Journal article
The Polyanalgesic Consensus Conference (PACC): Recommendations on Intrathecal Drug Infusion Systems Best Practices and Guidelines.
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Deer TR
Center for Pain Relief, Charleston, WV, USA.
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Pope JE
Summit Pain Alliance, Santa Rosa, CA, USA.
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Hayek SM
Case Western Reserve University, Cleveland, OH, USA.
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Bux A
Anesthesia and Chronic Pain Management, Ephraim McDowell Regional Medical Center, Danville, KY, USA.
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Buchser E
Anaesthesia and Pain Management Department, EHC Hosptial, Morges, and CHUV University Hospital, Lausanne, Switzerland.
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Eldabe S
The James Cook University Hospital, Middlesbrough, UK.
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De Andrés JA
Valencia School of Medicine, Hospital General Universitario, Valencia, Spain.
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Erdek M
Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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Patin D
University of Miami Health System, Miami, FL, USA.
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Grider JS
University of Kentucky College of Medicine, UK HealthCare Pain Services, Lexington, KY, USA.
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Doleys DM
Doleys Clinic, Birmingham, AL, USA.
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Jacobs MS
California Pain Medicine Center, Los Angeles, CA, USA.
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Yaksh TL
Anesthesiology and Pharmacology, University of California, San Diego, CA, USA.
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Poree L
Pain Clinic of Monterey Bay, University of California at San Francisco, San Francisco, CA, USA.
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Wallace MS
Department of Anesthesia, UC San Diego, San Diego, CA, USA.
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Prager J
Center for the Rehabilitation Pain Syndromes (CRPS) at UCLA Medical Plaza, Los Angeles, CA, USA.
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Rauck R
Carolina Pain Institute, Wake Forest Baptist Health, Winston-Salem, NC, USA.
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DeLeon O
Roswell Park Cancer Institute, SUNY, Buffalo, NY, USA.
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Diwan S
Manhattan Spine and Pain Medicine, Lenox Hill Hospital, New York, NY, USA.
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Falowski SM
St. Luke's University Health Network, Bethlehem, PA, USA.
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Gazelka HM
Mayo Clinic, Rochester, MN, USA.
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Kim P
Bryn Mawr Hospital, Bryn Mawr, PA, USA.
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Leong M
Stanford University, Palo Alto, CA, USA.
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Levy RM
Marcus Neuroscience Institute, Boca Raton, FL, USA.
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McDowell G
Integrated Pain Solutions, Columbus, OH, USA.
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McRoberts P
Holy Cross Hospital, Fort Lauderdale, Florida, USA.
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Naidu R
San Francisco Medical Center, University of California, San Francisco, CA, USA.
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Narouze S
Summa Western Reserve Hospital, Cuyahoga Falls, OH, USA.
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Perruchoud C
Hôpital de Zone Morges, Morges, Switzerland.
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Rosen SM
Fox Chase Pain Management Associates PC, Doylestown, PA, USA.
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Rosenberg WS
Center for Relief of Pain, Kansas City, MO, USA.
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Saulino M
MossRehab, Elkins Park, PA, USA.
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Staats P
Premier Pain Management Centers, Shrewsbury, NJ, USA.
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Stearns LJ
Center for Pain and Supportive Care, Phoenix, AZ, USA.
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Willis D
Alabama Pain Center, Huntsville, AL, USA.
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Krames E
Pacific Pain Treatment Center (ret.), San Francisco, CA, USA.
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Huntoon M
Vanderbilt University Medical Center, Nashville, TN, USA.
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Mekhail N
Cleveland Clinic, Cleveland, OH, USA.
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Published in:
- Neuromodulation : journal of the International Neuromodulation Society. - 2017
English
INTRODUCTION
Pain treatment is best performed when a patient-centric, safety-based philosophy is used to determine an algorithmic process to guide care. Since 2007, the International Neuromodulation Society has organized a group of experts to evaluate evidence and create a Polyanalgesic Consensus Conference (PACC) to guide practice.
METHODS
The current PACC update was designed to address the deficiencies and innovations emerging since the previous PACC publication of 2012. An extensive literature search identified publications between January 15, 2007 and November 22, 2015 and authors contributed additional relevant sources. After reviewing the literature, the panel convened to determine evidence levels and degrees of recommendations for intrathecal therapy. This meeting served as the basis for consensus development, which was ranked as strong, moderate or weak. Algorithms were developed for intrathecal medication choices to treat nociceptive and neuropathic pain for patients with cancer, terminal illness, and noncancer pain, with either localized or diffuse pain.
RESULTS
The PACC has developed an algorithmic process for several aspects of intrathecal drug delivery to promote safe and efficacious evidence-based care. Consensus opinion, based on expertise, was used to fill gaps in evidence. Thirty-one consensus points emerged from the panel considerations.
CONCLUSION
New algorithms and guidance have been established to improve care with the use of intrathecal drug delivery.
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Language
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Open access status
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closed
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Identifiers
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Persistent URL
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https://sonar.ch/global/documents/78020
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