当前位置: 首页 > 详情页

Quality of Life and Motor Outcomes in Patients With Parkinson's Disease 12 Months After Deep Brain Stimulation in China

文献详情

资源类型:
WOS体系:
Pubmed体系:

收录情况: ◇ SCIE

机构: [1]Department of Functional Neurosurgery, Xuan Wu Hospital Affiliated to Capital Medical University, Beijing, China. [2]Department of Neurology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [3]Department of Functional Neurosurgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China. [4]Department of Neurosurgery, Tangdu Hospital of Air Force Military Medical University, Xi'an, China. [5]Department of Neurosurgery, the First Hospital of China Medical University, Shenyang, China. [6]Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China. [7]Medtronic Core Clinical Solutions Department, Medtronic Inc, Minneapolis, MN, USA. [8]Clinical Biostatistics Department, Medtronic Inc, Minneapolis, MN, USA. [9]Department of Neurology, West China Hospital, Sichuan University, Chengdu, China
出处:
ISSN:

关键词: Deep brain stimulation (DBS) Parkinson’s disease (PD) quality of life (QoL) outcomes

摘要:
Long-term levodopa use is frequently associated with fluctuations in motor response and can have a serious adverse effect on the quality of life (QoL) of patients with Parkinson's disease (PD). Deep brain stimulation (DBS) is effective in improving symptoms of diminished levodopa responsiveness. QoL improvements with DBS have been shown in several randomized control trials, mostly in Europe and the United States; however, there is a need for evidence from regions around the world.The study aimed to demonstrate improvement in PD-related QoL in patients undergoing DBS in a prospective, multicenter study conducted in China.To evaluate the effect of neurostimulation on the QoL of patients with PD, a Parkinson's Disease Questionnaire (PDQ-8); Unified Parkinson's Disease Rating Scale (UPDRS) I, II, III, and IV; and EuroQol 5-dimension questionnaire (EQ-5D) were administered at baseline and 12 months after DBS implantation. The mean change and percent change from baseline were reported for these clinical outcomes.Assessments were completed for 85 of the 89 implanted patients. DBS substantially improved patients' QoL and function. Implanted patients showed statistically significant mean improvement in PDQ-8 and UPDRS III (on stimulation/off medication). In the patients who completed the 12-month follow-up visit, the percent change was -22.2% for PDQ-8 and -51.6% for UPDRS III (on stimulation/off medication). Percent change from baseline to 12 months for UPDRS I, II, III, and IV and EQ-5D were -16.8%, -39.4%, -18.5%, and -50.0% and 22.7%, respectively. The overall rate of incidence for adverse events was low at 15.7%. Favorable outcomes were also reported based on patient opinion; 95.3% were satisfied with DBS results.These data were comparable to other studies around the world and showed alignment with the ability of DBS to meaningfully improve the QoL of patients with PD. More studies investigating DBS therapy for patients with PD are necessary to accurately characterize clinical outcomes for the global PD population.The ClinicalTrials.gov registration number for this study is NCT02937688.Copyright © 2022 International Neuromodulation Society. Published by Elsevier Inc. All rights reserved.

基金:
语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 医学:研究与实验
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 医学:研究与实验
JCR分区:
出版当年[2021]版:
Q3 CLINICAL NEUROLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q2 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者:
第一作者机构: [1]Department of Functional Neurosurgery, Xuan Wu Hospital Affiliated to Capital Medical University, Beijing, China.
通讯作者:
通讯机构: [9]Department of Neurology, West China Hospital, Sichuan University, Chengdu, China [*1]Department of Neurology, West China Hospital, Sichuan University, No. 37 Guoxuexiang, Wuhou District, Chengdu,China.
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院