• Neuromodulation · Jan 2019

    Review Practice Guideline

    The Neuromodulation Appropriateness Consensus Committee on Best Practices for Dorsal Root Ganglion Stimulation.

    • Timothy R Deer, Jason E Pope, Tim J Lamer, Jay S Grider, David Provenzano, Timothy R Lubenow, James J FitzGerald, Corey Hunter, Steven Falowski, Dawood Sayed, Ganesan Baranidharan, Nikunj K Patel, Timothy Davis, Alex Green, Antonio Pajuelo, Lawrence J Epstein, Michael Harned, Liong Liem, Paul J Christo, Krishnan Chakravarthy, Christopher Gilmore, Frank Huygen, Eric Lee, Pankaj Metha, Harold Nijhuis, Denis G Patterson, Erika Petersen, Julie G Pilitsis, Jeffery J Rowe, Matthew P Rupert, Ioannis Skaribas, Jennifer Sweet, Paul Verrills, Derron Wilson, Robert M Levy, and Nagy Mekhail.
    • Center for Pain Relief, Charleston, WV, USA.
    • Neuromodulation. 2019 Jan 1; 22 (1): 1-35.

    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.© 2018 International Neuromodulation Society.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…