机构:[1]Medical School (Nursing School), Chengdu University,Chengdu 610106, People’s Republic of China[2]Department of Neurology, Seventh People’s Hospital of Chengdu,Chengdu 690041, Sichuan Province, People’s Republic of China[3]Department of General Surgery, Seventh People’s Hospital ofChengdu, Chengdu 690041, Sichuan Province, People’s Republic ofChina[4]Department of Geriatric Neurology, First Affiliated Hospital ofKunming Medical University, Kunming 650032, Yunnan Province,People’s Republic of China昆明医科大学附属第一医院
Deep-brain stimulation is a well-established, effective treatment for patients with advanced Parkinson's disease. Recent studies examining rates of suicide attempts and suicides after deep-brain stimulation in the bilateral subthalamic nucleus have reported varying results. Using this systematic review and meta-analysis, we aim to obtain a comprehensive understanding of suicidality in Parkinson's patients after subthalamic nucleus deep brain stimulation.
We systematically examined Medline, PubMed, Web of Science, and Embase databases to identify studies published before November 2019 that measured rates of suicidality in Parkinson's patients who underwent subthalamic nucleus stimulation. A meta-analysis of the data from the included studies was conducted using Stata 12.0.
A total of 18 studies met the eligibility criteria of this study. We found that the pooled rate of suicidal ideation was 4% (95% CI 0.00-7.2%, range 2-17%). The pooled rate of suicide attempts was 1% (95% CI 1.0-2.0%), while the pooled rate of suicide was 1% (95% CI 0.0-1.0%).
Our findings indicate a relatively high rate of suicidality among Parkinson's patients after subthalamic nucleus deep-brain stimulation. It is important for clinicians to carefully monitor psychiatric disorders, especially suicidal ideation and suicide attempts, in Parkinson's patients before and after subthalamic nucleus deep-brain stimulation.
基金:
the Yunnan
Applied Basic Research Project (2019FE001(-048)), National Natural
Science Foundation of China (81860247, 81960242), Yunnan Province
Medical Health Research Institute Project (2018NS0102), The First
Affiliated Hospital of Kunming Medical University Doctoral Research
Fund Project (2017BS005), and “One hundred Young and Middle-aged
Academic and Technical backbone” Training Program of Kunming
Medical University (60118260105).
第一作者机构:[1]Medical School (Nursing School), Chengdu University,Chengdu 610106, People’s Republic of China
通讯作者:
推荐引用方式(GB/T 7714):
Xu Yaji,Yang Baiyuan,Zhou Chuanli,et al.Suicide and suicide attempts after subthalamic nucleus stimulation in Parkinson's disease: a systematic review and meta-analysis.[J].NEUROLOGICAL SCIENCES.2021,42(1):267-274.doi:10.1007/s10072-020-04555-7.
APA:
Xu Yaji,Yang Baiyuan,Zhou Chuanli,Gu Meijuan,Long Juan...&Yang Xinglong.(2021).Suicide and suicide attempts after subthalamic nucleus stimulation in Parkinson's disease: a systematic review and meta-analysis..NEUROLOGICAL SCIENCES,42,(1)
MLA:
Xu Yaji,et al."Suicide and suicide attempts after subthalamic nucleus stimulation in Parkinson's disease: a systematic review and meta-analysis.".NEUROLOGICAL SCIENCES 42..1(2021):267-274