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神经刺激的合理应用:慢性疼痛及特定疾病状态的新型和不断发展的神经刺激疗法及适用治疗。神经调节适宜性共识委员会。

The appropriate use of neurostimulation: new and evolving neurostimulation therapies and applicable treatment for chronic pain and selected disease states. Neuromodulation Appropriateness Consensus Committee.

作者信息

Deer Timothy R, Krames Elliot, Mekhail Nagy, Pope Jason, Leong Michael, Stanton-Hicks Michael, Golovac Stan, Kapural Leo, Alo Ken, Anderson Jack, Foreman Robert D, Caraway David, Narouze Samer, Linderoth Bengt, Buvanendran Asokumar, Feler Claudio, Poree Lawrence, Lynch Paul, McJunkin Tory, Swing Ted, Staats Peter, Liem Liong, Williams Kayode

机构信息

Center for Pain Relief, Charleston, WV, USA.

出版信息

Neuromodulation. 2014 Aug;17(6):599-615; discussion 615. doi: 10.1111/ner.12204.

DOI:10.1111/ner.12204
PMID:25112892
Abstract

INTRODUCTION

The International Neuromodulation Society (INS) has determined that there is a need to provide an expert consensus that defines the appropriate use of neuromodulation technologies for appropriate patients. The Neuromodulation Appropriateness Consensus Committee (NACC) was formed to give guidance to current practice and insight into future developments.

METHODS

The INS executive board selected members of the international scientific community to analyze scientific evidence for current and future innovations and to use clinical experience to fill in any gaps in information. The NACC used PubMed and Google Scholar to obtain current evidence in the field and used clinical and research experience to give a more complete picture of the innovations in the field.

RESULTS

The NACC has determined that currently approved neurostimulation techniques and technologies have expanded our ability to treat patients in a more effective and specific fashion. Despite these advances, the NACC has identified several additional promising technologies and potential applications for neurostimulation that could move this field forward and expand the applicability of neuromodulation.

CONCLUSIONS

The NACC concludes that the field of neurostimulation is an evolving and rapidly changing one that will lead to improved patient access, safety, and outcomes.

摘要

引言

国际神经调节学会(INS)已确定有必要提供一份专家共识,以明确神经调节技术在合适患者中的合理应用。神经调节适宜性共识委员会(NACC)由此成立,旨在为当前实践提供指导并洞察未来发展。

方法

INS执行委员会挑选了国际科学界成员,以分析当前及未来创新的科学证据,并利用临床经验填补信息空白。NACC利用PubMed和谷歌学术搜索获取该领域的现有证据,并运用临床和研究经验更全面地展现该领域的创新情况。

结果

NACC确定,目前已获批的神经刺激技术和工艺扩展了我们以更有效、更具针对性的方式治疗患者的能力。尽管取得了这些进展,NACC仍识别出几种其他有前景的神经刺激技术和潜在应用,它们可能推动该领域发展并扩大神经调节的适用性。

结论

NACC得出结论,神经刺激领域是一个不断发展且变化迅速的领域,将带来更好的患者就医机会、安全性和治疗效果。

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