Utilization, surgical populations, centers, coverages, regional balance, and their influential factors of deep brain stimulation for Parkinson’s disease: a large-scale multicenter cross-sectional study from 1997 to 2021
Rattachement africain : cn, us, ca, hk, gb, tw. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Deep brain stimulation (DBS) is an emerging and effective therapy for Parkinson's disease (PD). However, little is known about its utilization, surgical populations, centers, coverages, regional balance, and influential factors. MATERIALS AND METHODS: This large-scale multicenter cross-sectional study was conducted using a national census involving 74 Chinese centers. National DBS populations and centers for PD were investigated in 1997-2021, and regional sociodemographic features, surgical populations, related resources, and insurance policies in 2020 were explored. RESULTS: Since the first DBS surgery in 1997, a total of 38 122 PD patients from 349 centers underwent DBS by 2021, which covered 1.118% (1.108-1.129) of patients and 0.954% (0.933-0.976) of centers. Significant upward trends in the annual surgical population and coverages were observed with rapid climbing rates, while the annual surgical centers and their coverage showed two growth peaks in 2002-2006 and 2010-2018, correlating with clinical approvals and new technologies. A total of 103 070 (51 165-154 975) PD patients [2.088% (1.351-2.825) coverage] and 603 (72-1134) centers [1.356% (1.126-1.586) coverage] are predicted to conduct DBS by 2030. The new remotely programmed DBS technology was recoded as the first application in 2015 and rapidly increased to 2771 (47.39%, 46.11-48.67) patients with 10 507 remote programming sessions annually in 2021. Provinces in the eastern and central regions had better economic status, more surgical patients, higher insurance affordability, and more related resources than those in the western and northeastern regions. Higher gross domestic product per capita ( β =5.041, 3.324-6.758 and β =0.008, 0.004-0.012; all P <0.001) and more functional neurosurgery doctors ( β =3.596, 0.353-6.839; P =0.031 and β =0.010, 0.002-0.017; P =0.013) positively influenced surgical populations and coverages, while higher insurance levels ( β =128.888, 64.702-193.075; P <0.001) positively influenced surgical coverages. CONCLUSION: Although surgical populations, centers, and coverages of DBS for PD have rapidly improved and are predicted to show future increases, this is still insufficient to cover potential eligible patients. Regionally imbalanced health coverage should be given attention to promote coordinated development.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Utilization, surgical populations, centers, coverages, regional balance, and their influential factors of deep brain stimulation for Parkinson’s disease: a large-scale multicenter cross-sectional study from 1997 to 2021
- Date Crossref
- 15/07/2023
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Capital Medical University Beijing Neurosurgical Institute pays non établi dans la noticeUniversité ou école supérieure
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Beijing Tian Tan Hospital pays non établi dans la noticeÉtablissement de santé
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Beijing Institute of Neurosurgery pays non établi dans la noticeStructure de recherche
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Chinese Institute for Brain Research pays non établi dans la noticeOrganisme public
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University of Florida Department of Neurology pays non établi dans la noticeUniversité ou école supérieure
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University Health Network Department of Surgery pays non établi dans la noticeÉtablissement de santé
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University of Toronto pays non établi dans la noticeUniversité ou école supérieure
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Chinese University of Hong Kong Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Prince of Wales Hospital pays non établi dans la noticeÉtablissement de santé
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Queen Elizabeth Hospital Department of Neurosurgery pays non établi dans la noticeÉtablissement de santé
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Queen Mary Hospital pays non établi dans la noticeÉtablissement de santé
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University of Hong Kong Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
Beijing Neurosurgical Institute — Capital Medical University, Beijing Tian Tan Hospital et Beijing Institute of Neurosurgery, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.