The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Tomskiy A.A.

Burdenko Neurosurgical Center

Bril E.V.

Burnazyan Federal Medical Biophysical Center;
Russian Medical Academy of Continuing Professional Education

Gamaleya A.A.

Burdenko Neurosurgical Center

Poddubskaya A.A.

Burdenko Neurosurgical Center

Fedorova N.V.

Russian Medical Academy of Continuing Professional Education

Levin O.S.

Russian Medical Academy of Continuing Professional Education

Illarioshkin S.N.

Research Center of Neurology

Problems in organizing neurosurgical care for patients with Parkinson’s disease in the Russian Federation

Authors:

Tomskiy A.A., Bril E.V., Gamaleya A.A., Poddubskaya A.A., Fedorova N.V., Levin O.S., Illarioshkin S.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2024;88(3): 5‑13

DOI: 10.17116/neiro2024880315

Views: 742

Downloaded: 56

Download PDF (RU)
Download PDF
Contact the author
Table of contents

To cite this article:

Tomskiy AA, Bril EV, Gamaleya AA, Poddubskaya AA, Fedorova NV, Levin OS, Illarioshkin SN. Problems in organizing neurosurgical care for patients with Parkinson’s disease in the Russian Federation. Burdenko's Journal of Neurosurgery. 2024;88(3):5‑13. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2024880315

Подписка 2025 (Burdenko's Journal of Neurosurgery)
 
МСФ на ЯМ
Close metadata
Recommended articles:
Electrical dorsal root ganglion stimulation (DRGS) for the treatment of refractory postherpetic neuralgia. Burdenko's Journal of Neurosurgery. 2024;(1):21-27
Hypo­thalamic hama­rtoma dissection using focu­sed ultrasound under MRI control. The first successful expe­rience in Russia. Burdenko's Journal of Neurosurgery. 2024;(1):79-87
The complex effect of poly­phenols on the gut microbiota and triggers of neurodegeneration in Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(1):38-44
The rela­tionship between the rs6265 poly­morphism of the BDNF gene and the level of serum neurotrophic factor in patients with Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(1):114-120
Criteria of syndrome frailty in Parkinson´s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(3):52-56
Tremor-dominant form of Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(4):28-35
Nocturia in Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(4):48-54
Asso­ciations of serum neuromarkers with clinical features of Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(4):145-152
The asso­ciation of single-nucleotide poly­morphism rs6265 of the brain-derived neurotrophic factor gene with clinical features in Parkinson’s disease. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(7):82-88

BACKGROUND

Currently, there are some problems in the Russian Federation complicating development of neurosurgical care for patients with Parkinson’s disease (PD).

MATERIAL AND METHODS

In 2022, neurologists — movement disorders specialists were surveyed to analyze situation with PD pharmacological treatment and referral of patients for surgical treatment in Russian constituent entities. Data on neurosurgical treatment of PD were obtained by collecting information on the surgical activity of medical institutions in the Russian Federation. Most hospitals involved in PD treatment took part in this study.

RESULTS

The state of neurosurgical care for patients with PD is analyzed and possible ways to improve the quality of treatment are discussed.

CONCLUSION

Over the past 20 years, a system of neurosurgical care for patients with PD has been formed in 14 centers in the Russian Federation (2022). Obstacles to its further development can be divided into 3 categories: problems of patient selection and routing, complexity of organization and financing surgeries, and imperfect postoperative patient management. Ways to overcome these obstacles imply expanding the network of centers for extrapyramidal diseases, development of domestic neurostimulation systems, improving the distribution of quotas taking into account the capabilities of hospitals, specialized training of neurologists for extrapyramidal centers and neurosurgeons for deep brain stimulation centers, adequate financing and systematization of postoperative management of patients with PD.

Keywords:

Parkinson’s disease
extrapyramidal center
functional neurosurgery
deep brain stimulation
neurostimulation
movement disorder specialist

Authors:

Tomskiy A.A.

Burdenko Neurosurgical Center

Bril E.V.

Burnazyan Federal Medical Biophysical Center;
Russian Medical Academy of Continuing Professional Education

Gamaleya A.A.

Burdenko Neurosurgical Center

Poddubskaya A.A.

Burdenko Neurosurgical Center

Fedorova N.V.

Russian Medical Academy of Continuing Professional Education

Levin O.S.

Russian Medical Academy of Continuing Professional Education

Illarioshkin S.N.

