Disparities in Access to Deep Brain Stimulation.

Fecha de publicación: 09/10/2025 Fecha Ahead of Print: 09/10/2025

Autores de IIS La Fe

Irene Martínez Torres

Autor

Participantes ajenos a IIS La Fe

Schmidt FA
Germann J
Hajiabadi MM
Bichsel O
Sarica C
Lozano AM

Grupos

Enfermedad de Parkinson y Trastornos del Movimiento

Abstract

BACKGROUND: Deep brain stimulation (DBS) is a well-established treatment for several neurological and neuropsychiatric conditions, including movement disorders such as Parkinson's disease, essential tremor, and dystonia, as well as Gilles de la Tourette's syndrome, epilepsy, and obsessive-compulsive disorder. SUMMARY: In recent years, research has expanded to explore the potential of DBS for other indications, including dementia, addiction, disorders of consciousness (e.g., minimally conscious state), and eating disorders. Over the past 3 decades, significant technological advancements have been made in DBS devices, including improvements in electrode design, stimulation parameters, and battery life. However, despite these technological innovations, equitable access to DBS has not progressed at a similar pace. Barriers to access remain a persistent challenge globally, influenced by socioeconomic, geographic, systemic, and policy-related factors. KEY MESSAGE: This review summarizes the current literature on access to DBS, highlighting disparities, challenges, and potential strategies to improve availability and equity in its application.

Datos de la publicación

ISSN/ISSNe:: 1011-6125, 1423-0372
Tipo:: Article
Páginas:: 1-7
DOI:: 10.1159/000548814
PubMed:: 41078061
Enlace a otro recurso:: www.scopus.com
Factor de Impacto:: 0,591 SCImago ℠
Cuartil:: Q2 SCImago ℠

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Métricas

Filiaciones

Martinez-Torres I:: Servicio de Neurología Hospital Universitario y Politécnico La Fe, Valencia, Spain
Germann J:: Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Krembil Research Institute, Toronto, Ontario, Canada
Hajiabadi MM:: Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Department of Neurosurgery, University Hospital Heidelberg, Heidelberg, Germany
Bichsel O:: Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland
Sarica C:: Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Krembil Research Institute, Toronto, Ontario, Canada
Lozano AM:: Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Krembil Research Institute, Toronto, Ontario, Canada

Keywords

Deep brain stimulation; Disparities; Functional neurosurgery; Global neurosurgery; Movement disorders

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