Posteroventral pallidotomy for Parkinson's disease: assessment and policy on a technology in transition.
Identifieur interne : 003849 ( Main/Exploration ); précédent : 003848; suivant : 003850Posteroventral pallidotomy for Parkinson's disease: assessment and policy on a technology in transition.
Auteurs : D. Hailey [Canada] ; C. HarstallSource :
- Health policy (Amsterdam, Netherlands) [ 0168-8510 ] ; 1998.
English descriptors
- KwdEn :
- MESH :
Abstract
Posteroventral pallidotomy (PVP) is a neurosurgical technique used in the management of persons with Parkinson's Disease whose symptoms can no longer be controlled by medical treatment. There is pressure on policy areas to provide support for this intervention. An assessment of the status of the technology concluded that the available evidence of efficacy of PVP was only fair to poor, and that the technology was continuing to evolve. Nevertheless, it was suggested that support for PVP, linked to collection of outcomes data, would be justified, taking account of the morbidity and poor quality of life for this type of patient, and limitations of alternative methods of management. This case study provides an example of the dilemmas facing policy areas in dealing with evolving technology, with limited available evidence and with the prospect of further management options becoming available.
PubMed: 10178801
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001791
- to stream PubMed, to step Curation: 001791
- to stream PubMed, to step Checkpoint: 001791
- to stream Ncbi, to step Merge: 000012
- to stream Ncbi, to step Curation: 000012
- to stream Ncbi, to step Checkpoint: 000012
- to stream Main, to step Merge: 003E42
- to stream Main, to step Curation: 003849
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Posteroventral pallidotomy for Parkinson's disease: assessment and policy on a technology in transition.</title><author><name sortKey="Hailey, D" sort="Hailey, D" uniqKey="Hailey D" first="D" last="Hailey">D. Hailey</name><affiliation wicri:level="1"><nlm:affiliation>Alberta Heritage Foundation for Medical Research, Edmonton, Canada. dhailey@ahfmr.ab.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Alberta Heritage Foundation for Medical Research, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Harstall, C" sort="Harstall, C" uniqKey="Harstall C" first="C" last="Harstall">C. Harstall</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:10178801</idno><idno type="pmid">10178801</idno><idno type="wicri:Area/PubMed/Corpus">001791</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001791</idno><idno type="wicri:Area/PubMed/Curation">001791</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001791</idno><idno type="wicri:Area/PubMed/Checkpoint">001791</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001791</idno><idno type="wicri:Area/Ncbi/Merge">000012</idno><idno type="wicri:Area/Ncbi/Curation">000012</idno><idno type="wicri:Area/Ncbi/Checkpoint">000012</idno><idno type="wicri:doubleKey">0168-8510:1998:Hailey D:posteroventral:pallidotomy:for</idno><idno type="wicri:Area/Main/Merge">003E42</idno><idno type="wicri:Area/Main/Curation">003849</idno><idno type="wicri:Area/Main/Exploration">003849</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Posteroventral pallidotomy for Parkinson's disease: assessment and policy on a technology in transition.</title><author><name sortKey="Hailey, D" sort="Hailey, D" uniqKey="Hailey D" first="D" last="Hailey">D. Hailey</name><affiliation wicri:level="1"><nlm:affiliation>Alberta Heritage Foundation for Medical Research, Edmonton, Canada. dhailey@ahfmr.ab.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Alberta Heritage Foundation for Medical Research, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Harstall, C" sort="Harstall, C" uniqKey="Harstall C" first="C" last="Harstall">C. Harstall</name></author></analytic><series><title level="j">Health policy (Amsterdam, Netherlands)</title><idno type="ISSN">0168-8510</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Cost of Illness</term><term>Globus Pallidus (surgery)</term><term>Health Care Costs</term><term>Health Policy</term><term>Humans</term><term>Organizational Case Studies</term><term>Outcome Assessment (Health Care)</term><term>Parkinson Disease (economics)</term><term>Parkinson Disease (surgery)</term><term>Quality-Adjusted Life Years</term><term>Technology Assessment, Biomedical</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cost of Illness</term><term>Health Care Costs</term><term>Health Policy</term><term>Humans</term><term>Organizational Case Studies</term><term>Outcome Assessment (Health Care)</term><term>Quality-Adjusted Life Years</term><term>Technology Assessment, Biomedical</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Posteroventral pallidotomy (PVP) is a neurosurgical technique used in the management of persons with Parkinson's Disease whose symptoms can no longer be controlled by medical treatment. There is pressure on policy areas to provide support for this intervention. An assessment of the status of the technology concluded that the available evidence of efficacy of PVP was only fair to poor, and that the technology was continuing to evolve. Nevertheless, it was suggested that support for PVP, linked to collection of outcomes data, would be justified, taking account of the morbidity and poor quality of life for this type of patient, and limitations of alternative methods of management. This case study provides an example of the dilemmas facing policy areas in dealing with evolving technology, with limited available evidence and with the prospect of further management options becoming available.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Harstall, C" sort="Harstall, C" uniqKey="Harstall C" first="C" last="Harstall">C. Harstall</name></noCountry><country name="Canada"><noRegion><name sortKey="Hailey, D" sort="Hailey, D" uniqKey="Hailey D" first="D" last="Hailey">D. Hailey</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Canada/explor/ParkinsonCanadaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003849 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003849 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Canada
|area= ParkinsonCanadaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:10178801
|texte= Posteroventral pallidotomy for Parkinson's disease: assessment and policy on a technology in transition.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:10178801" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a ParkinsonCanadaV1
| This area was generated with Dilib version V0.6.29. |  |