Pain medicine

Guidelines on neurostimulation for chronic pain: a compliance appraisal of reporting standards

Reg Anesth Pain MedPublished Cross-sectional study

Authors' conclusion

Current guidelines of neurostimulation for chronic pain exhibit significant variability in reporting items, with notable deficiencies in the description of key methodological areas.

Study context

Population
Guideline articles on neurostimulation (spinal cord, dorsal root ganglion, peripheral nerve stimulation) for chronic pain, database inception to April 17, 2024guideline articles
Participants
24 articles
Exposure
RIGHT vs Appraisal of Guidelines for Research and Evaluation (AGREE)
Outcome
Percentage of completed RIGHT and AGREE checklist items
Methodological detailsreporting quality appraisal of guidelines, RIGHT and AGREE checklists
  • Reporting quality appraisal of guidelines
  • RIGHT and AGREE checklists

Main finding

As reported in the abstract

Percentage of completed checklist items

Observational data: associations, not effects.

Secondary outcomes

OutcomeIntraclass correlation coefficient (95% CI)
Inter-checklist agreement (RIGHT vs AGREE)Good agreement0.76 (0.44–0.90)

Most frequently under-reported items (<25% completion)

Population-specific considerations, cost/resource implications, guideline limitations, recommendation development process, magnitude of benefit vs harm, competing interests and their management

Predictors of reporting quality

No significant associations between RIGHT/AGREE reporting quality and journal impact factor, year of publication, number of authors, or guideline themes

Original publication

Guidelines on neurostimulation for chronic pain: a compliance appraisal of reporting standards. Reg Anesth Pain Med. Published 6 July 2025. doi:10.1136/rapm-2025-106389

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