与临床经验，以创建最佳实践共识和recommends.ResultsThe NACC达成共识的基础上同行评议的文献和经验，以创建共识点，以改善病人的选择，指导手术方法，改善术后护理，结论NACC的建议旨在改善患者在使用DRG刺激时的护理这种治疗慢性疼痛的方法。选择遵循这些建议的临床医生可能会改善结果。
IntroductionThe Neuromodulation Appropriateness Consensus Committee (NACC) is dedicated to improving the safety and efficacy of neuromodulation and thus improving the lives of patients undergoing neuromodulation therapies. With continued innovations in neuromodulation comes the need for evolving reviews of best practices. Dorsal root ganglion (DRG) stimulation has significantly improved the treatment of complex regional pain syndrome (CRPS), among other conditions. Through funding and organizational leadership by the International Neuromodulation Society (INS), the NACC reconvened to develop the best practices consensus document for the selection, implantation and use of DRG stimulation for the treatment of chronic pain syndromes.MethodsThe NACC performed a comprehensive literature search of articles about DRG published from 1995 through June, 2017. A total of 2538 article abstracts were then reviewed, and selected articles graded for strength of evidence based on scoring criteria established by the US Preventive Services Task Force. Graded evidence was considered along with clinical experience to create the best practices consensus and recommendations.ResultsThe NACC achieved consensus based on peer-reviewed literature and experience to create consensus points to improve patient selection, guide surgical methods, improve post-operative care, and make recommendations for management of patients treated with DRG stimulation.ConclusionThe NACC recommendations are intended to improve patient care in the use of this evolving therapy for chronic pain. Clinicians who choose to follow these recommendations may improve outcomes.