North American survey on impact of the COVID-19 pandemic shutdown on DBS care.
Parkinsonism Relat Disord
; 92: 41-45, 2021 11.
Article
in English
| MEDLINE | ID: covidwho-1472127
ABSTRACT
BACKGROUND:
The initial COVID-19 pandemic shutdown led to the canceling of elective surgeries throughout most of the USA and Canada.OBJECTIVE:
This survey was carried out on behalf of the Parkinson Study Group (PSG) to understand the impact of the shutdown on deep brain stimulation (DBS) practices in North America.METHODS:
A survey was distributed through RedCap® to the members of the PSG Functional Neurosurgical Working Group. Only one member from each site was asked to respond to the survey. Responses were collected from May 15 to June 6, 2020.RESULTS:
Twenty-three sites participated; 19 (83%) sites were from the USA and 4 (17%) from Canada. Twenty-one sites were academic medical centers. COVID-19 associated DBS restrictions were in place from 4 to 16 weeks. One-third of sites halted preoperative evaluations, while two-thirds of the sites offered limited preoperative evaluations. Institutional policy was the main contributor for the reported practice changes, with 87% of the sites additionally reporting patient-driven surgical delays secondary to pandemic concerns. Pre-post DBS associated management changes affected preoperative assessments 96%; electrode placement 87%; new implantable pulse generator (IPG) placement 83%; IPG replacement 65%; immediate postoperative DBS programming 74%; and routine DBS programming 91%.CONCLUSION:
The COVID-19 pandemic related shutdown resulted in DBS practice changes in almost all North American sites who responded to this large survey. Information learned could inform development of future contingency plans to reduce patient delays in care under similar circumstances.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Parkinson Disease
/
Postoperative Care
/
Preoperative Care
/
Quarantine
/
Telemedicine
/
Deep Brain Stimulation
/
Implantable Neurostimulators
/
COVID-19
/
Movement Disorders
Type of study:
Experimental Studies
/
Observational study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Parkinsonism Relat Disord
Journal subject:
Neurology
Year:
2021
Document Type:
Article
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