North American survey on impact of the COVID-19 pandemic shutdown on DBS care |
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| Affiliation: | 1. Department of Neurology, Wake Forest School of Medicine, 1 Medical Center, Boulevard, Winston-Salem, NC, 27157, USA;2. Icahn School of Medicine at Mount Sinai, 1000 10th Ave., Suite 10c, New York, NY, 10019, USA;3. Cleveland Clinic Lou Ruvo Center for Brain Health, 888 W Bonneville Ave, Las Vegas, NV, 89117, USA;4. Cleveland Clinic, 9500 Euclid Ave/S2, Cleveland, OH, 44195, USA;5. Pennsylvania State University – Milton S. Hershey Medical Center, 30 Hope Drive, Suite 2800 P.O. Box 859, Mail Code EC037, Hershey, PA, 17033, USA;6. Mount Sinai Medical Center, 1000 10th Ave, Suite 10C, Brooklyn, NY, 11217, USA;7. Henry Ford Medical Group, 6777 West Maple Road, West Bloomfield, MI, 48322, USA;8. Baylor College of Medicine, 7200 Cambridge St, 9th Floor, Houston, TX, 77030, USA;9. Weill Cornell Medicine, 428 E 72nd Street, STE 400, NY, NY, 10021, USA;10. University of Nebraska Medical Center, 988440 Nebraska Medical Center, Omaha, NE, 68198, USA;11. Rush University Medical Center, 1725 West Harrison St. Suite 755, Chicago, IL, 60612, USA;12. UCDavis, 4860 Y Street, ACC Building, Suite 3700, Sacramento, CA, 95817, USA;13. Penn State Health, Milton S. Hershey Medical Center, Department of Neurosurgery, 30 Hope Drive, EC110, Hershey, PA, 17033, USA;14. Northwestern University Feinberg School of Medicine Department of Neurosurgery, 676 N St. Clair St, Suite 2210, Chicago, IL, USA |
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| Abstract: | BackgroundThe initial COVID-19 pandemic shutdown led to the canceling of elective surgeries throughout most of the USA and Canada.ObjectiveThis survey was carried out on behalf of the Parkinson Study Group (PSG) to understand the impact of the shutdown on deep brain stimulation (DBS) practices in North America.MethodsA survey was distributed through RedCap® to the members of the PSG Functional Neurosurgical Working Group. Only one member from each site was asked to respond to the survey. Responses were collected from May 15 to June 6, 2020.ResultsTwenty-three sites participated; 19 (83%) sites were from the USA and 4 (17%) from Canada. Twenty-one sites were academic medical centers. COVID-19 associated DBS restrictions were in place from 4 to 16 weeks. One-third of sites halted preoperative evaluations, while two-thirds of the sites offered limited preoperative evaluations. Institutional policy was the main contributor for the reported practice changes, with 87% of the sites additionally reporting patient-driven surgical delays secondary to pandemic concerns. Pre-post DBS associated management changes affected preoperative assessments 96%; electrode placement 87%; new implantable pulse generator (IPG) placement 83%; IPG replacement 65%; immediate postoperative DBS programming 74%; and routine DBS programming 91%.ConclusionThe COVID-19 pandemic related shutdown resulted in DBS practice changes in almost all North American sites who responded to this large survey. Information learned could inform development of future contingency plans to reduce patient delays in care under similar circumstances. |
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| Keywords: | Deep brain stimulation DBS COVID-19 North America Survey |
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