Show simple item record

dc.contributor.authorPilitsis, Julie G.
dc.contributor.authorBurrows, Anthony M.
dc.contributor.authorPeters, Mary Linton
dc.contributor.authorSargent, Julie
dc.contributor.authorNg, Sing Chau
dc.contributor.authorTseng, Jennifer F.
dc.date2022-08-11T08:10:58.000
dc.date.accessioned2022-08-23T17:26:40Z
dc.date.available2022-08-23T17:26:40Z
dc.date.issued2012-01-01
dc.date.submitted2012-09-19
dc.identifier.citation<p>Stereotact Funct Neurosurg. 2012;90(1):25-9. Epub 2011 Dec 22. <a href="http://dx.doi.org/10.1159/000333834" target="_blank">Link to article on publisher's site</a></p>
dc.identifier.issn1011-6125 (Linking)
dc.identifier.doi10.1159/000333834
dc.identifier.pmid22190124
dc.identifier.urihttp://hdl.handle.net/20.500.14038/49691
dc.description<p>Medical students Anthony Burrows and Mary Linton Peters participated in this study as part of the Senior Scholars research program at the University of Massachusetts Medical School.</p>
dc.description.abstractBACKGROUND: Randomized controlled studies have shown deep brain stimulation (DBS) to be an effective treatment for Parkinson's disease (PD). Outside of large-center studies, little is known about trends in DBS use in the USA. OBJECTIVES: We employ the Nationwide Inpatient Sample to look at changes in DBS utilization over time. METHODS: We identified all individuals with PD (332.0) and essential tremor (ET) (333.1) who underwent DBS (02.93) from 1998 to 2007. We examined demographics, hospital status, comorbidities, and in-hospital systemic/technical complications. DBS patients from 2000 and 2007 were compared using chi(2) tests. RESULTS: PD patients from the 2007 sample who underwent DBS were older (p = 0.01). Both ET and PD patients had significantly more comorbidities in 2007 (p < 0.001). In-hospital complications decreased from 3.8 to 2.8%. DBS was performed in medium- or high-volume centers in 70% of cases in 2000 and in 50% in 2007. In all groups, a majority of cases (range 65-71%) underwent DBS at hospitals in the western and southern USA. CONCLUSIONS: Patients who underwent DBS in the 2007 sample were older and had more comorbidities than those in the 2000 sample; in-hospital complications remained low. Understanding trends in DBS is helpful in assessing how the technology is adopted and what relationships should be further explored.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=22190124&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1159/000333834
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectComorbidity
dc.subject*Deep Brain Stimulation
dc.subjectEssential Tremor
dc.subjectFemale
dc.subjectHumans
dc.subjectInpatients
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectParkinson Disease
dc.subjectPhysician's Practice Patterns
dc.subjectRetrospective Studies
dc.subjectTreatment Outcome
dc.subjectUnited States
dc.subjectHealth Services Research
dc.subjectNervous System Diseases
dc.subjectSurgery
dc.titleChanging practice patterns of deep brain stimulation in Parkinson's disease and essential tremor in the USA
dc.typeArticle
dc.source.journaltitleStereotactic and functional neurosurgery
dc.source.volume90
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/surgery_pp/119
dc.identifier.contextkey3335960
html.description.abstract<p>BACKGROUND: Randomized controlled studies have shown deep brain stimulation (DBS) to be an effective treatment for Parkinson's disease (PD). Outside of large-center studies, little is known about trends in DBS use in the USA.</p> <p>OBJECTIVES: We employ the Nationwide Inpatient Sample to look at changes in DBS utilization over time.</p> <p>METHODS: We identified all individuals with PD (332.0) and essential tremor (ET) (333.1) who underwent DBS (02.93) from 1998 to 2007. We examined demographics, hospital status, comorbidities, and in-hospital systemic/technical complications. DBS patients from 2000 and 2007 were compared using chi(2) tests.</p> <p>RESULTS: PD patients from the 2007 sample who underwent DBS were older (p = 0.01). Both ET and PD patients had significantly more comorbidities in 2007 (p < 0.001). In-hospital complications decreased from 3.8 to 2.8%. DBS was performed in medium- or high-volume centers in 70% of cases in 2000 and in 50% in 2007. In all groups, a majority of cases (range 65-71%) underwent DBS at hospitals in the western and southern USA.</p> <p>CONCLUSIONS: Patients who underwent DBS in the 2007 sample were older and had more comorbidities than those in the 2000 sample; in-hospital complications remained low. Understanding trends in DBS is helpful in assessing how the technology is adopted and what relationships should be further explored.</p>
dc.identifier.submissionpathsurgery_pp/119
dc.contributor.departmentDepartment of Surgery
dc.source.pages25-9


This item appears in the following Collection(s)

Show simple item record