Movement Disorders (revue)

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Long-term effects of pallidal or subthalamic deep brain stimulation on quality of life in Parkinson's disease.

Identifieur interne : 002651 ( Ncbi/Merge ); précédent : 002650; suivant : 002652

Long-term effects of pallidal or subthalamic deep brain stimulation on quality of life in Parkinson's disease.

Auteurs : Jens Volkmann [Allemagne] ; Alberto Albanese ; Jaime Kulisevsky ; Aana-Lena Tornqvist ; Jean-Luc Houeto ; Bernard Pidoux ; Anne-Marie Bonnet ; Alexandre Mendes ; Alim-Louis Benabid ; Valerie Fraix ; Nadege Van Blercom ; Jing Xie ; José Obeso ; Maria Cruz Rodriguez-Oroz ; Jurge Guridi ; Alfons Schnitzler ; Lars Timmermann ; Alexandre A. Gironell ; Juan Molet ; Benta Pascual-Sedano ; Stig Rehncrona ; Elena Moro ; Anthony C. Lang ; Andres M. Lozano ; Anna Rita Bentivoglio ; Massimo Scerrati ; Maria Fiorella Contarino ; Luigi Romito ; Marc Janssens ; Yves Agid [France]

Source :

RBID : pubmed:19412954

English descriptors

Abstract

We assessed the effects of deep brain stimulation of the subthalamic nucleus (STN-DBS) or internal pallidum (GPi-DBS) on health-related quality of life (HrQoL) in patients with advanced Parkinson's disease participating in a previously reported multicenter trial. Sickness Impact Profile (SIP) questionnaires were available for analysis in a subgroup of n = 20/20 patients with GPi-DBS and n = 45/49 patients with STN-DBS at baseline, 6 and 36 months. The SIP provides a physical dimension and a psychosocial dimension sum score and 12 category scores: Alertness/Intellectual Behavior (AIB), Ambulation (A), Body Care and Movement (BCM), Communication (C), Eating (E), Emotional Behavior (EB), Home Management (HM), Mobility (M), Recreation and Pastimes (RP), Sleep and Rest (SR), Social Interaction (SI), and Work (W). Motor functioning was assessed by means of the Unified Parkinson's Disease Rating Scale and diaries. At 6 months significant improvements in off-period motor symptoms and activities of daily living were paralleled by significant reductions in the total, physical, and psychosocial SIP score in both treatment groups. At 3 years, sustained improvements were observed in the physical dimension score, BCM, E, M, RP after STN-DBS and M, SI after GPi-DBS. All other SIP subscores approached baseline values, but were still the same or better (except C) whereas motor functioning remained stable after 36 months. STN-DBS and GPi-DBS led to significant early improvements in HrQoL. Despite sustained motor improvements many of these initial benefits were lost after 3 years. This may reflect either progression of the disease or adaptive changes in the subjective perception of health-related wellbeing over time.

DOI: 10.1002/mds.22496
PubMed: 19412954

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pubmed:19412954

Le document en format XML

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<name sortKey="Pascual Sedano, Benta" sort="Pascual Sedano, Benta" uniqKey="Pascual Sedano B" first="Benta" last="Pascual-Sedano">Benta Pascual-Sedano</name>
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<name sortKey="Romito, Luigi" sort="Romito, Luigi" uniqKey="Romito L" first="Luigi" last="Romito">Luigi Romito</name>
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<term>Activities of Daily Living</term>
<term>Aged</term>
<term>Deep Brain Stimulation</term>
<term>Emotions (physiology)</term>
<term>Female</term>
<term>Globus Pallidus (physiology)</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Quality of Life (psychology)</term>
<term>Questionnaires</term>
<term>Sickness Impact Profile</term>
<term>Statistics, Nonparametric</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Time Factors</term>
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<term>Globus Pallidus</term>
<term>Subthalamic Nucleus</term>
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<term>Parkinson Disease</term>
<term>Quality of Life</term>
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<term>Parkinson Disease</term>
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<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
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<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
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<div type="abstract" xml:lang="en">We assessed the effects of deep brain stimulation of the subthalamic nucleus (STN-DBS) or internal pallidum (GPi-DBS) on health-related quality of life (HrQoL) in patients with advanced Parkinson's disease participating in a previously reported multicenter trial. Sickness Impact Profile (SIP) questionnaires were available for analysis in a subgroup of n = 20/20 patients with GPi-DBS and n = 45/49 patients with STN-DBS at baseline, 6 and 36 months. The SIP provides a physical dimension and a psychosocial dimension sum score and 12 category scores: Alertness/Intellectual Behavior (AIB), Ambulation (A), Body Care and Movement (BCM), Communication (C), Eating (E), Emotional Behavior (EB), Home Management (HM), Mobility (M), Recreation and Pastimes (RP), Sleep and Rest (SR), Social Interaction (SI), and Work (W). Motor functioning was assessed by means of the Unified Parkinson's Disease Rating Scale and diaries. At 6 months significant improvements in off-period motor symptoms and activities of daily living were paralleled by significant reductions in the total, physical, and psychosocial SIP score in both treatment groups. At 3 years, sustained improvements were observed in the physical dimension score, BCM, E, M, RP after STN-DBS and M, SI after GPi-DBS. All other SIP subscores approached baseline values, but were still the same or better (except C) whereas motor functioning remained stable after 36 months. STN-DBS and GPi-DBS led to significant early improvements in HrQoL. Despite sustained motor improvements many of these initial benefits were lost after 3 years. This may reflect either progression of the disease or adaptive changes in the subjective perception of health-related wellbeing over time.</div>
</front>
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<AbstractText>We assessed the effects of deep brain stimulation of the subthalamic nucleus (STN-DBS) or internal pallidum (GPi-DBS) on health-related quality of life (HrQoL) in patients with advanced Parkinson's disease participating in a previously reported multicenter trial. Sickness Impact Profile (SIP) questionnaires were available for analysis in a subgroup of n = 20/20 patients with GPi-DBS and n = 45/49 patients with STN-DBS at baseline, 6 and 36 months. The SIP provides a physical dimension and a psychosocial dimension sum score and 12 category scores: Alertness/Intellectual Behavior (AIB), Ambulation (A), Body Care and Movement (BCM), Communication (C), Eating (E), Emotional Behavior (EB), Home Management (HM), Mobility (M), Recreation and Pastimes (RP), Sleep and Rest (SR), Social Interaction (SI), and Work (W). Motor functioning was assessed by means of the Unified Parkinson's Disease Rating Scale and diaries. At 6 months significant improvements in off-period motor symptoms and activities of daily living were paralleled by significant reductions in the total, physical, and psychosocial SIP score in both treatment groups. At 3 years, sustained improvements were observed in the physical dimension score, BCM, E, M, RP after STN-DBS and M, SI after GPi-DBS. All other SIP subscores approached baseline values, but were still the same or better (except C) whereas motor functioning remained stable after 36 months. STN-DBS and GPi-DBS led to significant early improvements in HrQoL. Despite sustained motor improvements many of these initial benefits were lost after 3 years. This may reflect either progression of the disease or adaptive changes in the subjective perception of health-related wellbeing over time.</AbstractText>
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