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@ARTICLE{Jost:893091,
author = {Jost, Stefanie T. and Visser-Vandewalle, Veerle and Rizos,
Alexandra and Loehrer, Philipp A. and Silverdale, Monty and
Evans, Julian and Samuel, Michael and Petry-Schmelzer, Jan
Niklas and Sauerbier, Anna and Gronostay, Alexandra and
Barbe, Michael T. and Fink, Gereon Rudolf and Ashkan,
Keyoumars and Antonini, Angelo and Martinez-Martin, Pablo
and Chaudhuri, K. Ray and Timmermann, Lars and Dafsari,
Haidar S. and Bhidayasiri, Roongroj and Falup-Pecurariu,
Cristian and Jeon, Beomseok and Leta, Valentina and
Borghammer, Per and Odin, Per and Schrag, Anette and Storch,
Alexander and Violante, Mayela Rodriguez and Weintraub,
Daniel and Adler, Charles and Barone, Paolo and Brooks,
David J. and Brown, Richard and Cantillon, Marc and Carroll,
Camille and Coelho, Miguel and Henriksen, Tove and Hu,
Michele and Jenner, Peter and Kramberger, Milica and Kumar,
Padma and Kurtis, Mónica and Lewis, Simon and Litvan, Irene
and Lyons, Kelly and Martino, Davide and Masellis, Mario and
Mochizuki, Hideki and Morley, James F. and Nirenberg,
Melissa and Pagonabarraga, Javier and Panicker, Jalesh and
Pavese, Nicola and Pekkonen, Eero and Postuma, Ron and
Rosales, Raymond and Schapira, Anthony and Simuni, Tanya and
Stocchi, Fabrizio and Subramanian, Indu and Tagliati,
Michele and Tinazzi, Michele and Toledo, Jon and Tsuboi,
Yoshio and Walker, Richard},
title = {{N}on-motor predictors of 36-month quality of life after
subthalamic stimulation in {P}arkinson disease},
journal = {npj Parkinson's Disease},
volume = {7},
number = {1},
issn = {2373-8057},
address = {London [u.a.]},
publisher = {Nature Publ. Group},
reportid = {FZJ-2021-02551},
pages = {48},
year = {2021},
abstract = {To identify predictors of 36-month follow-up quality of
life (QoL) outcome after bilateral subthalamic nucleus deep
brain stimulation (STN-DBS) in Parkinson’s disease (PD).
In this ongoing, prospective, multicenter international
study (Cologne, Manchester, London) including 73 patients
undergoing STN-DBS, we assessed the following scales
preoperatively and at 6-month and 36-month follow-up: PD
Questionnaire-8 (PDQ-8), NMSScale (NMSS), Scales for
Outcomes in PD (SCOPA)-motor examination, -activities of
daily living, and -complications, and levodopa equivalent
daily dose (LEDD). We analyzed factors associated with QoL
improvement at 36-month follow-up based on (1) correlations
between baseline test scores and QoL improvement, (2)
step-wise linear regressions with baseline test scores as
independent and QoL improvement as dependent variables, (3)
logistic regressions and receiver operating characteristic
curves using a dichotomized variable “QoL
responders”/“non-responders”. At both follow-ups, NMSS
total score, SCOPA-motor examination, and -complications
improved and LEDD was reduced significantly. PDQ-8 improved
at 6-month follow-up with subsequent decrements in gains at
36-month follow-up when $61.6\%$ of patients were
categorized as “QoL non-responders”. Correlations,
linear, and logistic regression analyses found greater PDQ-8
improvements in patients with younger age, worse PDQ-8, and
worse specific NMS at baseline, such as ‘difficulties
experiencing pleasure’ and ‘problems sustaining
concentration’. Baseline SCOPA scores were not associated
with PDQ-8 changes. Our results provide evidence that
36-month QoL changes depend on baseline neuropsychological
and neuropsychiatric non-motor symptoms burden. These
findings highlight the need for an assessment of a wide
range of non-motor and motor symptoms when advising and
selecting individuals for DBS therapy.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {525 - Decoding Brain Organization and Dysfunction
(POF4-525)},
pid = {G:(DE-HGF)POF4-525},
typ = {PUB:(DE-HGF)16},
pubmed = {34103534},
UT = {WOS:000659233200001},
doi = {10.1038/s41531-021-00174-x},
url = {https://juser.fz-juelich.de/record/893091},
}