Objective: To evaluate the preference and satisfaction of the deep brain stimulation implantable pulse generator in patients with hypokinetic movement disorders.
Background: Deep brain stimulation (DBS) is an established treatment for movement disorder. Implantable pulse generators (implantable pulse generators/batteries) for DBS can be chosen between fixed-life and rechargeable batteries, with each having their advantages and disadvantages. This study aimed to evaluate patients’ preferences and long-term satisfaction with their choice of DBS.
Method: 92 patients diagnosed with dystonia or tics undergoing DBS surgery were given a questionnaire to assess long-term satisfaction and experience with the type of battery they had chosen, and the influenced factors on the decision.
Results: Of these ninety-two patients, seventy-one was diagnosed with dystonia and twenty-one with tics. 52.2% patients sought DBS surgery after referrals from neurology specialists. The social media was also a non-negligible way for the popularization of the DBS (32.6%, 30/91). Interestingly, the remote programming feature significantly affected patients’ choice between products of domestic and imported brands (χ2 = 5.05, p = 0.02). 85.9% patients satisfied with stimulating effects as well as the implanted device. 78.3% patients chose a rechargeable device (r-IPG). The choice between rechargeable and the non-rechargeable device was significantly associated with the patient’s affordability (χ2 = 19.07, p = 0.00). 33.3% (24/72) felt confident using their r-IPG within one week after discharge. 66.7% (48/72) of patients with r-IPG checked the device battery every week. The mean interval for battery recharge was 4.4 days. 18.1% (13/72) of r-IPG patients need partners or nursing services to check and recharge the IPG. Similarly, the percentage of patients who continued to work was 41.7% (30/72). However, only a minority (30.0%, 9/30) recharged during the work. There are nine patients claimed the experience of the recharge problem, four of whom needed technical support.
Conclusion: Most of the patients are satisfied with their choice of IPG. And the patients’ economic status is the most important factor of choice on the IPG. The skill of using rechargeable implanted pulse generator was easily to be capable by most patients.
To cite this abstract in AMA style:
X. Qiu, CC. Zhang, Z.Y Lin, Y.H Wang, Y.W Wu, D.Y Li. Preference and Satisfaction of the Deep Brain Stimulation Battery in the Patients with Hypokinetic Movement Disorders [abstract]. Mov Disord. 2020; 35 (suppl 1). https://www.mdsabstracts.org/abstract/preference-and-satisfaction-of-the-deep-brain-stimulation-battery-in-the-patients-with-hypokinetic-movement-disorders/. Accessed November 22, 2024.« Back to MDS Virtual Congress 2020
MDS Abstracts - https://www.mdsabstracts.org/abstract/preference-and-satisfaction-of-the-deep-brain-stimulation-battery-in-the-patients-with-hypokinetic-movement-disorders/