Remote programming for subthalamic deep brain stimulation in Parkinson's disease
Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote programming is widely used in Mainland China. This necessitates evaluating the ability of remote programming to achieve the ideal postoperative effect. Ther...
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Published in | Frontiers in neurology Vol. 13; p. 1061274 |
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Format | Journal Article |
Language | English |
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Abstract | Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote programming is widely used in Mainland China. This necessitates evaluating the ability of remote programming to achieve the ideal postoperative effect. Therefore, we aimed to retrospectively evaluate the effects of different programming modes on the effectiveness of STN-DBS 12 months postoperatively in patients with PD.
Clinical data were collected retrospectively, before and 12 months after surgery, in 83 patients with PD. Based on the programming modes voluntarily selected by the patients during 12 months postoperatively, they were divided into three groups, namely remote programming alone, hospital programming alone, and hospital + remote programming. We compared the programming data and the effects of different programming methods on STN-DBS-related improvements 12 months postoperatively among these groups. Furthermore, we analyzed STN-DBS-related improvements at 12 months postoperatively in 76 patients.
The effectiveness of STN-DBS was not influenced by the three programming modes. The postoperative Movement Disorder Society Unified Parkinson's Disease Rating Scale scores did not reveal statistically significant differences between the remote alone and hospital alone programming groups, except for motor examination. The postoperative decline in the levodopa equivalent daily dose was most apparent in the hospital programming alone group. The programming frequency of the hospital + remote programming group was considerably higher than that of the remaining groups. Seventy-six patients with PD displayed good STN-DBS surgical efficacy.
Programming modes do not influence the short-term efficacy of STN-DBS, and remote programming can yield a satisfactory surgical effect. |
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AbstractList | IntroductionDeep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote programming is widely used in Mainland China. This necessitates evaluating the ability of remote programming to achieve the ideal postoperative effect. Therefore, we aimed to retrospectively evaluate the effects of different programming modes on the effectiveness of STN-DBS 12 months postoperatively in patients with PD.MethodsClinical data were collected retrospectively, before and 12 months after surgery, in 83 patients with PD. Based on the programming modes voluntarily selected by the patients during 12 months postoperatively, they were divided into three groups, namely remote programming alone, hospital programming alone, and hospital + remote programming. We compared the programming data and the effects of different programming methods on STN-DBS-related improvements 12 months postoperatively among these groups. Furthermore, we analyzed STN-DBS-related improvements at 12 months postoperatively in 76 patients.ResultsThe effectiveness of STN-DBS was not influenced by the three programming modes. The postoperative Movement Disorder Society Unified Parkinson's Disease Rating Scale scores did not reveal statistically significant differences between the remote alone and hospital alone programming groups, except for motor examination. The postoperative decline in the levodopa equivalent daily dose was most apparent in the hospital programming alone group. The programming frequency of the hospital + remote programming group was considerably higher than that of the remaining groups. Seventy-six patients with PD displayed good STN-DBS surgical efficacy.ConclusionProgramming modes do not influence the short-term efficacy of STN-DBS, and remote programming can yield a satisfactory surgical effect. Introduction Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote programming is widely used in Mainland China. This necessitates evaluating the ability of remote programming to achieve the ideal postoperative effect. Therefore, we aimed to retrospectively evaluate the effects of different programming modes on the effectiveness of STN-DBS 12 months postoperatively in patients with PD. Methods Clinical data were collected retrospectively, before and 12 months after surgery, in 83 patients with PD. Based on the programming modes voluntarily selected by the patients during 12 months postoperatively, they were divided into three groups, namely remote programming alone, hospital programming alone, and hospital + remote programming. We compared the programming data and the effects of different programming methods on STN-DBS-related improvements 12 months postoperatively among these groups. Furthermore, we analyzed STN-DBS-related improvements at 12 months postoperatively in 76 patients. Results The