Establishing a Standard of Care for Deep Brain Stimulation Centers in Canada.
Identifieur interne : 000090 ( Main/Exploration ); précédent : 000089; suivant : 000091Establishing a Standard of Care for Deep Brain Stimulation Centers in Canada.
Auteurs : Michel Panisset [Canada] ; Marina Picillo [Canada] ; Nicolas Jodoin [Canada] ; Yu-Yan Poon [Canada] ; Alejandro Valencia-Mizrachi [Canada] ; Alfonso Fasano [Canada] ; Renato Munhoz [Canada] ; Christopher R. Honey [Canada]Source :
- The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [ 0317-1671 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- standards : Deep Brain Stimulation, Outcome Assessment (Health Care), Standard of Care.
- therapy : Parkinson Disease.
- Canada, Humans.
Abstract
During the "DBS Canada Day" symposium held in Toronto July 4-5, 2014, the scientific committee invited experts to share their knowledge regarding deep brain stimulation (DBS) management of movement disorders in three domains: (1) the programming algorithms, (2) the necessary team to run a neurosurgery program, and (3) the appropriate scales to better define in a more comprehensive fashion the effect of the brain surgery. Each presentation was followed by an open discussion, and this article reports on the conclusions of this meeting on these three questions. Concerning programming, the role of the pulse width and the switching off of the stimulation at night for thalamic stimulation for the control of tremor have been discussed. The algorithms proposed in the literature for programming in Parkinson's disease (PD) need validation. In dystonia, the use of monopolar vs bipolar parameters, the use of low vs high frequencies and the use of smaller versus larger pulse widths all need to be examined properly. Concerning the necessary team to run a neurosurgical program, recommendations will follow the suggestions for standardized outcome measures. Regarding the outcome measures for DBS in PD, investigations need to focus on the non-motor aspects of PD. Identifying which nonmotor symptoms respond to DBS would allow a better screening before and satisfaction postoperatively. There is an important need for more data to determine the optimal programming protocol and the standard measures that should be performed routinely by all centers.
DOI: 10.1017/cjn.2016.409
PubMed: 27873569
Affiliations:
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Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Jodoin, Nicolas" sort="Jodoin, Nicolas" uniqKey="Jodoin N" first="Nicolas" last="Jodoin">Nicolas Jodoin</name><affiliation wicri:level="1"><nlm:affiliation>1Division of Neurology,Department of Medicine,Hôpital Notre-Dame,Centre hospitalier de l'Université de Montréal,Montréal,Québec,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>1Division of Neurology,Department of Medicine,Hôpital Notre-Dame,Centre hospitalier de l'Université de Montréal,Montréal,Québec</wicri:regionArea><wicri:noRegion>Québec</wicri:noRegion></affiliation></author><author><name sortKey="Poon, Yu Yan" sort="Poon, Yu Yan" uniqKey="Poon Y" first="Yu-Yan" last="Poon">Yu-Yan Poon</name><affiliation wicri:level="1"><nlm:affiliation>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Valencia Mizrachi, Alejandro" sort="Valencia Mizrachi, Alejandro" uniqKey="Valencia Mizrachi A" first="Alejandro" last="Valencia-Mizrachi">Alejandro Valencia-Mizrachi</name><affiliation wicri:level="1"><nlm:affiliation>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name><affiliation wicri:level="1"><nlm:affiliation>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Munhoz, Renato" sort="Munhoz, Renato" uniqKey="Munhoz R" first="Renato" last="Munhoz">Renato Munhoz</name><affiliation wicri:level="1"><nlm:affiliation>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>2Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,University Health Network,Toronto,ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name><affiliation wicri:level="1"><nlm:affiliation>4Division of Neurosurgery,University of British Columbia,Vancouver,British Columbia,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>4Division of Neurosurgery,University of British Columbia,Vancouver,British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</title><idno type="ISSN">0317-1671</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Canada</term><term>Deep Brain Stimulation (standards)</term><term>Humans</term><term>Outcome Assessment (Health Care) (standards)</term><term>Parkinson Disease (therapy)</term><term>Standard of Care (standards)</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Deep Brain Stimulation</term><term>Outcome Assessment (Health Care)</term><term>Standard of Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Canada</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During the "DBS Canada Day" symposium held in Toronto July 4-5, 2014, the scientific committee invited experts to share their knowledge regarding deep brain stimulation (DBS) management of movement disorders in three domains: (1) the programming algorithms, (2) the necessary team to run a neurosurgery program, and (3) the appropriate scales to better define in a more comprehensive fashion the effect of the brain surgery. Each presentation was followed by an open discussion, and this article reports on the conclusions of this meeting on these three questions. Concerning programming, the role of the pulse width and the switching off of the stimulation at night for thalamic stimulation for the control of tremor have been discussed. The algorithms proposed in the literature for programming in Parkinson's disease (PD) need validation. In dystonia, the use of monopolar vs bipolar parameters, the use of low vs high frequencies and the use of smaller versus larger pulse widths all need to be examined properly. Concerning the necessary team to run a neurosurgical program, recommendations will follow the suggestions for standardized outcome measures. Regarding the outcome measures for DBS in PD, investigations need to focus on the non-motor aspects of PD. Identifying which nonmotor symptoms respond to DBS would allow a better screening before and satisfaction postoperatively. There is an important need for more data to determine the optimal programming protocol and the standard measures that should be performed routinely by all centers.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Panisset, Michel" sort="Panisset, Michel" uniqKey="Panisset M" first="Michel" last="Panisset">Michel Panisset</name></noRegion><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name><name sortKey="Jodoin, Nicolas" sort="Jodoin, Nicolas" uniqKey="Jodoin N" first="Nicolas" last="Jodoin">Nicolas Jodoin</name><name sortKey="Munhoz, Renato" sort="Munhoz, Renato" uniqKey="Munhoz R" first="Renato" last="Munhoz">Renato Munhoz</name><name sortKey="Picillo, Marina" sort="Picillo, Marina" uniqKey="Picillo M" first="Marina" last="Picillo">Marina Picillo</name><name sortKey="Poon, Yu Yan" sort="Poon, Yu Yan" uniqKey="Poon Y" first="Yu-Yan" last="Poon">Yu-Yan Poon</name><name sortKey="Valencia Mizrachi, Alejandro" sort="Valencia Mizrachi, Alejandro" uniqKey="Valencia Mizrachi A" first="Alejandro" last="Valencia-Mizrachi">Alejandro Valencia-Mizrachi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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