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Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis

OBJECTIVE: To review and synthesise qualitative research studies that have explored patients’ experience of deep brain stimulation (DBS) in advanced Parkinson's disease (PD). DESIGN: Systematic review and meta-synthesis of 7 original papers, using metaethnography. SETTING: Studies conducted in...

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Autores principales: Mathers, J, Rick, C, Jenkinson, C, Garside, R, Pall, H, Mitchell, R, Bayliss, S, Jones, L L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932278/
https://www.ncbi.nlm.nih.gov/pubmed/27338883
http://dx.doi.org/10.1136/bmjopen-2016-011525
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author Mathers, J
Rick, C
Jenkinson, C
Garside, R
Pall, H
Mitchell, R
Bayliss, S
Jones, L L
author_facet Mathers, J
Rick, C
Jenkinson, C
Garside, R
Pall, H
Mitchell, R
Bayliss, S
Jones, L L
author_sort Mathers, J
collection PubMed
description OBJECTIVE: To review and synthesise qualitative research studies that have explored patients’ experience of deep brain stimulation (DBS) in advanced Parkinson's disease (PD). DESIGN: Systematic review and meta-synthesis of 7 original papers, using metaethnography. SETTING: Studies conducted in Denmark, France and Sweden. PARTICIPANTS: 116 patients who had undergone DBS and 9 spouses of patients. RESULTS: Prior to surgery, the experience of advancing PD is one of considerable loss and a feeling of loss of control. There are significant hopes for what DBS can bring. Following surgery, a sense of euphoria is described by many, although this does not persist and there is a need for significant transitions following this. We suggest that normality as a concept is core to the experience of DBS and that a sense of control may be a key condition for normality. Experience of DBS for patients and spouses, and of the transitions that they must undertake, is influenced by their hopes of what surgery will enable them to achieve, or regain (ie, a new normality). CONCLUSIONS: There is a need for further qualitative research to understand the nature of these transitions to inform how best patients and their spouses can be supported by healthcare professionals before, during and after DBS. In assessing the outcomes of DBS and other treatments in advanced PD, we should consider how to capture holistic concepts such as normality and control. Studies that examine the outcomes of DBS require longer term follow-up.
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spelling pubmed-49322782016-07-12 Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis Mathers, J Rick, C Jenkinson, C Garside, R Pall, H Mitchell, R Bayliss, S Jones, L L BMJ Open Neurology OBJECTIVE: To review and synthesise qualitative research studies that have explored patients’ experience of deep brain stimulation (DBS) in advanced Parkinson's disease (PD). DESIGN: Systematic review and meta-synthesis of 7 original papers, using metaethnography. SETTING: Studies conducted in Denmark, France and Sweden. PARTICIPANTS: 116 patients who had undergone DBS and 9 spouses of patients. RESULTS: Prior to surgery, the experience of advancing PD is one of considerable loss and a feeling of loss of control. There are significant hopes for what DBS can bring. Following surgery, a sense of euphoria is described by many, although this does not persist and there is a need for significant transitions following this. We suggest that normality as a concept is core to the experience of DBS and that a sense of control may be a key condition for normality. Experience of DBS for patients and spouses, and of the transitions that they must undertake, is influenced by their hopes of what surgery will enable them to achieve, or regain (ie, a new normality). CONCLUSIONS: There is a need for further qualitative research to understand the nature of these transitions to inform how best patients and their spouses can be supported by healthcare professionals before, during and after DBS. In assessing the outcomes of DBS and other treatments in advanced PD, we should consider how to capture holistic concepts such as normality and control. Studies that examine the outcomes of DBS require longer term follow-up. BMJ Publishing Group 2016-06-23 /pmc/articles/PMC4932278/ /pubmed/27338883 http://dx.doi.org/10.1136/bmjopen-2016-011525 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Neurology
Mathers, J
Rick, C
Jenkinson, C
Garside, R
Pall, H
Mitchell, R
Bayliss, S
Jones, L L
Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis
title Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis
title_full Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis
title_fullStr Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis
title_full_unstemmed Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis
title_short Patients’ experiences of deep brain stimulation for Parkinson's disease: a qualitative systematic review and synthesis
title_sort patients’ experiences of deep brain stimulation for parkinson's disease: a qualitative systematic review and synthesis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932278/
https://www.ncbi.nlm.nih.gov/pubmed/27338883
http://dx.doi.org/10.1136/bmjopen-2016-011525
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