La maladie de Parkinson au Canada (serveur d'exploration)

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Patients' expectations of deep brain stimulation, and subjective perceived outcome related to clinical measures in Parkinson's disease: a mixed-method approach.

Identifieur interne : 001462 ( Ncbi/Merge ); précédent : 001461; suivant : 001463

Patients' expectations of deep brain stimulation, and subjective perceived outcome related to clinical measures in Parkinson's disease: a mixed-method approach.

Auteurs : Franziska Maier [Allemagne] ; Catharine J. Lewis ; Nina Horstkoetter ; Carsten Eggers ; Elke Kalbe ; Mohammad Maarouf ; Jens Kuhn ; Mateusz Zurowski ; Elena Moro ; Christiane Woopen ; Lars Timmermann

Source :

RBID : pubmed:23715910

English descriptors

Abstract

To study patients' expectations of subthalamic deep brain stimulation (STN-DBS) and their subjective perceived outcome, by using qualitative and quantitative methods in Parkinson's disease (PD).

DOI: 10.1136/jnnp-2012-303670
PubMed: 23715910

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Links to Exploration step

pubmed:23715910

Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Apathy</term>
<term>Culture</term>
<term>Deep Brain Stimulation (psychology)</term>
<term>Depressive Disorder (diagnosis)</term>
<term>Depressive Disorder (psychology)</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Illness Behavior</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (psychology)</term>
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<term>Patient Satisfaction</term>
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<term>Deep Brain Stimulation</term>
<term>Depressive Disorder</term>
<term>Parkinson Disease</term>
<term>Quality of Life</term>
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<term>Parkinson Disease</term>
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<term>Illness Behavior</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
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<div type="abstract" xml:lang="en">To study patients' expectations of subthalamic deep brain stimulation (STN-DBS) and their subjective perceived outcome, by using qualitative and quantitative methods in Parkinson's disease (PD).</div>
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<Month>10</Month>
<Day>10</Day>
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<Year>2013</Year>
<Month>11</Month>
<Day>25</Day>
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<Year>2013</Year>
<Month>10</Month>
<Day>10</Day>
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<Volume>84</Volume>
<Issue>11</Issue>
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<Year>2013</Year>
<Month>Nov</Month>
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<Title>Journal of neurology, neurosurgery, and psychiatry</Title>
<ISOAbbreviation>J. Neurol. Neurosurg. Psychiatr.</ISOAbbreviation>
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<ArticleTitle>Patients' expectations of deep brain stimulation, and subjective perceived outcome related to clinical measures in Parkinson's disease: a mixed-method approach.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1136/jnnp-2012-303670</ELocationID>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To study patients' expectations of subthalamic deep brain stimulation (STN-DBS) and their subjective perceived outcome, by using qualitative and quantitative methods in Parkinson's disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">PD patients were prospectively examined before and 3 months after surgery. Semistructured interviews regarding preoperative expectations and postsurgical subjective perceived outcome were conducted. These were analysed using content analysis. For statistical analyses, patients were classified according to their subjective perceived outcome, resulting in three different subjective outcome groups (negative, mixed, positive outcome). The groups were used for multiple comparisons between and within each group regarding motor impairment, quality of life (QoL), neuropsychiatric status and cognitive functioning, using standard instruments. A logistic regression analysis was conducted to find predictors of subjective negative outcome. Receiver operating characteristic curves were used to analyse cut-off scores for predictive tests.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 30 PD patients participating, 8 had a subjective negative outcome, 8 a mixed and 14 a positive outcome. All groups significantly improved in motor functioning. Patients with subjective negative outcome were characterised by preoperative unrealistic expectations, no postsurgical improvement in QoL, and significantly higher presurgical and postsurgical apathy and depression scores. Higher preoperative apathy and depression scores were significant predictors of negative subjective outcome. Cut-off scores for apathy and depression were identified.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The mixed-method approach proved useful in examining a patient's subjective perception of STN-DBS outcome. Our results show that significant motor improvement does not necessarily lead to a positive subjective outcome. Moreover, PD patients should be screened carefully before surgery regarding apathy and depression. (DRKS-ID: DRKS00003221).</AbstractText>
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<ForeName>Franziska</ForeName>
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<Country>Canada</Country>
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<Keyword MajorTopicYN="N">NEUROPSYCHIATRY</Keyword>
<Keyword MajorTopicYN="N">NEUROPSYCHOLOGY</Keyword>
<Keyword MajorTopicYN="N">PARKINSON'S DISEASE</Keyword>
<Keyword MajorTopicYN="N">QUALITY OF LIFE</Keyword>
<Keyword MajorTopicYN="N">STEREOTAXIC SURGERY</Keyword>
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