Journal ArticleDOI
The Appropriate Use of Neurostimulation of the Spinal Cord and Peripheral Nervous System for the Treatment of Chronic Pain and Ischemic Diseases: The Neuromodulation Appropriateness Consensus Committee
Timothy R. Deer,Nagy Mekhail,David Provenzano,Jason E. Pope,Elliot S. Krames,Michael S. Leong,Robert M. Levy,David Abejón,Eric Buchser,Allen W. Burton,Asokumar Buvanendran,Kenneth D. Candido,David Caraway,Michael J. Cousins,Mike J. L. DeJongste,Sudhir Diwan,Sam Eldabe,Kliment Gatzinsky,Robert D. Foreman,Salim M. Hayek,Philip Kim,Philip Kim,Thomas M. Kinfe,David Kloth,Krishna Kumar,Syed Rizvi,Shivanand P. Lad,Liong Liem,Bengt Linderoth,Sean Mackey,Gladstone C. McDowell,Porter McRoberts,Lawrence Poree,Joshua P. Prager,Lou Raso,Richard Rauck,Marc Russo,Brian A. Simpson,Konstantin V. Slavin,Peter S. Staats,Michael Stanton-Hicks,Paul Verrills,Joshua Wellington,Kayode Williams,Richard B. North +44 more
TLDR
The Neuromodulation Appropriateness Consensus Committee (NACC) of the International Neurodulation Society evaluated evidence regarding the safety and efficacy of neurostimulation to treat chronic pain, chronic critical limb ischemia, and refractory angina and recommended appropriate clinical applications.Abstract:
Introduction: The Neuromodulation Appropriateness Consensus Committee (NACC) of the International Neuromodulation Society (INS) evaluated evidence regarding the safety and efficacy of neurostimulation to treat chronic pain, chronic critical limb ischemia, and refractory angina and recommended appropriate clinical applications. Methods: The NACC used literature reviews, expert opinion, clinical experience, and individual research. Authors consulted the Practice Parameters for the Use of Spinal Cord Stimulation in the Treatment of Neuropathic Pain (2006), systematic reviews (1984 to 2013), and prospective and randomized controlled trials (2005 to 2013) identified through PubMed, EMBASE, and Google Scholar. Results: Neurostimulation is relatively safe because of its minimally invasive and reversible characteristics. Comparison with medical management is difficult, as patients considered for neurostimulation have failed conservative management. Unlike alternative therapies, neurostimulation is not associated with medication-related side effects and has enduring effect. Device-related complications are not uncommon; however, the incidence is becoming less frequent as technology progresses and surgical skills improve. Randomized controlled studies support the efficacy of spinal cord stimulation in treating failed back surgery syndrome and complex regional pain syndrome. Similar studies of neurostimulation for peripheral neuropathic pain, postamputation pain, postherpetic neuralgia, and other causes of nerve injury are needed. International guidelines recommend spinal cord stimulation to treat refractory angina; other indications, such as congestive heart failure, are being investigated. Conclusions: Appropriate neurostimulation is safe and effective in some chronic pain conditions. Technological refinements and clinical evidence will continue to expand its use. The NACC seeks to facilitate the efficacy and safety of neurostimulation.read more
Citations
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Journal ArticleDOI
Dorsal root ganglion stimulation yielded higher treatment success rate for complex regional pain syndrome and causalgia at 3 and 12 months: a randomized comparative trial
Timothy R. Deer,Robert M. Levy,Jeffery M. Kramer,Lawrence Poree,Kasra Amirdelfan,Eric Grigsby,Peter S. Staats,Allen W. Burton,Abram H. Burgher,Jon B. Obray,James Scowcroft,Stan Golovac,Leonardo Kapural,Richard Paicius,Christopher Kim,Jason E. Pope,Thomas L. Yearwood,Sam Samuel,W. Porter McRoberts,Hazmer Cassim,Mark D. Netherton,Nathan Miller,Michael Schaufele,Edward Tavel,Tim R.C. Davis,Kristina Davis,Linda Johnson,Nagy Mekhail +27 more
TL;DR: The ACCURATE trial as discussed by the authors showed that DRG stimulation provided a higher rate of treatment success with less postural variation in paresthesia intensity compared to spinal cord stimulation.
Journal ArticleDOI
Continuous Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities.
TL;DR: It is demonstrated that the incidence and/or severity of chronic, persistent postsurgical pain may, at times, be decreased with a short-term postoperative CPNB, and a number of novel, alternative analgesic modalities are under development/investigation.
Journal ArticleDOI
Spinal cord stimulation in patients with painful diabetic neuropathy: A multicentre randomized clinical trial
Cecilia Cecilia Clementine de Vos,Kaare Meier,Paul Brocades Zaalberg,Harold J.A. Nijhuis,Wim Duyvendak,Jan Vesper,Thomas P. Enggaard,Mathieu W.P.M. Lenders +7 more
TL;DR: In patients with refractory painful diabetic neuropathy, spinal cord stimulation therapy significantly reduced pain and improved quality of life in patients with PDN.
Journal ArticleDOI
A review of spinal cord stimulation systems for chronic pain.
TL;DR: Overall, scientific literature demonstrates SCS to be a safe, effective, and drug-free treatment option for many chronic pain etiologies.
Journal ArticleDOI
The appropriate use of neurostimulation: avoidance and treatment of complications of neurostimulation therapies for the treatment of chronic pain. Neuromodulation Appropriateness Consensus Committee.
Timothy R. Deer,Nagy Mekhail,David Provenzano,Jason E. Pope,Elliot S. Krames,Simon Thomson,Lou Raso,Allen W. Burton,Jose DeAndres,Eric Buchser,Asokumar Buvanendran,Liong Liem,Krishna Kumar,Syed Rizvi,Claudio A. Feler,David Abejón,Jack Anderson,Sam Eldabe,Philip Kim,Philip Kim,Michael S. Leong,Salim M. Hayek,Gladstone C. McDowell,Lawrence Poree,Lawrence Poree,Elizabeth S. Brooks,Tory McJunkin,Paul J. Lynch,Leo Kapural,Robert D. Foreman,David Caraway,Ken Alo,Samer Narouze,Robert M. Levy,Richard B. North +34 more
TL;DR: The International Neuromodulation Society (INS) has determined that there is a need for guidance regarding safety and risk reduction for implantable neurostimulation devices as mentioned in this paper, and the NACC has recommended several practice modifications that will lead to improved care.
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