Patient selected goals and satisfaction after bilateral subthalamic nucleus deep brain stimulation in Parkinson's disease
- 주제(키워드) Deep brain stimulation , Movement disorders , Neurosurgery , Parkinson's disease , Patient satisfaction
- 주제(기타) Clinical Neurology
- 주제(기타) Neurosciences
- 설명문(일반) [Nam, Seon Kyung] Univ S Florida, Morsani Coll Med, Tampa, FL 33620 USA; [Yoo, Dallah; Kim, Han-Joon; Jeon, Beomseok] Seoul Natl Univ, Coll Med, Dept Neurol, Neurosci Res Inst, Seoul, South Korea; [Yoo, Dallah; Kim, Han-Joon; Jeon, Beomseok] Seoul Natl Univ, Coll Med, Movement Disorder Ctr, Neurosci Res Inst, Seoul, South Korea; [Lee, Woong-Woo] Eulji Univ, Nowon Eulji Med Ctr, Dept Neurol, Seoul, South Korea; [Jang, Mihee] Presbyterian Med Ctr, Dept Neurol, Jeonju, South Korea; [Kim, Hee Jin] Konkuk Univ, Dept Neurol, Sch Med, Seoul, South Korea; [Kim, Young Eun] Hallym Univ, Dept Neurol, Sacred Heart Hosp, Anyang, South Korea; [Park, Hye Ran] Soonchunhyang Univ, Seoul Hosp, Sch Med, Dept Neurosurg, Asan, South Korea; [Ehm, Gwanhee] Natl Med Ctr, Dept Neurol, Seoul, South Korea; [Yang, Hui-Jun] Univ Ulsan, Ulsan Univ Hosp, Dept Neurol, Coll Med, Ulsan, South Korea; [Yun, Ji Young] Ewha Womans Univ, Coll Med, Dept Neurol, Mokdong Hosp, Seoul, South Korea; [Shin, Chaewon] Kyung Hee Univ Hosp, Dept Neurol, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 ELSEVIER SCI LTD
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000169404
- 본문언어 영어
- Published As https://dx.doi.org/10.1016/j.jocn.2020.04.005
- PubMed https://pubmed.ncbi.nlm.nih.gov/32312629
초록/요약
Assessing patient goals is crucial in understanding patient centered outcomes and satisfaction. However, patient goals may change throughout treatment. Our objective is to identify the changes in patient-selected goals of Parkinson's disease (PD) patients undergoing bilateral subthalamic nucleus deep brain stimulation (STN-DBS) and examine the relationship among patient-selected goal achievement, standard DBS outcome measures, and overall patient satisfaction. Seventy-five patients undergoing bilateral STN-DBS listed three patient-selected goals before surgery. After six months, patients were asked to restate the three goals and to rate the degree of goal achievement and the overall satisfaction of surgery. The three most frequently selected goals were "dyskinesia", "gait disorder", and "medication off duration". After six months, 80.0% of patients could not accurately recall their pre-DBS goals. "Dyskinesia" was the most consistently selected goal, more patients selected "tremor" and "less medication" at post-DBS compared to pre-DBS, and less patients selected "gait disorder" at post-DBS compared to pre-DBS. 74.7% of patients reported overall satisfaction by stating they were "very much" or "much better after surgery". Patient satisfaction significantly correlated with goal achievement (r = 0.640; p < 0.001). Interestingly, change in UPDRS motor scores did not correlate with patient satisfaction (r = 0.100; p = 0.395). Although recalled goals do not accurately represent the pre-surgical goals, the achievement score for recalled goals significantly correlated with patient satisfaction. Patient goals change due to many reasons. Therefore, follow-up patient counseling to discuss goals and outcomes is important in improving patient satisfaction after STN-DBS. (C) 2020 Elsevier Ltd. All rights reserved.
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