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Spinal Cord Stimulation for Parkinson's Disease: A Systematic Review and Meta-Analysis of Pain and Motor Outcomes
Indexado
WoS WOS:001028735600001
Scopus SCOPUS_ID:85165911699
DOI 10.1159/000531089
Año 2023
Tipo revisión

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: Spinal cord stimulation (SCS) has been investigated as a potential therapeutic option for managing refractory symptoms in patients with Parkinson's disease (PD). Objective: This systematic review and meta-analysis aimed to evaluate the safety and efficacy of SCS in PD. Method: A comprehensive literature search was conducted on PubMed and Web of Science to identify SCS studies reporting Unified Parkinson Disease Rating Scale-III (UPDRS-III) or Visual Analogue Scale (VAS) score changes in PD cohorts with at least 3 patients and a follow-up period of at least 1 month. Treatment effect was measured as the mean change in outcome scores and analyzed using an inverse variance random-effects model. The risk of bias was assessed using the Newcastle-Ottawa Scale and funnel plots. Results: A total of 11 studies comprising 76 patients were included. Nine studies involving 72 patients reported an estimated decrease of 4.43 points (95% confidence interval [CI]: 2.11; 6.75, p < 0.01) in UPDRS-III score, equivalent to a 14% reduction. The axial subscores in 48 patients decreased by 2.35 points (95% CI: 1.26; 3.45, p < 0.01, 20% reduction). The pooled effect size of five studies on back and leg pain VAS scores was calculated as 4.38 (95% CI: 2.67; 6.09, p < 0.001), equivalent to a 59% reduction. Conclusions: Our analysis suggests that SCS may provide significant motor and pain benefits for patients with PD, although the results should be interpreted with caution due to several potential limitations including study heterogeneity, open-label designs, small sample sizes, and the possibility of publication bias. Further research using larger sample sizes and placebo-/sham-controlled designs is needed to confirm effectiveness.

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Disciplinas de Investigación



WOS
Surgery
Neurosciences
Neuroimaging
Scopus
Sin Disciplinas
SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

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Autores - Afiliación



Ord. Autor Género Institución - País
1 Sarica, Can - UNIV TORONTO - Canadá
Univ Hlth Network - Canadá
University of Toronto Faculty of Medicine - Canadá
Krembil Research Institute - Canadá
University of Toronto - Canadá
2 Zemmar, Ajmal Hombre Henan Prov Peoples Hosp - China
UNIV LOUISVILLE - Estados Unidos
Zhengzhou University - China
University of Louisville - Estados Unidos
University of Louisville School of Medicine - Estados Unidos
3 Yousefi, Omid Hombre Shiraz Univ Med Sci - Iran
Trauma Research Center (SUMS) - Iran
4 Yang, Andrew C. Hombre UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
5 Uzuner, Ayse - Kocaeli Univ - Turquía
Kocaeli Üniversitesi - Turquía
6 Sheng, Zhiyuan - Zhengzhou University - China
7 Santyr, Brendan Hombre UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
8 Samuel, Nardin - UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
9 Colditz, Michael Hombre UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
10 Vetkas, Artur Hombre UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
11 Germann, Jurgen Hombre UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
12 Cheyuo, Cletus Hombre UNIV TORONTO - Canadá
University of Toronto Faculty of Medicine - Canadá
University of Toronto - Canadá
13 Sabahi, Mohammadmahdi - Univ Pittsburgh - Estados Unidos
University of Pittsburgh School of Medicine - Estados Unidos
14 Jani, Raja Hombre University of Louisville - Estados Unidos
University of Louisville School of Medicine - Estados Unidos
15 Darmani, Ghazaleh - Univ Hlth Network - Canadá
Krembil Research Institute - Canadá
16 Yamamoto, Kazuaki Hombre Shonan Fujisawa Tokushukai Hosp - Japón
Shonan Fujisawa Tokushukai Hospital - Japón
17 Aguirre Padilla, David Hombre Universidad de Chile - Chile
18 Neimat, Joseph Hombre UNIV LOUISVILLE - Estados Unidos
University of Louisville - Estados Unidos
University of Louisville School of Medicine - Estados Unidos
19 Kalia, Suneil K. - UNIV TORONTO - Canadá
Univ Hlth Network - Canadá
Ctr Adv Neurotechnol Innovat Applicat CRANIA - Canadá
University of Toronto Faculty of Medicine - Canadá
Krembil Research Institute - Canadá
CenteR for Advancing Neurotechnological Innovation to Application (CRANIA) - Canadá
University of Toronto - Canadá
20 Chen, Robert Hombre Univ Hlth Network - Canadá
UNIV TORONTO - Canadá
Krembil Research Institute - Canadá
University of Toronto - Canadá
21 Fasano, Alfonso Hombre Univ Hlth Network - Canadá
Ctr Adv Neurotechnol Innovat Applicat CRANIA - Canadá
UNIV TORONTO - Canadá
Krembil Research Institute - Canadá
CenteR for Advancing Neurotechnological Innovation to Application (CRANIA) - Canadá
University of Toronto - Canadá
22 Lozano, Andres M. Hombre UNIV TORONTO - Canadá
Univ Hlth Network - Canadá
University of Toronto Faculty of Medicine - Canadá
Krembil Research Institute - Canadá
University of Toronto - Canadá

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Financiamiento



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