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Gender Disparities in Deep Brain Stimulation for Parkinson's Disease.
- Source :
-
Neuromodulation : journal of the International Neuromodulation Society [Neuromodulation] 2019 Jun; Vol. 22 (4), pp. 484-488. Date of Electronic Publication: 2019 May 23. - Publication Year :
- 2019
-
Abstract
- Objectives: This study sought to determine whether there is a gender disparity in patients undergoing deep brain stimulation (DBS) surgery for Parkinson's disease (PD) at a single health system, and better understand the reasons for this discrepancy.<br />Materials and Methods: We analyzed data from the University of Miami DBS Database, which included 3251 PD patients, using chi-square, repeated measures ANOVA, and t tests to examine gender differences in the number of patients referred for surgery, reasons for referral, number receiving/not receiving surgery, reasons for not receiving surgery, and postsurgical outcomes.<br />Results: During the study period, 207 PD patients were referred for DBS (75.8% male), and 100 underwent surgery (77.0% male). Of those who did not receive surgery, the most common reasons were need for further medical optimization (26.2%), suboptimal performance on neuropsychological evaluation (22.4%), other reason (20.6%), lost to follow-up (18.7%), or patient preference (12.2%). However, in women one of the most common reasons was patient preference (28.0%), and this was significant compared to men (pā<ā0.001). Men were more likely to be lost to follow-up (p = 0.046). There was no statistically significant difference in postsurgical outcomes.<br />Conclusions: Despite similar postsurgical improvements, women were less likely to undergo DBS surgery due to their own preference, while men were more likely to be lost to follow-up. These data underscore the need for increased education and awareness of DBS so that all patients with PD who qualify for surgery can benefit from this procedure.<br /> (© 2019 International Neuromodulation Society.)
Details
- Language :
- English
- ISSN :
- 1525-1403
- Volume :
- 22
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Neuromodulation : journal of the International Neuromodulation Society
- Publication Type :
- Academic Journal
- Accession number :
- 31120180
- Full Text :
- https://doi.org/10.1111/ner.12973