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The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Best Practices for Cervical Neurostimulation. Neuromodulation 2022 Jan;25(1):35-52



Pubmed ID




Scopus ID

2-s2.0-85123813761 (requires institutional sign-in at Scopus site)   4 Citations


INTRODUCTION: 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.

MATERIALS AND METHODS: Authors were chosen based upon their clinical expertise, familiarity with the peer-reviewed literature, research productivity, and contributions to the neuromodulation literature. Section leaders supervised literature searches of MEDLINE, BioMed Central, Current Contents Connect, Embase, International Pharmaceutical Abstracts, Web of Science, Google Scholar, and PubMed from 2017 (when NACC last published guidelines) to the present. Identified studies were graded using the US Preventive Services Task Force criteria for evidence and certainty of net benefit. Recommendations are based on the strength of evidence or consensus when evidence was scant.

RESULTS: The NACC examined the published literature and established evidence- and consensus-based recommendations to guide best practices. Additional guidance will occur as new evidence is developed in future iterations of this process.

CONCLUSIONS: The NACC recommends best practices regarding the use of cervical neuromodulation to improve safety and efficacy. The evidence- and consensus-based recommendations should be utilized as a guide to assist decision making when clinically appropriate.

Author List

Deer TR, Russo M, Grider JS, Pope J, Hagedorn JM, Weisbein J, Abd-Elsayed A, Benyamin R, Raso LJ, Patel KV, Provenzano D, Kim PS, Amirdelfan K, Bolash R, Steegers M, Sullivan R, Verrills P, Carlson J, Kapural L, Diwan S, Barolat G, Pahapill PA, De Andres J, Raslan AM, Lopez JA, Leong MS, Attias MB, Teddy P, Green AL, Dario A, Piedimonte F, Chapman KB, Tomycz ND, FitzGerald J, Gatzinsky K, Varshney V, Gish B, Lindsey BL, Buvanendran A, Lamer TJ, Slavin KV, Levy RM


Peter A. Pahapill MD, PhD Associate Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Electric Stimulation Therapy