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@ARTICLE{Semmler:1023519,
author = {Semmler, Carolin and Stopic, Vasilija and Jost, Stefanie T.
and Fink, Gereon R. and Weiss-Blankenhorn, Peter and Barbe,
Michael T.},
title = {{P}reoperative motor deficits and depressive symptoms
predict quality of life in patients with {P}arkinson’s
disease at different time points after surgery for
subthalamic stimulation: a retrospective study},
journal = {Neurological research and practice},
volume = {6},
number = {1},
issn = {2524-3489},
address = {[London]},
publisher = {BioMed Central},
reportid = {FZJ-2024-01730},
pages = {8},
year = {2024},
abstract = {AbstractBackground While subthalamic nucleus deep brain
stimulation (STN-DBS) improves the quality of life (QoL)of
patients with Parkinson’s disease (PD), the clinical
parameters that predict this improvement remain debated.
Thisretrospective study explored whether preoperative motor,
cognitive, and affective parameters predict QoL or its
componentsat 6 and 12 months after STN-DBS surgery.Methods
QoL was assessed with the Parkinson’s Disease
Questionnaire-39 (PDQ-39) before (baseline), at 6 months(N =
90) and 12 months (N = 63) after STN-DBS surgery. Changes in
the PDQ-39 and its subdomains were analysedwith Wilcoxon
signed-rank tests. In total, seven motor, cognitive, and
affective parameters recorded at baseline wereused in
multiple linear regressions to predict QoL and its
subdomains.Results QoL had improved significantly at six
months post STN-DBS surgery. After 12 months, this effect
remainedsignificant but was less pronounced. At both time
points, significant improvements in mobility, activities of
daily living,stigma, and bodily discomfort were present.
Correlation and linear regression analyses showed that
preoperativeQoL status and changes in QoL at 6 and 12 months
after surgery were driven by preoperative dopaminergic
medication,as well as motor (UPDRS-III medOFF and
PIGD-subscore medOFF) and affective (HADS anxiety and
depression)symptoms. In contrast, preoperative cognitive
performance did not predict QoL at any time point.Conclusion
Data show that preoperative motor and affective symptoms
drive both QoL baseline status and changesin QoL after
STN-DBS surgery. Thus, these clinical parameters need to be
assessed appropriately to provide comprehensivepresurgical
advice to patients suffering from PD.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5251 - Multilevel Brain Organization and Variability
(POF4-525) / DFG project G:(GEPRIS)431549029 - SFB 1451:
Schlüsselmechanismen normaler und krankheitsbedingt
gestörter motorischer Kontrolle (431549029)},
pid = {G:(DE-HGF)POF4-5251 / G:(GEPRIS)431549029},
typ = {PUB:(DE-HGF)16},
pubmed = {38326916},
UT = {WOS:001158415400001},
doi = {10.1186/s42466-023-00303-2},
url = {https://juser.fz-juelich.de/record/1023519},
}