社会经济趋势对深部脑刺激（DBS）手术的影响。
Socioeconomic Trends in Deep Brain Stimulation (DBS) Surgery.
机构信息
Outcomes Research Laboratory, VA Palo Alto Health Care System, Palo Alto, CA, USA; Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA; and Department of Neurology, Stanford University School of Medicine, Stanford, CA, USA.
出版信息
Neuromodulation. 2010 Jul;13(3):182-6. doi: 10.1111/j.1525-1403.2010.00278.x.
OBJECTIVE
We evaluated trends in deep brain stimulation (DBS) for the 14-year period from 1993 to 2006.
MATERIALS AND METHODS
We utilized the Nationwide Inpatient Sample data base from the Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality.
RESULTS
A total of 34,792 patients underwent DBS surgery from 1993 to 2006. There were 756 DBS cases performed in 1993 compared with 4200 DBS procedures performed in 2006. Significant increases in nationwide DBS volume coincided with regulatory approval for new indications-Parkinson's disease and dystonia, respectively. Cost of DBS surgery increased from $38,840 in 1993 to $69,329 in 2006. The majority of cases were done in metropolitan areas (97%) at large academic centers (91%) at a national bill of $291 MM.
CONCLUSIONS
Future studies will need to include the socioeconomic impact of the technology on disease status, patient access, and costs as it expands to novel indications.
目的
我们评估了 1993 年至 2006 年这 14 年间深部脑刺激（DBS）的趋势。
材料和方法
我们利用了医疗保健成本和利用项目、医疗保健研究和质量局的全国住院患者样本数据库。
结果
1993 年至 2006 年期间，共有 34792 名患者接受了 DBS 手术。1993 年进行了 756 例 DBS 手术，而 2006 年进行了 4200 例 DBS 手术。随着对新适应症（帕金森病和肌张力障碍）的监管批准，全国范围内 DBS 数量显著增加。DBS 手术的成本从 1993 年的 38840 美元增加到 2006 年的 69329 美元。大多数病例发生在大都市区（97%）的大型学术中心（91%），费用为 2.91 亿美元。
结论
随着该技术扩展到新的适应症，未来的研究将需要包括该技术对疾病状况、患者获得和成本的社会经济影响。
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