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Neuromodulation
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    • Cover Image - Neuromodulation, Volume 26, Issue 4
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  • Spinal Cord Stimulation Review Article

    The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Best Practices for Cervical Neurostimulation

    Neuromodulation
    Vol. 25Issue 1p35–52Published in issue: January, 2022
    • Timothy R. Deer
    • Marc Russo
    • Jay S. Grider
    • Jason Pope
    • Jonathan M. Hagedorn
    • Jacqueline Weisbein
    • and others
    Cited in Scopus: 4
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      The International Neuromodulation Society convened a multispecialty group of physicians based on expertise with international representation to establish evidence-based guidance on the use of neurostimulation in the cervical region to improve outcomes. This Neurostimulation Appropriateness Consensus Committee (NACC) project intends to provide evidence-based guidance for an often-overlooked area of neurostimulation practice.
      The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Best Practices for Cervical Neurostimulation
    • Spinal Cord Stimulation Review Article

      The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations for Surgical Technique for Spinal Cord Stimulation

      Neuromodulation
      Vol. 25Issue 1p1–34Published in issue: January, 2022
      • Timothy R. Deer
      • Marc A. Russo
      • Jay S. Grider
      • Jason Pope
      • Philippe Rigoard
      • Jonathan M. Hagedorn
      • and others
      Cited in Scopus: 4
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        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.
        The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations for Surgical Technique for Spinal Cord Stimulation
      • Research Article

        Reporting Guidelines for Clinical Trial Protocols and Reports of Implantable Neurostimulation Devices: Protocol for the SPIRIT-iNeurostim and CONSORT-iNeurostim Extensions

        Neuromodulation
        Vol. 25Issue 7p1045–1049Published online: December 18, 2021
        • Rui V. Duarte
        • Rebecca Bresnahan
        • Sue Copley
        • Sam Eldabe
        • Simon Thomson
        • Richard B. North
        • and others
        Cited in Scopus: 1
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          SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) and CONSORT (Consolidated Standards of Reporting Trials) statements have been shown to improve the quality of reporting of trial protocols and randomized controlled trials. Extensions to the SPIRIT and CONSORT statements specific to certain interventions have the potential to address methodological considerations that would otherwise be overlooked. The aim of this protocol is to describe the methods to develop reporting guidelines for clinical trial protocols and reports of implantable neurostimulation devices.
        • Clinical Research

          Reducing Intrathecal Baclofen Related Infections: Service Evaluation and Best Practice Guidelines

          Neuromodulation
          Vol. 23Issue 7p991–995Published in issue: October, 2020
          • Michelle S. Balaratnam
          • Ann Donnelly
          • Honey Padilla
          • Sara Simeoni
          • Sardar Bahadur
          • Liz Keenan
          • and others
          Cited in Scopus: 3
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            Intrathecal baclofen (ITB) pumps are an effective treatment for spasticity; however infection rates have been reported in 3–26% of patients in the literature. The multidisciplinary ITB service has been established at The National Hospital for Neurology and Neurosurgery, UCLH, Queen Square, London for over 20 years. Our study was designed to clarify the rate of infection in our ITB patient cohort and secondly, to formulate and implement best practice guidelines and to determine prospectively, whether they effectively reduced infection rates.
            Reducing Intrathecal Baclofen Related Infections: Service Evaluation and Best Practice Guidelines
          • Review Article

            A Comprehensive Practice Guideline for Magnetic Resonance Imaging Compatibility in Implanted Neuromodulation Devices

