Comparative study on the efficacy of remote programming and traditional programming after deep brain stimulation in patients with dystonia
Objective To comparatively analyze the differences in therapeutic efficacy between remote programming and traditional programming methods after deep brain stimulation(DBS)surgery for patients with dystonia and to identify the advantages of remote programming.Methods A retrospective comparative analysis was conducted on the clinical data of 29 patients who underwent DBS for dystonia and received remote programming within one year postoperatively(remote programming group)at the Department of Neurosurgery,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences from July 2020 to August 2022.The group was compared with a control group of 20 patients who underwent DBS from July 2013 to September 2016 and received traditional in-person outpatient programming postoperatively(traditional programming group).Preoperative and one-year postoperative scores on the Burke-Fahn-Marsden dystonia rating scale-movement(BFMDRS-M)and disability(BFMDRS-D)were documented.The improvement rates were compared between the two groups of patients to evaluate the degree of improvement in patients'muscle function disorders.Subgroups were formed based on the electrode implantation target,namely GPi and STN subgroups,and differences in the improvement rates in BFMDRS-M,BFMDRS-D scores and programming sessions between those subgroups and different programming groups within the same subgroup were analyzed.Results There were no statistically significant differences in baseline data,including age,gender,preoperative duration of illness,electrode implantation target,distance from residence to the hospital,preoperative BFMDRS-M and BFMDRS-D scores between the two groups(all P＞0.05),which indicated comparability of the two groups.Compared to the traditional programming group,the remote programming group showed a significant reduction in programming costs[M(Q1,Q3),3 344(1 541,5 183)yuan vs.5 313(2 953,10 773)yuan,Z=-2.16,P=0.031].There were no statistically significant differences in the improvement rates of BFMDRS-M and BFMDRS-D scores between the two groups(both P＞0.05).Subgroup analysis results showed that in both remote programming and traditional programming groups,there were no statistically significant differences in the improvement rates of BFMDRS-M and BFMDRS-D scores,remote programming sessions(only remote programing group data comparison),or total programming sessions between the GPi and STN subgroups(all P＞0.05).Within the GPi and STN subgroups,the remote programming group showed no significant differences in the improvement rates of BFMDRS-M and BFMDRS-D scores compared with traditional programming group(all P＞0.05),while the total programming sessions were significantly higher in the remote programming group than in the traditional programming group(both P＜0.05).Conclusions Remote programming is a feasible programming strategy for patients with dystonia after DBS.It can reduce economic costs while ensuring clinical efficacy.
万方数据
维普
