[Deep brain stimulation for dystonia refractory to medical treatment]
Groppo J, Pichon Riviere A, Alfie V, Fernandez S, Ciapponi A, Augustovski F, Bardach A, Alcaraz A, Garcia Marti S
Record ID 32018012840
Spanish
Original Title:
Estimulación cerebral profunda en distonía refractaria al tratamiento médico
Authors' recommendations:
"Conclusions
Very low quality evidence suggests that deep brain stimulation in patients with dystonia refractory to medical treatment may yield a significant net benefit as it improves dystonia-related symptoms and functional status. Additionally, it might improve clinical condition, assessed by visual analog scale, and quality-of-life related to physical function.
The clinical practice guidelines found recommend the use of deep brain stimulation in patients over seven years of age with idiopathic generalized, segmental and cervical dystonia refractory to pharmacological therapy and botulinum toxin.
As regards the health policies identified, this technology is covered by agencies in Latin America, the United States and Europe.
In Argentina, the use of deep brain stimulation for dystonia is not covered by the Mandatory Medical Program; and it is not recovered through the Unique Reimbursement System for Disease Management.
In relation to the cost-effectiveness of deep brain stimulation, two studies have been found. One conducted in the United Kingdom and the other in Brazil. Considering the thresholds of both countries, it is concluded that it is not cost-effective in the former but it is cost-effective in the latter. As regards the budget impact analysis, two studies conducted in Brazil and Chile have been found for this technology. They both concluded that including deep brain stimulation results in additional significant costs as it is a very expensive technology. No studies have been found in Argentina; and given the high cost of this technology in the country, its cost-effectiveness is considered as uncertain."
Details
Project Status:
Completed
URL for project:
https://ets.iecs.org.ar/publication/2151
Year Published:
2023
URL for published report:
https://ets.iecs.org.ar/publication/2151
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Dystonia
- Deep Brain Stimulation
- Recovery of Function
- Dystonic Disorders
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
<p>Institute for Clinical Effectiveness and Health Policy (IECS)</p>
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.