Subthalamotomy for Parkinson's disease
National Institute for Clinical Excellence
Record ID 32004000686
English
Authors' objectives:
This study aims to assess the current evidence on subthalamotomy for Parkinson's disease.
Authors' recommendations:
1.1 Current evidence on the safety and efficacy of subthalamotomy for Parkinson's disease does not appear adequate to support the use of this procedure without special arrangements for consent and for audit or research.
1.2 Clinicians wishing to undertake subthalamotomy for Parkinson's disease should take the following actions. - Inform the clinical governance leads in their Trusts. - Ensure that patients understand the uncertainty about the procedures safety and efficacy and provide them with clear written information. Use of the Institute's Information for the Public is recommended. - Audit and review clinical outcomes of all patients having subthalamotomy for Parkinson's disease.
1.3 Subthalamotomy for Parkinson's disease is a treatment option in the PD Surg trial, which is expected to complete randomisation in 2005/6. Clinicians are encouraged to consider randomising patients in the trial (http://www.pdsurg.bham.ac.uk/trial/).
1.4 Publication of safety and efficacy outcomes will be useful in reducing the current uncertainty. The Institute may review the procedure upon publication of further evidence.
1.5 It is recommended that patient selection should be made with the involvement of a multidisciplinary team, and that patient should be offered the procedure only when their disease has become refractory to best medical treatment.
Authors' methods:
Overview
Details
Project Status:
Completed
URL for project:
http://www.nice.org.uk/cms/ip/ipcat.aspx?c=56953
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Parkinson Disease
- Subthalamic Nucleus
Contact
Organisation Name:
National Institute for Clinical Excellence
Contact Address:
MidCity Place, 71 High Holborn, London WC1V 6NA, UK. Tel: +44 020 7067 5800; Fax: +44 020 7067 5801
Contact Name:
nice@nice.nhs.uk
Contact Email:
nice@nice.nhs.uk
Copyright:
National Institute for Clinical Excellence (NICE)
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.