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Idiopathic Parkinson's disease and chronic pain in the era of deep brain stimulation: a systematic review and meta-analysis

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dc.contributor.author정현호-
dc.date.accessioned2023-04-07T01:10:39Z-
dc.date.available2023-04-07T01:10:39Z-
dc.date.issued2022-04-
dc.identifier.issn0022-3085-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/193793-
dc.description.abstractObjective: Pain is the most common nonmotor symptom of Parkinson's disease (PD) and is often undertreated. Deep brain stimulation (DBS) effectively mitigates the motor symptoms of this multisystem neurodegenerative disease; however, its therapeutic effect on nonmotor symptoms, especially pain, remains inconclusive. While there is a critical need to help this large PD patient population, guidelines for managing this significant disease burden are absent. Herein, the authors systematically reviewed the literature and conducted a meta-analysis to study the influence of traditional (subthalamic nucleus [STN] and globus pallidus internus [GPi]) DBS on chronic pain in patients with PD. Methods: The authors performed a systematic review of the literature and a meta-analysis following PRISMA guidelines. Risk of bias was assessed using the levels of evidence established by the Oxford Centre for Evidence-Based Medicine. Inclusion criteria were articles written in English, published in a peer-reviewed scholarly journal, and about studies conducting an intervention for PD-related pain in no fewer than 5 subjects. Results: Twenty-six studies were identified and included in this meta-analysis. Significant interstudy heterogeneity was detected (Cochran's Q test p < 0.05), supporting the use of the random-effects model. The random-effects model estimated the effect size of DBS for the treatment of idiopathic pain as 1.31 (95% CI 0.84-1.79). The DBS-on intervention improved pain scores by 40% as compared to the control state (preoperative baseline or DBS off). Conclusions: The results indicated that traditional STN and GPi DBS can have a favorable impact on pain control and improve pain scores by 40% from baseline in PD patients experiencing chronic pain. Further trials are needed to identify the subtype of PD patients whose pain benefits from DBS and to identify the mechanisms by which DBS improves pain in PD patients.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherAmerican Association of Neurological Surgeons-
dc.relation.isPartOfJOURNAL OF NEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHChronic Pain* / etiology-
dc.subject.MESHChronic Pain* / therapy-
dc.subject.MESHDeep Brain Stimulation* / methods-
dc.subject.MESHGlobus Pallidus-
dc.subject.MESHHumans-
dc.subject.MESHNeurodegenerative Diseases* / therapy-
dc.subject.MESHParkinson Disease* / complications-
dc.subject.MESHParkinson Disease* / therapy-
dc.subject.MESHSubthalamic Nucleus*-
dc.titleIdiopathic Parkinson's disease and chronic pain in the era of deep brain stimulation: a systematic review and meta-analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthorOliver Flouty-
dc.contributor.googleauthorKazuaki Yamamoto-
dc.contributor.googleauthorJurgen Germann-
dc.contributor.googleauthorIrene E Harmsen-
dc.contributor.googleauthorHyun Ho Jung-
dc.contributor.googleauthorCletus Cheyuo-
dc.contributor.googleauthorAjmal Zemmar-
dc.contributor.googleauthorVanessa Milano-
dc.contributor.googleauthorCan Sarica-
dc.contributor.googleauthorAndres M Lozano-
dc.identifier.doi10.3171/2022.2.JNS212561-
dc.contributor.localIdA03775-
dc.relation.journalcodeJ01636-
dc.identifier.eissn1933-0693-
dc.identifier.pmid35535836-
dc.identifier.urlhttps://thejns.org/view/journals/j-neurosurg/137/6/article-p1821.xml-
dc.subject.keywordParkinson’s disease-
dc.subject.keywordallodynia-
dc.subject.keywordcentral pain-
dc.subject.keywordchronic pain-
dc.subject.keyworddeep brain stimulation-
dc.subject.keywordfunctional neurosurgery-
dc.subject.keywordneuropathic pain-
dc.subject.keywordperipheral neuropathy-
dc.contributor.alternativeNameJung, Hyun Ho-
dc.contributor.affiliatedAuthor정현호-
dc.citation.volume137-
dc.citation.number6-
dc.citation.startPage1821-
dc.citation.endPage1830-
dc.identifier.bibliographicCitationJOURNAL OF NEUROSURGERY, Vol.137(6) : 1821-1830, 2022-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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