Research Center of Neurology

Received:

09.11.2023

Accepted:

22.03.2024

List of references:

  1. Guide to the diagnosis and treatment of Parkinson’s disease. S.N. Illarioshkin, O.S. Levin, eds. M.: MEDpress-inform; 2017. (In Russ.).
  2. Dorsey ER, Bloem BR. The Parkinson Pandemic-A Call to Action. JAMA Neurology. 2018;75(1):9-10.  https://doi.org/10.1001/jamaneurol.2017.3299
  3. GBD 2016 Parkinson’s Disease Collaborators. Global, regional, and national burden of Parkinson’s disease, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology. 2018;17(11):939-953.  https://doi.org/10.1016/S1474-4422(18)30295-3
  4. Levin OS, Illarioshkin SN, Golubev VL. Ehkstrapiramidnye sindromy: Rukovodstvo dlya vrachei. M: Medpres-inform; 2022. (In Russ.).
  5. The Lancet Neurology. WHO launches its Global Action Plan for brain health. Lancet Neurology. 2022;21(8):671.  https://doi.org/10.1016/S1474-4422(22)00266-6
  6. Parkinson disease: a public health approach. Technical brief. Geneva: World Health Organization; 2022. Accessed October 31, 2023. https://www.who.int/publications/i/item/9789240050983
  7. The Lancet Neurology. Parkinson’s disease needs an urgent public health response. Lancet Neurology. 2022;21(9):759.  https://doi.org/10.1016/S1474-4422(22)00312-X
  8. Pilitsis JG, Burrows A, Peters ML, Sargent J, Ng SC, Tseng JF. Changing practice patterns of deep brain stimulation in Parkinson’s disease and essential tremor in the USA. Stereotactic and Functional Neurosurgery. 2012;90(1):25-29.  https://doi.org/10.1159/000333834
  9. Bril EV, Tomskiy AA, Poddubskaya AA, Gamaleya AA, Fedorova NV. Analysing the reasons for rejection of neurosurgery intervention in patients with Parkinson’s disease referred to an extrapyramidal movement disorders clinic. Annals of clinical and experimental neurology. 2021;15(3):43-53. (In Russ.). https://doi.org/10.54101/ACEN.2021.3.5
  10. Oyama G, Rodriguez RL, Jones JD, Swartz C, Merritt S, Unger R, Hubmann M, Delgado A, Simon E, Doniger GM, Bowers D, Foote KD, Fernandez HH, Okun MS. Selection of deep brain stimulation candidates in private neurology practices: referral may be simpler than a computerized triage system. Neuromodulation. 2012;15(3):246-250; discussion 250.  https://doi.org/10.1111/j.1525-1403.2012.00437.x
  11. Okun MS, Fernandez HH, Pedraza O, Misra M, Lyons KE, Pahwa R, Tarsy D, Scollins L, Corapi K, Friehs GM, Grace J, Romrell J, Foote KD. Development and initial validation of a screening tool for Parkinson disease surgical candidates. Neurology. 2004;63(1):161-163.  https://doi.org/10.1212/01.wnl.0000133122.14824.25
  12. Moro E, Allert N, Eleopra R, Houeto JL, Phan TM, Stoevelaar H; International Study Group on Referral Criteria for DBS. A decision tool to support appropriate referral for deep brain stimulation in Parkinson’s disease. Journal of Neurology. 2009;256(1):83-88.  https://doi.org/10.1007/s00415-009-0069-1
  13. Coleman RR, Kotagal V, Patil PG, Chou KL. Validity and Efficacy of Screening Algorithms for Assessing Deep Brain Stimulation Candidacy in Parkinson Disease. Movement Disorders Clinical Practice. 2014;1(4):342-347.  https://doi.org/10.1002/mdc3.12103
  14. Lee JI. The current status of deep brain stimulation for the treatment of Parkinson disease in the Republic of Korea. Journal of Movement Disorders. 2015;8(3):115-121.  https://doi.org/10.14802/jmd.15043
  15. Poortvliet PC, Silburn PA, Coyne TJ, Chenery HJ. Deep brain stimulation for Parkinson disease in Australia: current scientific and clinical status. Internal Medicine Journal. 2015;45(2):134-139.  https://doi.org/10.1111/imj.12656
  16. Honey CM, Malhotra AK, Tamber MS, Prud’homme M, Mendez I, Honey CR. Canadian Assessment of Deep Brain Stimulation Access: The Canada Study. Canadian Journal of Neurological Sciences. 2018;45(5):553-558.  https://doi.org/10.1017/cjn.2018.268
