How many parkinsonian patients are suitable candidates for deep brain stimulation of subthalamic nucleus? Results of a questionnaire

Parkinsonism Relat Disord. 2007 Dec;13(8):528-31. doi: 10.1016/j.parkreldis.2006.12.013. Epub 2007 Mar 7.

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.

MeSH terms

  • Adult
  • Aged
  • Chi-Square Distribution
  • Deep Brain Stimulation / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parkinsonian Disorders / epidemiology
  • Parkinsonian Disorders / therapy*
  • Patient Selection*
  • Subthalamic Nucleus / physiology*
  • Surveys and Questionnaires