An International Survey of Deep Brain Stimulation Utilization in Asia and Oceania: The DBS Think Tank East

Frontiers in Human Neuroscience

Paresh K. Doshi¹  Yiwen Wu²  Jun Liu²  Chencheng Zhang³  Zhengyu Lin³  Bomin Sun³  Yijie Lai³  Dianyou Li³  Shinsuke Fujioka⁴  Genko Oyama⁵  Takashi Morishita⁶  Tooru Inoue⁶  Fangang Meng⁷  Jianguo Zhang⁷  Jinwoo Chang⁸  Valerie Voon⁹  Aparna A. Wagle Shukla^1,10  Wei Hu^1,10  Kelly Foote^1,10  Adolfo Ramirez-Zamora^1,10  Bhavana Patel^1,10  Leonardo Almeida^1,10  Michael S. Okun^1,10  Terry Coyne^1,11 

[1] 0Department of Neurosurgery, Jaslok Hospital and Research Centre, Mumbai, India;1Department of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Department of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Department of Neurology, Fukuoka University, Fukuoka, Japan;Department of Neurology, Juntendo University Graduate School of Medicine, Tokyo, Japan;Department of Neurosurgery, Fukuoka University, Fukuoka, Japan;Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing, China;Department of Neurosurgery, Yonsei University College of Medicine, Seoul, South Korea;Department of Psychiatry, Addenbrooke’s Hospital, University of Cambridge, Cambridge, United Kingdom;Norman Fixel Institute of Neurological Diseases, Program for Movement Disorders and Neurorestoration, Department of Neurology, University of Florida College of Medicine, Gainesville, FL, United States;Queensland Brain Institute, University of Queensland, Brisbane, QLD, Australia;

关键词: deep brain stimulation;    Asia;    Oceania;    China;    Japan;    India;   

DOI  :  10.3389/fnhum.2020.00162

来源: DOAJ

【 摘 要 】

Introduction: To evaluate the current utilization and challenges in fully implementing the use of deep brain stimulation (DBS) treatment in Asia and Oceania.Methods: We conducted a medical literature search to identify DBS research performed by investigators with a primary affiliation in Asian and Oceania countries between March 1, 2013, and March 1, 2019, followed by an international survey-based study. Additionally, we obtained added information regarding the DBS challenges and opportunities from the technology/industry perspective within China and Japan. We also described the current situation of DBS in India.Results: Most publications (390/494; 78.95%) in the English language originated from East Asia. In West Asia, Turkey, Israel, and Iran accounted for most DBS publications. We found no publications from the remaining 35 Asian countries. Lack of community referrals to tertiary centers was identified as the most common limitation for the widespread use of DBS in Asia (68.97%). In China, despite an increasing number of centers performing DBS surgeries, most of them accomplished less than 10 cases per year. In contrast, the number of DBS cases in Japan has been decreasing. Centers offering DBS surgeries as well as corresponding fellowship training in India are limited.Conclusion: Appropriate referrals, access, infrastructure, and the presence of full multidisciplinary DBS teams are common limitations of DBS in Asia. Most centers in China, Japan, and India performed less than 10 cases per year and a future study is expected to address the impact on quality in centers performing such few cases.

【 授权许可】

Unknown