  17. Christen M, Muller S. Current status and future challenges of deep brain stimulation in Switzerland. Swiss Medical Weekly. 2012;142:w13570. https://doi.org/10.4414/smw.2012.13570
  18. Kalakoti P, Ahmed O, Bollam P, Missios S, Wilden J, Nanda A. Predictors of unfavorable outcomes following deep brain stimulation for movement disorders and the effect of hospital case volume on outcomes: an analysis of 33, 642 patients across 234 US hospitals using the National (Nationwide) Inpatient Sample from 2002 to 2011. Neurosurgical Focus. 2015;38(6):E4.  https://doi.org/10.3171/2015.3.FOCUS1547
  19. Seijo F, Alvarez de Eulate Beramendi S, Santamarta Liébana E, Lozano Aragoneses B, Saiz Ayala A, Fernández de León R, Alvarez Vega MA. Surgical adverse events of deep brain stimulation in the subthalamic nucleus of patients with Parkinson’s disease. The learning curve and the pitfalls. Acta Neurochirurgica. 2014;156(8):1505-1512. https://doi.org/10.1007/s00701-014-2082-0
  20. Krauss JK, Broggi B, Reulen HJ, Trojanowski T, Lazorthes Y; ESSN; UEMS. Training chart in movement disorders surgery added competence: as approved by the ESSFN and UEMS Section of Neurosurgery (March 2009). Acta Neurochirurgica. 2009;151(11):1505-1509. https://doi.org/10.1007/s00701-009-0526-8
  21. Zhang C, Ramirez-Zamora A, Meng F, Lin Z, Lai Y, Li D, Chang J, Morishita T, Inoue T, Fujioka S, Oyama G, Coyne T, Voon V, Doshi PK, Wu Y, Liu J, Patel B, Almeida L, Wagle Shukla AA, Hu W, Foote K, Zhang J, Sun B, Okun MS. An International Survey of Deep Brain Stimulation Utilization in Asia and Oceania: The DBS Think Tank East. Frontiers in Human Neuroscience. 2020;14:162.  https://doi.org/10.3389/fnhum.2020.00162
  22. Ganapathy K. Neurosurgery in India: an overview. World Neurosurgery. 2013;79(5-6):621-628.  https://doi.org/10.1016/j.wneu.2013.02.071
  23. Okun MS, Tagliati M, Pourfar M, Fernandez HH, Rodriguez RL, Alterman RL, Foote KD. Management of referred deep brain stimulation failures: a retrospective analysis from 2 movement disorders centers. Archives of Neurology. 2005;62(8):1250-1255. https://doi.org/10.1001/archneur.62.8.noc40425
  24. Becerra JE, Zorro O, Ruiz-Gaviria R, Castañeda-Cardona C, Otálora-Esteban M, Henao S, Navarrete S, Acevedo JC, Rosselli D. Economic Analysis of Deep Brain Stimulation in Parkinson Disease: Systematic Review of the Literature. World Neurosurgery. 2016;93:44-49.  https://doi.org/10.1016/j.wneu.2016.05.028
  25. Dang TTH, Rowell D, Connelly LB. Cost-Effectiveness of Deep Brain Stimulation With Movement Disorders: A Systematic Review. Movement Disorders Clinical Practice. 2019;6(5):348-358.  https://doi.org/10.1002/mdc3.12780
  26. Lannon M, Duda T, Mastrolonardo A, Huang E, Martyniuk A, Farrokhyar F, Xie F, Bhandari M, Kalia SK, Sharma S. Economic Evaluations Comparing Deep Brain Stimulation to Best Medical Therapy for Movement Disorders: A Meta-Analysis. Pharmacoeconomics. 2023;42(1):41-68.  https://doi.org/10.1007/s40273-023-01318-y
  27. Dams J, Siebert U, Bornschein B, Volkmann J, Deuschl G, Oertel WH, Dodel R, Reese JP. Cost-effectiveness of deep brain stimulation in patients with Parkinson’s disease. Movement Disorders. 2013;28(6):763-771.  https://doi.org/10.1002/mds.25407
  28. Afentou N, Jarl J, Gerdtham UG, Saha S. Economic Evaluation of Interventions in Parkinson’s Disease: A Systematic Literature Review. Movement Disorders Clinical Practice. 2019;6(4):282-290.  https://doi.org/10.1002/mdc3.12755
  29. Mahajan A, Butala A, Okun MS, Mari Z, Mills KA. Global Variability in Deep Brain Stimulation Practices for Parkinson’s Disease. Frontiers in Human Neuroscience. 2021;15:667035. https://doi.org/10.3389/fnhum.2021.667035

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.