We sought to determine whether racial and socioeconomic disparities in the utilization of deep brain stimulation (DBS) for Parkinson's disease (PD) have improved over time. We examined DBS utilization and analyzed factors associated with placement of DBS. The odds of DBS placement increased across the study period, whereas White patients with PD were 5 times more likely than Black patients to undergo DBS. Individuals, regardless of racial background, with 2 or more comorbidities were 14 times less likely to undergo DBS. Privately insured patients were 1.6 times more likely to undergo DBS. Despite increasing DBS utilization, significant disparities persist in access to DBS. ANN NEUROL 2022;92:246-254.
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http://dx.doi.org/10.1002/ana.26378 | DOI Listing |
Clin Neurophysiol
December 2024
Department of Neurology, University Medical Center Groningen (UMCG), University of Groningen, Hanzeplein 1, 9700 RB Groningen, the Netherlands; Expertise Center Movement Disorders Groningen, University Medical Center Groningen (UMCG), the Netherlands. Electronic address:
Hum Brain Mapp
December 2024
Department of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Subthalamic (STN) deep brain stimulation (DBS) in Parkinson's disease (PD) patients not only improves kinematic parameters of movement but also modulates cognitive control in the motor and non-motor domain, especially in situations of high conflict. The objective of this study was to investigate the relationship between DBS-induced changes in functional connectivity at rest and modulation of response- and movement inhibition by STN-DBS in a visuomotor task involving high conflict. During DBS ON and OFF conditions, we conducted a visuomotor task in 14 PD patients who previously underwent resting-state functional MRI (rs-fMRI) acquisitions DBS ON and OFF as part of a different study.
View Article and Find Full Text PDFJ Clin Med
November 2024
Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University Medical College, 31-007 Kraków, Poland.
: Depression is a known factor in poor cardiovascular outcomes but is often underassessed in cardiac units. This study evaluates the impact of depression on cardiovascular outcomes in patients undergoing cardiac interventions. The study included 133 patients who underwent uncomplicated procedures for degenerative aortic valve stenosis (n = 40), acute coronary syndrome (n = 29), or chronic coronary artery disease (n = 64).
View Article and Find Full Text PDFJ Neurophysiol
January 2025
Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, United States.
The motor thalamus plays a crucial role in integrating and modulating sensorimotor information. Although voltage power spectral changes in the motor cortex with movement are well-characterized, corresponding activity in the motor thalamus, particularly broadband power change, remains unclear. The present study aims to characterize spectral changes in the motor thalamus during hand movements of 15 subjects undergoing awake deep brain stimulation surgery targeting the ventral intermediate (Vim) nucleus of the thalamus for disabling tremor.
View Article and Find Full Text PDFBMC Psychiatry
November 2024
Shanghai Mental Health Center, 200030, Shanghai, China.
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