Health-Related Quality of Life in Parkinson's Disease after Pallidotomy and Deep Brain Stimulation
Identifieur interne : 001C25 ( Main/Exploration ); précédent : 001C24; suivant : 001C26Health-Related Quality of Life in Parkinson's Disease after Pallidotomy and Deep Brain Stimulation
Auteurs : Kristy Straits-Tröster ; Julie A. Fields ; Steven B. Wilkinson ; Rajesh Pahwa ; Kelly E. Lyons ; William C. Koller ; Alexander I. TrösterSource :
- Brain and Cognition [ 0278-2626 ] ; 2000.
Abstract
This study explored the multidimensional outcome of three neurosurgical interventions for Parkinson's disease (PD): pallidotomy (N = 23), pallidal deep brain stimulation (DBS) (N = 9), and thalamic DBS (N = 7). All patients completed the Sickness Impact Profile (SIP) and the Beck Depression Inventory. Pallidotomy patients also completed the Profile of Mood States, the Beck Anxiety Inventory, and a disease-specific quality of life (QOL) measure, the Parkinson's Disease Questionnaire (PDQ-39). Three months after surgery, all neurosurgical groups showed significant improvements in mood and function, including physical, psychosocial, and overall functioning. Pallidal DBS and pallidotomy patients who completed additional QOL measures reported decreased anxiety and tension, increased vigor, improved mobility and ability to perform activities of daily living, and decreased perceived stigma. Psychosocial dysfunction scores from the SIP were related to depressed mood both at baseline (r = .42) and at followup (r = .45), but the physical dysfunction subscale was not related to mood at either time point, suggesting that disruption of social relationships due to PD may have more impact on affective distress than physical symptoms alone. Results suggest that neurosurgical interventions for PD improve disabling PD motor symptoms and also improve several domains of quality of life.
Url:
DOI: 10.1006/brcg.1999.1112
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Lyons</name></author><author><name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name></author><author><name sortKey="Troster, Alexander I" sort="Troster, Alexander I" uniqKey="Troster A" first="Alexander I." last="Tröster">Alexander I. 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Fields</name><affiliation><wicri:noCountry code="subField">University of Kansas Medical Center</wicri:noCountry></affiliation></author><author><name sortKey="Wilkinson, Steven B" sort="Wilkinson, Steven B" uniqKey="Wilkinson S" first="Steven B." last="Wilkinson">Steven B. Wilkinson</name><affiliation><wicri:noCountry code="subField">University of Kansas Medical Center</wicri:noCountry></affiliation></author><author><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><affiliation><wicri:noCountry code="subField">University of Kansas Medical Center</wicri:noCountry></affiliation></author><author><name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. 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Tröster</name><affiliation><wicri:noCountry code="subField">University of Kansas Medical Center</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Brain and Cognition</title><title level="j" type="abbrev">YBRCG</title><idno type="ISSN">0278-2626</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000">2000</date><biblScope unit="volume">42</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="399">399</biblScope><biblScope unit="page" to="416">416</biblScope></imprint><idno type="ISSN">0278-2626</idno></series><idno type="istex">7A19A84F0B1525B170E7D709E749EEF32169EDD1</idno><idno type="DOI">10.1006/brcg.1999.1112</idno><idno type="PII">S0278-2626(99)91112-0</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0278-2626</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study explored the multidimensional outcome of three neurosurgical interventions for Parkinson's disease (PD): pallidotomy (N = 23), pallidal deep brain stimulation (DBS) (N = 9), and thalamic DBS (N = 7). All patients completed the Sickness Impact Profile (SIP) and the Beck Depression Inventory. Pallidotomy patients also completed the Profile of Mood States, the Beck Anxiety Inventory, and a disease-specific quality of life (QOL) measure, the Parkinson's Disease Questionnaire (PDQ-39). Three months after surgery, all neurosurgical groups showed significant improvements in mood and function, including physical, psychosocial, and overall functioning. Pallidal DBS and pallidotomy patients who completed additional QOL measures reported decreased anxiety and tension, increased vigor, improved mobility and ability to perform activities of daily living, and decreased perceived stigma. Psychosocial dysfunction scores from the SIP were related to depressed mood both at baseline (r = .42) and at followup (r = .45), but the physical dysfunction subscale was not related to mood at either time point, suggesting that disruption of social relationships due to PD may have more impact on affective distress than physical symptoms alone. Results suggest that neurosurgical interventions for PD improve disabling PD motor symptoms and also improve several domains of quality of life.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Fields, Julie A" sort="Fields, Julie A" uniqKey="Fields J" first="Julie A." last="Fields">Julie A. Fields</name><name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name><name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. Lyons</name><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><name sortKey="Straits Troster, Kristy" sort="Straits Troster, Kristy" uniqKey="Straits Troster K" first="Kristy" last="Straits-Tröster">Kristy Straits-Tröster</name><name sortKey="Troster, Alexander I" sort="Troster, Alexander I" uniqKey="Troster A" first="Alexander I." last="Tröster">Alexander I. Tröster</name><name sortKey="Wilkinson, Steven B" sort="Wilkinson, Steven B" uniqKey="Wilkinson S" first="Steven B." last="Wilkinson">Steven B. Wilkinson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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