            Neuromodulation
            Vol. 23Issue 7p893–911Published in issue: October, 2020
            • Dawood Sayed
            • Krishnan Chakravarthy
            • Kasra Amirdelfan
            • Hemant Kalia
            • Kathleen Meacham
            • Prasad Shirvalkar
            • and others
            Cited in Scopus: 21
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              The evolution of neuromodulation devices in order to enter magnetic resonance imaging (MRI) scanners has been one of understanding limitations, engineering modifications, and the development of a consensus within the community in which the FDA could safely administer labeling for the devices. In the initial decades of neuromodulation, it has been contraindicated for MRI use with implanted devices. In this review, we take a comprehensive approach to address all the major products currently on the market in order to provide physicians with the ability to determine when an MRI can be performed for each type of device implant.
              A Comprehensive Practice Guideline for Magnetic Resonance Imaging Compatibility in Implanted Neuromodulation Devices
            • CORRIGENDUM

              The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and Management

              Neuromodulation
              Vol. 20Issue 5p516Published in issue: July, 2017
              Cited in Scopus: 0
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                In Deer et al. (1), Table 2 was published with error. In the subheading “Postoperative measures”, the number of hours used for occlusive sterile dressing should have been 24–48 instead of 4–48 hours.
              • CORRIGENDUM

                The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Bleeding and Coagulation Management in Neurostimulation Devices

                Neuromodulation
                Vol. 20Issue 4p407Published in issue: June, 2017
                Cited in Scopus: 0
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                  In Deer et al. (1), the affiliation of the author “Kenneth Alo” was published with error.
                • The Neurostimulation Appropriateness Consensus Committee (NACC)

                  The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Bleeding and Coagulation Management in Neurostimulation Devices

                  Neuromodulation
                  Vol. 20Issue 1p51–62Published in issue: January, 2017
                  • Timothy R. Deer
                  • Samer Narouze
                  • David A. Provenzano
                  • Jason E. Pope
                  • Steven M. Falowski
                  • Marc A. Russo
                  • and others
                  Cited in Scopus: 48
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                    The Neurostimulation Appropriateness Consensus Committee (NACC) was formed by the International Neuromodulation Society (INS) in 2012 to evaluate the evidence to reduce the risk of complications and improve the efficacy of neurostimulation. The first series of papers, published in 2014, focused on the general principles of appropriate practice in the surgical implantation of neurostimulation devices. The NACC was reconvened in 2014 to Address specific patient care issues, including bleeding and coagulation.
                  • The Neurostimulation Appropriateness Consensus Committee (NACC)

                    The Neurostimulation Appropriateness Consensus Committee (NACC) Safety Guidelines for the Reduction of Severe Neurological Injury

                    Neuromodulation
                    Vol. 20Issue 1p15–30Published in issue: January, 2017
                    • Timothy R. Deer
                    • Tim J. Lamer
                    • Jason E. Pope
                    • Steven M. Falowski
                    • David A. Provenzano
                    • Konstantin Slavin
                    • and others
                    Cited in Scopus: 77
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                      Neurostimulation involves the implantation of devices to stimulate the brain, spinal cord, or peripheral or cranial nerves for the purpose of modulating the neural activity of the targeted structures to achieve specific therapeutic effects. Surgical placement of neurostimulation devices is associated with risks of neurologic injury, as well as possible sequelae from the local or systemic effects of the intervention. The goal of the Neurostimulation Appropriateness Consensus Committee (NACC) is to improve the safety of neurostimulation.
                      The Neurostimulation Appropriateness Consensus Committee (NACC) Safety Guidelines for the Reduction of Severe Neurological Injury
                    • The Neurostimulation Appropriateness Consensus Committee (NACC)

                      The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and Management

                      Neuromodulation
                      Vol. 20Issue 1p31–50Published in issue: January, 2017
                      • Timothy R. Deer
                      • David A. Provenzano
                      • Michael Hanes
                      • Jason E. Pope
                      • Simon J. Thomson
                      • Marc A. Russo
                      • and others
                      Cited in Scopus: 75
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                        The use of neurostimulation for pain has been an established therapy for many decades and is a major tool in the arsenal to treat neuropathic pain syndromes. Level I evidence has recently been presented to substantiate the therapy, but this is balanced against the risk of complications of an interventional technique.
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