How many parkinsonian patients are suitable candidates for deep brain stimulation of subthalamic nucleus? Results of a questionnaire.
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.
Morgante
Letterio
L
Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Universita' di Messina, Italy. Letterio.Morgante@unime.it
Morgante
Francesca
F
Moro
Elena
E
Epifanio
Antonio
A
Girlanda
Paolo
P
Ragonese
Paolo
P
Antonini
Angelo
A
Barone
Paolo
P
Bonuccelli
Ubaldo
U
Contarino
Maria Fiorella
MF
Capus
Livio
L
Ceravolo
Maria Gabriella
MG
Marconi
Roberto
R
Ceravolo
Roberto
R
D'Amelio
Marco
M
Savettieri
Giovanni
G
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