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Implementing the SAFE Principles for the Development of Pain Medicine Therapeutic Algorithms That Include Neuromodulation Techniques

2009; Elsevier BV; Volume: 12; Issue: 2 Linguagem: Inglês

10.1111/j.1525-1403.2009.00197.x

1525-1403

Elliot S. Krames, Lawrence Poree, Timothy R. Deer, Robert M. Levy,

Spine and Intervertebral Disc Pathology

Currently accepted chronic pain treatment algorithms have positioned therapies according to levels of invasiveness and up-front costs. After reviewing updated literature on efficacy and cost outcomes of care for patients with chronic pain that include interventional implantable technologies, we offer a new model of thinking when formulating algorithms of care that might include more invasive and costly interventions such as spinal cord stimulation, the SAFE principles. These SAFE principles include "safety,""appropriateness,""fiscal neutrality," and "efficacy."