Category: Surgical Therapy: Parkinson's Disease
Objective: To evaluate the preference and satisfaction of the deep brain stimulation implantable pulse generator in patients with Parkinson’s disease.
Background: Deep brain stimulation (DBS) is an established treatment for movement disorder. Implantable pulse generators (implantable pulse generators/batteries) for DBS were now a choice between fixed-life and rechargeable batteries, with each having their advantages and disadvantages.
Method: Two hundred and twenty patients with DBS were given a self-designed questionnaire to assess long-term satisfaction and experience with the type of battery they had chosen, and the influenced factors of implanted pulse generator choose. The survey was performed online (WeChat) and double-checked for completeness and accuracy.
Results: The mean follow-up was 27.5 ± 32.4 months. The most popular way for patients to appreciate DBS surgery was media (79/220, 35.9%), including the Internet and television programs. Interestingly, the remote programming feature significantly affected patients’ choice between products of domestic and imported brands (χ2 = 16.81, p = 0.00). 87.7% patients satisfied with stimulating effects as well as the implanted device. 87.3% DBS were rechargeable device (r-IPG). The choice between rechargeable and non-rechargeable IPG was significantly associated with the patient’s affordability (χ2 = 19.13, p = 0.00). 40.6% patients with r-IPG felt confident with their device within one week after discharge. More than half of the patients checked battery every week. The mean interval for battery recharge was 4.3 days. 57.8% patients spending around one-hour recharging and 71.4% of them recharge the battery independently. The rehabilitation (40.6%, 78/192), as well as programming (36.5%, 70/192), were two main courses that patients mostly wanted to learn during follow-up.
Conclusion: Most patients are satisfied with their choice of IPG. The patients’ economic status and remote programming feature seem like the most critical factors in their decision. The skill of using rechargeable implanted pulse generator was easily to be capable by most patients. Rehabilitation and self-programming skill are demanded in patients.
To cite this abstract in AMA style:
X. Qiu, CC. Zhang, Z.Y Lin, D.Y Li. Preference and satisfaction of the Deep Brain Stimulation Battery in Patients with Parkinson’s Disease [abstract]. Mov Disord. 2020; 35 (suppl 1). https://www.mdsabstracts.org/abstract/preference-and-satisfaction-of-the-deep-brain-stimulation-battery-in-patients-with-parkinsons-disease/. 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-patients-with-parkinsons-disease/