Abstract：
BACKGROUND: 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.
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.
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.
摘要：
背景：用于治疗慢性疼痛的神经刺激领域是医学的快速发展领域。尽管由于技术改进，神经刺激疗法取得了显着进步，手术计划,设备放置,术后护理对优化结局同样重要.神经刺激适当性共识委员会（NACC）项目旨在为这些经常被忽视的神经刺激实践领域提供循证指导。
方法：作者的选择是基于他们的临床专业知识，熟悉同行评审的文献，研究生产力，以及对神经调节文献的贡献。科领导监督MEDLINE的文献检索，BioMedCentral,当前内容连接,Embase,国际医药文摘,WebofScience,谷歌学者，和PubMed从2017年最后的NACC出版物到现在。使用美国预防服务工作组标准对确定的研究进行了分级，以证明净收益的证据和确定性。建议基于证据强度和证据不足时的共识。
结果：这个NACC项目为术前评估提供了指导，术中技术,和术后管理，以具有支持性证据的共识点的形式进行。这些结果是基于证据的等级，共识的力量,和专家意见。
结论：NACC为手术计划提供了指导，该计划涵盖了从计划阶段到手术经验和术后护理的患者旅程。总体建议旨在提高接受这些神经调节程序的患者的疗效和安全性，并旨在适用于整个国际社会。
方法：作者的选择是基于他们的临床专业知识，熟悉同行评审的文献，研究生产力，以及对神经调节文献的贡献。科领导监督MEDLINE的文献检索，BioMedCentral,当前内容连接,Embase,国际医药文摘,WebofScience,谷歌学者，和PubMed从2017年最后的NACC出版物到现在。使用美国预防服务工作组标准对确定的研究进行了分级，以证明净收益的证据和确定性。建议基于证据强度和证据不足时的共识。
结果：这个NACC项目为术前评估提供了指导，术中技术,和术后管理，以具有支持性证据的共识点的形式进行。这些结果是基于证据的等级，共识的力量,和专家意见。
结论：NACC为手术计划提供了指导，该计划涵盖了从计划阶段到手术经验和术后护理的患者旅程。总体建议旨在提高接受这些神经调节程序的患者的疗效和安全性，并旨在适用于整个国际社会。