effectiveness of STN-DBS was not influenced by the three programming modes. The postoperative Movement Disorder Society Unified Parkinson's Disease Rating Scale scores did not reveal statistically significant differences between the remote alone and hospital alone programming groups, except for motor examination. The postoperative decline in the levodopa equivalent daily dose was most apparent in the hospital programming alone group. The programming frequency of the hospital + remote programming group was considerably higher than that of the remaining groups. Seventy-six patients with PD displayed good STN-DBS surgical efficacy. Conclusion Programming modes do not influence the short-term efficacy of STN-DBS, and remote programming can yield a satisfactory surgical effect. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote programming is widely used in Mainland China. This necessitates evaluating the ability of remote programming to achieve the ideal postoperative effect. Therefore, we aimed to retrospectively evaluate the effects of different programming modes on the effectiveness of STN-DBS 12 months postoperatively in patients with PD. Clinical data were collected retrospectively, before and 12 months after surgery, in 83 patients with PD. Based on the programming modes voluntarily selected by the patients during 12 months postoperatively, they were divided into three groups, namely remote programming alone, hospital programming alone, and hospital + remote programming. We compared the programming data and the effects of different programming methods on STN-DBS-related improvements 12 months postoperatively among these groups. Furthermore, we analyzed STN-DBS-related improvements at 12 months postoperatively in 76 patients. The effectiveness of STN-DBS was not influenced by the three programming modes. The postoperative Movement Disorder Society Unified Parkinson's Disease Rating Scale scores did not reveal statistically significant differences between the remote alone and hospital alone programming groups, except for motor examination. The postoperative decline in the levodopa equivalent daily dose was most apparent in the hospital programming alone group. The programming frequency of the hospital + remote programming group was considerably higher than that of the remaining groups. Seventy-six patients with PD displayed good STN-DBS surgical efficacy. Programming modes do not influence the short-term efficacy of STN-DBS, and remote programming can yield a satisfactory surgical effect. |
Author | Chen, Teng Chen, Si Li, Chao Xu, Shu-Jun Li, Wei-Guo Xu, Shuo Yang, Ning Liu, Yi-Ming |
AuthorAffiliation | Center for Movement Disorders, Qilu Hospital of Shandong University , Jinan , China |
AuthorAffiliation_xml | – name: Center for Movement Disorders, Qilu Hospital of Shandong University , Jinan , China |
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Cites_doi | 10.1186/s40035-018-0116-x 10.1007/s00415-020-10273-z 10.1016/j.brs.2016.02.004 10.1002/mds.22340 10.1016/j.parkreldis.2015.10.002 10.1038/nrneurol.2014.252 10.1016/j.parkreldis.2016.07.018 10.1056/NEJMoa035275 10.1016/S1474-4422(10)70093-4 10.14802/jmd.20052 10.1002/mds.26424 10.3389/fneur.2019.00410 10.1056/NEJMoa060281 10.1056/NEJM199810153391603 10.1159/000491603 10.1016/j.parkreldis.2021.07.001 10.1159/000475765 10.1177/1756286419838096 10.1016/j.wneu.2020.12.030 10.1016/j.parkreldis.2017.03.015 10.1056/NEJMoa0907083 10.1016/j.eplepsyres.2019.106246 10.1111/ner.13274 10.1002/mds.10149 10.1212/WNL.59.5.706 |
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Copyright | Copyright © 2022 Chen, Xu, Li, Chen, Li, Xu, Yang and Liu. Copyright © 2022 Chen, Xu, Li, Chen, Li, Xu, Yang and Liu. 2022 Chen, Xu, Li, Chen, Li, Xu, Yang and Liu |
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Keywords | activities of daily living (ADL) remote programming Parkinson's disease China subthalamic nucleus deep brain stimulation |
Language | English |
License | Copyright © 2022 Chen, Xu, Li, Chen, Li, Xu, Yang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Luigi M. Romito, IRCCS Carlo Besta Neurological Institute Foundation, Italy This article was submitted to Movement Disorders, a section of the journal Frontiers in Neurology Reviewed by: Carla Piano, Agostino Gemelli University Polyclinic (IRCCS), Italy; Gertrud Tamas, Semmelweis University, Hungary; Emma Scelzo, San Paolo Hospital, Italy |
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Snippet | Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote programming is... Introduction Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote... IntroductionDeep brain stimulation (DBS) of the subthalamic nucleus (STN) is effective for the treatment of Parkinson's disease (PD). Moreover, remote... |
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SubjectTerms | activities of daily living (ADL) China deep brain stimulation Neurology Parkinson's disease remote programming subthalamic nucleus |
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Title | Remote programming for subthalamic deep brain stimulation in Parkinson's disease |
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