Muestra métricas de impacto externas asociadas a la publicación. Para mayor detalle:
| Indexado |
|
||||
| DOI | 10.1159/000531089 | ||||
| Año | 2023 | ||||
| Tipo | revisión |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
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.
| 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 |