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Parkinsons Dis. 2017;2017:9360354. doi: 10.1155/2017/9360354. Epub 2017 Aug 07.

Bridging the Gaps in Patient Education for DBS Surgery in Parkinson's Disease.

Parkinson's disease

Colleen D Knoop, Robert Kadish, Kathy Hager, Michael C Park, Paul D Loprinzi, Kathrin LaFaver

Affiliations

  1. Ochsner Health System, Division of Movement Disorders, 1514 Jefferson Highway, New Orleans, LA 70121, USA.
  2. Department of Neurology, University of Louisville, 220 Abraham Flexner Way, Suite 606, Louisville, KY 40202, USA.
  3. Bellarmine University, 2001 Newburg Road, Miles Hall 301, Louisville, KY 40205, USA.
  4. Department of Neurosurgery and Neurology, University of Minnesota, 420 Delaware Street SE, MMC 96, Minneapolis, MN 55455, USA.
  5. University of Mississippi, 229 Turner Center, Oxford, MS 38677, USA.

PMID: 28848685 PMCID: PMC5564106 DOI: 10.1155/2017/9360354

Abstract

INTRODUCTION: Improvements in quality of life, tremor, and other motor features have been recognized as superior in patients with advanced Parkinson's disease (PD) treated with deep brain stimulation (DBS) surgery versus best medical therapy. We studied a group of patients with PD after undergoing DBS surgery in regard to expectations and satisfaction with DBS outcomes to determine gaps in patient education.

METHODS: This study was a retrospective, single academic center chart review and outcome questionnaire sent to patients with PD who had undergone DBS surgery between 2007 and 2014.

RESULTS: All patients surveyed indicated that benefit from DBS surgery met their overall expectations at least partially, but only 46.4% (

CONCLUSIONS: Our findings demonstrate that patients' expectations of DBS surgery in PD were at least partially met. However, there was a considerable percentage of patients who did not feel adequately prepared for the procedure. A structured, multidisciplinary team approach in educating PD patients throughout the different stages of DBS surgery may be helpful in optimizing patients' experience and satisfaction with surgery outcomes.

References

  1. Neurology. 2014 Oct 28;83(18):1627-33 - PubMed
  2. J Neurol. 2016 May;263(5):895-905 - PubMed
  3. Surg Neurol. 2009 Aug;72(2):105-10; discussion 110-1 - PubMed
  4. J Neurosurg. 2004 Apr;100(4):679-87 - PubMed
  5. J Neurosci Nurs. 2004 Dec;36(6):301-11 - PubMed
  6. NeuroRehabilitation. 2005;20(3):223-32 - PubMed
  7. Arch Neurol. 2011 Feb;68(2):165 - PubMed
  8. Arch Neurol. 2011 Dec;68(12):1550-6 - PubMed
  9. Synapse. 2003 Dec 15;50(4):314-9 - PubMed
  10. J Parkinsons Dis. 2016 Mar 17;6(2):335-47 - PubMed
  11. J Neurol Neurosurg Psychiatry. 2010 Mar;81(3):315-9 - PubMed
  12. Neurology. 2017 Jan 10;88(2):124-130 - PubMed
  13. Brain. 2010 Jul;133(Pt 7):2007-21 - PubMed
  14. J Neurol Neurosurg Psychiatry. 2008 Apr;79(4):368-76 - PubMed
  15. Artif Organs. 2009 Mar;33(3):208-20 - PubMed
  16. Arch Neurol. 2004 Jan;61(1):89-96 - PubMed
  17. Cell Tissue Res. 2004 Oct;318(1):275-88 - PubMed
  18. Exp Brain Res. 2004 Jun;156(3):274-81 - PubMed
  19. Parkinsonism Relat Disord. 2016 Mar;24:41-7 - PubMed
  20. World Neurosurg. 2014 Dec;82(6):1295-1299.e2 - PubMed
  21. Can Fam Physician. 2000 Feb;46:368-73 - PubMed
  22. Eur J Neurosci. 1996 Jul;8(7):1408-14 - PubMed

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