Abstract：
BACKGROUND: The International Neuromodulation Society (INS) has recognized a need to establish best practices for optimizing implantable devices and salvage when ideal outcomes are not realized. This group has established the Neurostimulation Appropriateness Consensus Committee (NACC)® to offer guidance on matters needed for both our members and the broader community of those affected by neuromodulation devices.
METHODS: The executive committee of the INS nominated faculty for this NACC® publication on the basis of expertise, publications, and career work on the issue. In addition, the faculty was chosen in consideration of diversity and inclusion of different career paths and demographic categories. Once chosen, the faculty was asked to grade current evidence and along with expert opinion create consensus recommendations to address the lapses in information on this topic.
RESULTS: The NACC® group established informative and authoritative recommendations on the salvage and optimization of care for those with indwelling devices. The recommendations are based on evidence and expert opinion and will be expected to evolve as new data are generated for each topic.
CONCLUSIONS: NACC® guidance should be considered for any patient with less-than-optimal outcomes with a stimulation device implanted for treating chronic pain. Consideration should be given to these consensus points to salvage a potentially failed device before explant.
METHODS: The executive committee of the INS nominated faculty for this NACC® publication on the basis of expertise, publications, and career work on the issue. In addition, the faculty was chosen in consideration of diversity and inclusion of different career paths and demographic categories. Once chosen, the faculty was asked to grade current evidence and along with expert opinion create consensus recommendations to address the lapses in information on this topic.
RESULTS: The NACC® group established informative and authoritative recommendations on the salvage and optimization of care for those with indwelling devices. The recommendations are based on evidence and expert opinion and will be expected to evolve as new data are generated for each topic.
CONCLUSIONS: NACC® guidance should be considered for any patient with less-than-optimal outcomes with a stimulation device implanted for treating chronic pain. Consideration should be given to these consensus points to salvage a potentially failed device before explant.
摘要：
背景：国际神经调节学会（INS）已经认识到有必要建立最佳实践，以优化可植入设备并在未实现理想结果时进行救助。该小组成立了神经刺激适当性共识委员会（NACC）®，为我们的成员和受神经调节设备影响的更广泛的社区所需的事项提供指导。
方法：INS执行委员会根据专业知识提名了该NACC®出版物的教师，出版物,和职业工作在这个问题上。此外,选择教师是考虑到多样性和不同的职业道路和人口类别的包容性。一旦被选中,教师被要求对当前证据进行评分，并与专家意见一起制定共识建议，以解决有关该主题的信息中的失误。
结果：NACC®小组为使用留置装置的患者提供了有关抢救和优化护理的信息和权威建议。这些建议基于证据和专家意见，随着每个主题的新数据生成，预计将不断发展。
结论：NACC®指导应考虑植入刺激装置治疗慢性疼痛的任何患者。应考虑这些共识点，以在外植体之前挽救可能发生故障的设备。
方法：INS执行委员会根据专业知识提名了该NACC®出版物的教师，出版物,和职业工作在这个问题上。此外,选择教师是考虑到多样性和不同的职业道路和人口类别的包容性。一旦被选中,教师被要求对当前证据进行评分，并与专家意见一起制定共识建议，以解决有关该主题的信息中的失误。
结果：NACC®小组为使用留置装置的患者提供了有关抢救和优化护理的信息和权威建议。这些建议基于证据和专家意见，随着每个主题的新数据生成，预计将不断发展。
结论：NACC®指导应考虑植入刺激装置治疗慢性疼痛的任何患者。应考虑这些共识点，以在外植体之前挽救可能发生故障的设备。
