Academic Journal
Spinal Cord Stimulation Guidelines and Consensus Statements: Systematic Review and Appraisal of Guidelines for Research and Evaluation II Assessment.
| Τίτλος: | Spinal Cord Stimulation Guidelines and Consensus Statements: Systematic Review and Appraisal of Guidelines for Research and Evaluation II Assessment. |
|---|---|
| Συγγραφείς: | Elliott T; Department of Neurosurgery, University of Arizona College of Medicine, Tuscon, AZ, USA., Shao M; Department of Neurosurgery, University of Arizona College of Medicine, Tuscon, AZ, USA., George DD; Department of Neurosurgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA., Goudman L; STIMULUS (reSearch and TeachIng NeuroModULation Uz Brussel) Research Group, Vrije Universiteit Brussel, Brussels, Belgium; Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA., Morris DR; Department of Neurosurgery, University of Arizona College of Medicine, Tuscon, AZ, USA., Pilitsis JG; Department of Neurosurgery, University of Arizona College of Medicine, Tuscon, AZ, USA. Electronic address: jpilitsis@yahoo.com. |
| Πηγή: | Neuromodulation : journal of the International Neuromodulation Society [Neuromodulation] 2025 Aug; Vol. 28 (6), pp. 875-889. Date of Electronic Publication: 2025 May 16. |
| Τύπος έκδοσης: | Journal Article; Systematic Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 9804159 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-1403 (Electronic) Linking ISSN: 10947159 NLM ISO Abbreviation: Neuromodulation Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2022- : [New York] : Elsevier Original Publication: Malden, MA : Blackwell Science, c1998- |
| Ιατρικοί όροι (MeSH): | Pain Management*/methods , Pain Management*/standards , Practice Guidelines as Topic*/standards , Spinal Cord Stimulation*/standards , Spinal Cord Stimulation*/methods , Consensus*, Humans ; Consensus Statements as Topic |
| Περίληψη: | Introduction: Multiple guidelines and consensus statements have been established for spinal cord stimulation (SCS) for pain, including patient selection, indications, techniques of stimulation, and details of the procedure. Here, we sought to critically evaluate guidelines and consensus statements to provide insight into existing gaps in the SCS literature to help guide future endeavors. Materials and Methods: We performed a comprehensive and systematic literature search of PubMed, Web of Science, and Scopus on SCS guidelines and consensus statements for pain from 2000 to September 2024 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The extracted variables included patient selection, efficacy of therapy, pre- and postoperative care, techniques, holding certain medications, complication and infection avoidance and management, and indications. Guidelines and consensus statements were systematically evaluated using the Appraisal of Guidelines for Research and Evaluation II (AGREE-II) tool. Results: The literature search yielded 102 articles. Title, abstract, and full-text analysis determined that 19 articles addressed guidelines and consensus statements relevant to SCS therapy from 2014 to 2024. The 19 articles were systematically analyzed and independently scored by two authors using the AGREE-II instrument. The average global quality score was 5.6 of 7. Current SCS guidelines and consensus statements strongly emphasize evidence-based practice, patient selection, and perioperative management. Weaknesses and gaps include the lack of long-term data on SCS with new waveforms, recommendations on emerging indications, psychologic evaluations, and holistic outcomes. Conclusion: Multiple guidelines and consensus statements attest to the field's commitment to high-quality, evidence-based practice and patient care. However, limitations and gaps remain. Updates on current guidelines should focus on long-term results, holistic assessment and outcomes, and new indications. (Copyright © 2025 International Neuromodulation Society. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Conflict of Interest Julie G. Pilitsis has received grants from Medtronic, Boston Scientific, Abbott, Focused Ultrasound Foundation, and the National Institutes of Health, and is a medical advisor for AiM Robotics. Lisa Goudman is a postdoctoral research fellow funded by the Research Foundation Flanders, Belgium (project number 1211425N). The STIMULUS (reSearch and TeachIng NeuroModULation Uz Brussel) research group received independent research grants from Medtronic. The remaining authors reported no conflict of interest. |
| Contributed Indexing: | Keywords: AGREE-II; chronic pain; guidelines; spinal cord stimulation; systematic review |
| Entry Date(s): | Date Created: 20250517 Date Completed: 20250803 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.neurom.2025.03.075 |
| PMID: | 40380961 |
| Βάση Δεδομένων: | MEDLINE |
καταχωρήστε σχόλιο πρώτοι!