A Systematic Literature Review of Brain Neurostimulation Therapies for the Treatment of Pain.
Chronic Pain
Deep Brain Stimulation
Pain Management
Systematic Review
Journal
Pain medicine (Malden, Mass.)
ISSN: 1526-4637
Titre abrégé: Pain Med
Pays: England
ID NLM: 100894201
Informations de publication
Date de publication:
07 11 2020
07 11 2020
Historique:
pubmed:
9
2
2020
medline:
15
5
2021
entrez:
9
2
2020
Statut:
ppublish
Résumé
To conduct a systematic literature review of brain neurostimulation for pain. Grade the evidence for deep brain neurostimulation (DBS). An international, interdisciplinary work group conducted a literature search for brain stimulation. Abstracts were reviewed to select studies for grading. Randomized controlled trials (RCTs) meeting inclusion/exclusion criteria were graded by two independent reviewers. General inclusion criteria were prospective trials (RCTs and observational) that were not part of a larger or previously reported group. Excluded studies were retrospective or existed only as abstracts. Studies were graded using the modified Interventional Pain Management Techniques-Quality Appraisal of Reliability and Risk of Bias Assessment, the Cochrane Collaborations Risk of Bias assessment, and the United States Preventative Services Task Force level-of-evidence criteria. Two high-quality RCTs and three observational trials supported DBS, resulting in Level II (moderate) evidence. Moderate evidence supports DBS to treat chronic pain. Additional Level I RCTs are needed to further the strength of the evidence in this important area of medicine, but the current evidence suggests that DBS should be considered as an option in treating complex pain cases.
Identifiants
pubmed: 32034418
pii: 5731303
doi: 10.1093/pm/pnz371
pmc: PMC7820362
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1415-1420Subventions
Organisme : NINDS NIH HHS
ID : R43 NS107076
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA166379
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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