Preparing the ethical future of deep brain stimulation

Bell, Emily; Mathieu, Ghislaine; Racine, Éric

doi:10.1016/j.surneu.2009.03.029

Cited by 121 publications

(90 citation statements)

References 72 publications

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“…Additionally, a structured psychotherapeutic rehabilitation process post-DBS may be useful in addressing subsequent difficulties in reintegrating into society (i.e., TS DBS) (162). All of these efforts will help to improve and refine DBS therapy (163) and help us to avoid repeating the mistakes of the era of psychosurgery (164).…”

Section: Resultsmentioning

confidence: 99%

Deep brain stimulation (DBS) at the interface of neurology and psychiatry

Williams¹,

Okun²

2013

J. Clin. Invest.

109

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Section: Resultsmentioning

confidence: 99%

Deep brain stimulation (DBS) at the interface of neurology and psychiatry

Williams¹,

Okun²

2013

J. Clin. Invest.

109

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“…The infrastructure-related dimension captures aspects of the development of the DBS infrastructure that are decisive for high-quality interventions. This includes issues like the emergence of new DBS indications, involvement of different disciplines, differences in the DBS procedures between centers (e.g., target preferences), center capacities, the financing of DBS research, and the long-term planning of center development given the growing spectrum of DBS indications (Abosch et al 2013;Bell et al 2009;Fins et al 2012). …”

mentioning

confidence: 99%

Ethical Focal Points in the International Practice of Deep Brain Stimulation

et al. 2014

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Deep brain stimulation (DBS) is a standard therapy for several movement disorders, and the list of further indications that are investigated is growing rapidly. We performed two surveys among DBS experts (n1D 113) and centers (n2D 135) to identify ethical focal points in the current global practice of DBS. The data indicate a mismatch between the patients' fears and the frequencies of the suspected side effects, a significant "satisfaction gap," signs of improvements of outcome, habituation effects in terms of involved disciplines, a growing spectrum of novel indications that partly conflicts with the experts' success probability ratings, and differences in the density of supply between countries that might affect the future development of DBS. We formulate ethical recommendations with regard both to patient-related practices (e.g., recruitment, assurance of alternatives) and to institutional development (e.g., measures for quality assurance and for the development of novel DBS indications).

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“…In brief, the DBS technique involves stereotactically guided implantation of one or more electrodes into targeted brain region, and the electric pulses which are generated by a pacemaker implanted in infraclavicular area will be sent through wires and then electrode into brain to influence neural activities [114,115] (see Figure 2). [116].…”

Section: Clinical Studies Of Deep Brain Stimulationmentioning

confidence: 99%