General Anesthesia versus Local Anesthesia in StereotaXY (GALAXY) for Parkinson's disease: study protocol for a randomized controlled trial

被引：16
作者：
Holewijn, R. A. [1 ]
Verbaan, D. [1 ]
de Bie, R. M. A. [2 ]
Schuurman, P. R. [1 ]
机构：
[1] Acad Med Ctr, Dept Neurosurg, POB 22660, NL-1100 DD Amsterdam, Netherlands
[2] Acad Med Ctr, Dept Neurol, POB 22660, NL-1100 DD Amsterdam, Netherlands
来源：
TRIALS | 2017年 / 18卷
关键词：
Neurosurgery; Parkinson's disease; Deep brain stimulation; Prospective randomized open-label blinded endpoint trial; DEEP-BRAIN-STIMULATION; SUBTHALAMIC NUCLEUS STIMULATION; RATING-SCALE; MEDICAL THERAPY; RELIABILITY; VALIDITY; SURGERY; MRI; VISUALIZATION;
D O I：
10.1186/s13063-017-2136-8
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Background: The aim of the study is to investigate if deep brain stimulation (DBS) in the subthalamic nucleus (STN) for Parkinson's disease (PD) under general anesthesia further improves outcome by lessening postoperative cognitive, mood, and behavioral adverse effects; shorten surgical time and hospital admittance; and produce comparable symptomatic and functional improvement to surgery under local anesthesia. Methods/design: The study will be a single-center, prospective, randomized, open-label, blinded endpoint trial comparing DBS under general anesthesia with DBS under local anesthesia. The primary outcome measure is a composite score of the postoperative cognitive, mood, and behavioral adverse effects and will be measured 6 months after surgery. The secondary outcome measures consist of changes in motor symptoms, adverse effects of stimulation and surgical complications, surgical time, functional health, quality of life, patient satisfaction with the outcome of treatment, patient evaluation of the burden of therapy, and medication. A total of 110 patients with advanced PD who are candidates for DBS will be randomized during a 2.5-year period. Discussion: The aim of this trial is to further enhance the effectiveness of DBS treatment in PD while reducing the burden of DBS surgery by studying if DBS surgery under general anesthesia results in less cognitive, mood, and behavioral adverse effects compared with surgery under local anesthesia.
引用
收藏
页数：7
相关论文
共 40 条
[11]   A RATING SCALE FOR DEPRESSION [J].
HAMILTON, M .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1960, 23 (01) :56-62
[12]   THE ASSESSMENT OF ANXIETY-STATES BY RATING [J].
HAMILTON, M .
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY, 1959, 32 (01) :50-55
[13]   Deep brain stimulation of the subthalamic nucleus for advanced Parkinson disease using general anesthesia: long-term results Clinical article [J].
Harries, Anwen M. ;
Kausar, Jamilla ;
Roberts, Stuart A. G. ;
Mocroft, A. Paul ;
Hodson, James A. ;
Pall, Hardev S. ;
Mitchell, Rosalind D. .
JOURNAL OF NEUROSURGERY, 2012, 116 (01) :107-113
[14]  
Hertel Frank, 2006, Neurosurgery, V59, pE1138
[15]   CLARIFYING CONFUSION - THE CONFUSION ASSESSMENT METHOD - A NEW METHOD FOR DETECTION OF DELIRIUM [J].
INOUYE, SK ;
VANDYCK, CH ;
ALESSI, CA ;
BALKIN, S ;
SIEGAL, AP ;
HORWITZ, RI .
ANNALS OF INTERNAL MEDICINE, 1990, 113 (12) :941-948
[16]   CLINICAL-SIGNIFICANCE - A STATISTICAL APPROACH TO DEFINING MEANINGFUL CHANGE IN PSYCHOTHERAPY-RESEARCH [J].
JACOBSON, NS ;
TRUAX, P .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1991, 59 (01) :12-19
[17]   Subthalamic nucleus deep brain stimulation: Summary and meta-analysis of outcomes [J].
Kleiner-Fisman, Galit ;
Herzog, Jan ;
Fisman, David N. ;
Tamma, Filippo ;
Lyons, Kelly E. ;
Pahwa, Rajesh ;
Lang, Anthony E. ;
Deuschl, Guenther .
MOVEMENT DISORDERS, 2006, 21 :S290-S304
[18]   Five-year follow-up of bilateral stimulation of the subthalamic nucleus in advanced Parkinson's disease [J].
Krack, P ;
Batir, A ;
Van Blercom, N ;
Chabardes, S ;
Fraix, V ;
Ardouin, C ;
Koudsie, A ;
Limousin, PD ;
Benazzouz, A ;
LeBas, JF ;
Benabid, AL ;
Pollak, P .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (20) :1925-1934
[19]   Outcome of bilateral subthalamic nucleus stimulation in the treatment of Parkinson's disease:: Correlation with intra-operative multi-unit recordings but not with the type of anaesthesia [J].
Lefaucheur, Jean-Pascal ;
Gurruchaga, Jean-Marc ;
Pollin, Bernard ;
von Raison, Florian ;
Mohsen, Nabil ;
Shin, Masahiro ;
Menard-Lefaucheur, Isabelle ;
Oshino, Satoru ;
Kishima, Haruhiko ;
Fenelon, Gilles ;
Remy, Philippe ;
Cesaro, Pierre ;
Gabriel, Inana ;
Brugieres, Pierre ;
Keravel, Yves ;
Nguyen, Jean-Paul .
EUROPEAN NEUROLOGY, 2008, 60 (04) :186-199
[20]   Deep brain stimulation: Subthalamic nucleus electrophysiological activity in awake and anesthetized patients [J].
Lettieri, Christian ;
Rinaldo, Sara ;
Devigili, Grazia ;
Pauletto, Giada ;
Verriello, Lorenzo ;
Budai, Riccardo ;
Fadiga, Luciano ;
Oliynyk, Andriy ;
Mondani, Massimo ;
D'Auria, Stanislao ;
Skrap, Miran ;
Eleopra, Roberto .
CLINICAL NEUROPHYSIOLOGY, 2012, 123 (12) :2406-2413
1234