title: How many parkinsonian patients are suitable candidates for deep brain stimulation of subthalamic nucleus? Results of a questionnaire.
abstract: We used a CAPSIT-based questionnaire to estimate the percentage of parkinsonian patients suitable for subthalamic nucleus (STN) deep brain stimulation (DBS) in a movement disorders clinic. We found that out of 641 consecutive PD patients only 1.6% fulfilled strict STN-DBS criteria. When we applied more flexible criteria, the percentage of eligibility increased to 4.5%. Most patients (60%) were ineligible because they did not satisfy multiple questionnaire items. Items related to disease severity were responsible for the largest number of exclusions. This knowledge will help make decisions on resource allocation in centres wishing to start DBS surgery.
authors.affiliation: Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Universita' di Messina, Italy. Letterio.Morgante@unime.it
authors.forename: Letterio
authors.initials: L
authors.lastname: Morgante
authors.forename: Francesca
authors.initials: F
authors.lastname: Morgante
authors.forename: Elena
authors.initials: E
authors.lastname: Moro
authors.forename: Antonio
authors.initials: A
authors.lastname: Epifanio
authors.forename: Paolo
authors.initials: P
authors.lastname: Girlanda
authors.forename: Paolo
authors.initials: P
authors.lastname: Ragonese
authors.forename: Angelo
authors.initials: A
authors.lastname: Antonini
authors.forename: Paolo
authors.initials: P
authors.lastname: Barone
authors.forename: Ubaldo
authors.initials: U
authors.lastname: Bonuccelli
authors.forename: Maria Fiorella
authors.initials: MF
authors.lastname: Contarino
authors.forename: Livio
authors.initials: L
authors.lastname: Capus
authors.forename: Maria Gabriella
authors.initials: MG
authors.lastname: Ceravolo
authors.forename: Roberto
authors.initials: R
authors.lastname: Marconi
authors.forename: Roberto
authors.initials: R
authors.lastname: Ceravolo
authors.forename: Marco
authors.initials: M
authors.lastname: D'Amelio
authors.forename: Giovanni
authors.initials: G
authors.lastname: Savettieri
mesh_terms: D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D046690:Deep Brain Stimulation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020734:Parkinsonian Disorders / Q000453:epidemiology / Q000628:therapy*; D018579:Patient Selection; D020531:Subthalamic Nucleus / Q000502:physiology*; D011795:Surveys and Questionnaires