Disparities in Access to Deep Brain Stimulation.

IF 2.1 4区医学 Q3 NEUROIMAGING

Stereotactic and Functional Neurosurgery Pub Date : 2026-01-01 Epub Date: 2025-10-09 DOI:10.1159/000548814

Franziska A Schmidt, Irene Martinez-Torres, Jürgen Germann, Mohammad Mehdi Hajiabadi, Oliver Bichsel, Can Sarica, Andres M Lozano

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引用次数: 0

Abstract

Background: Deep brain stimulation (DBS) is a well-established treatment for several neurological and neuropsychiatric conditions, including movement disorders such as Parkinson's disease, essential tremor, and dystonia, as well as Gilles de la Tourette's syndrome, epilepsy, and obsessive-compulsive disorder.

Summary: In recent years, research has expanded to explore the potential of DBS for other indications, including dementia, addiction, disorders of consciousness (e.g., minimally conscious state), and eating disorders. Over the past 3 decades, significant technological advancements have been made in DBS devices, including improvements in electrode design, stimulation parameters, and battery life. However, despite these technological innovations, equitable access to DBS has not progressed at a similar pace. Barriers to access remain a persistent challenge globally, influenced by socioeconomic, geographic, systemic, and policy-related factors.

Key message: This review summarizes the current literature on access to DBS, highlighting disparities, challenges, and potential strategies to improve availability and equity in its application.

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获得深部脑刺激的差异。

背景：脑深部刺激是几种神经和神经精神疾病的公认治疗方法，包括帕金森病、特发性震颤和肌张力障碍等运动障碍，以及妥瑞氏综合征、癫痫和强迫症（OCD）。摘要：近年来，研究已经扩展到探索DBS治疗其他适应症的潜力，包括痴呆、成瘾、意识障碍（如最低意识状态）和饮食失调。在过去的三十年里，DBS设备取得了重大的技术进步，包括电极设计、刺激参数和电池寿命的改进。然而，尽管有这些技术创新，但公平获得星展银行服务并没有以类似的速度取得进展。受社会经济、地理、系统和政策相关因素的影响，获取障碍仍然是全球面临的持续挑战。关键信息：本文总结了目前关于DBS可及性的文献，强调了差距、挑战和提高DBS可及性和公平性的潜在策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Stereotactic and Functional Neurosurgery 医学-神经成像

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： ''Stereotactic and Functional Neurosurgery'' provides a single source for the reader to keep abreast of developments in the most rapidly advancing subspecialty within neurosurgery. Technological advances in computer-assisted surgery, robotics, imaging and neurophysiology are being applied to clinical problems with ever-increasing rapidity in stereotaxis more than any other field, providing opportunities for new approaches to surgical and radiotherapeutic management of diseases of the brain, spinal cord, and spine. Issues feature advances in the use of deep-brain stimulation, imaging-guided techniques in stereotactic biopsy and craniotomy, stereotactic radiosurgery, and stereotactically implanted and guided radiotherapeutics and biologicals in the treatment of functional and movement disorders, brain tumors, and other diseases of the brain. Background information from basic science laboratories related to such clinical advances provides the reader with an overall perspective of this field. Proceedings and abstracts from many of the key international meetings furnish an overview of this specialty available nowhere else. ''Stereotactic and Functional Neurosurgery'' meets the information needs of both investigators and clinicians in this rapidly advancing field.