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Contribution Details

Type Journal Article
Scope Discipline-based scholarship
Title Ethical focal points in the international practice of deep brain stimulation
Organization Unit
Authors
  • Markus Christen
  • Christian Ineichen
  • Merlin Bittlinger
  • Hans-Werner Bothe
  • Sabine Müller
Item Subtype Original Work
Refereed Yes
Status Published in final form
Language
  • English
Journal Title AJOB Neuroscience
Publisher Taylor & Francis Inc.
Geographical Reach international
ISSN 2150-7759
Volume 5
Number 4
Page Range 65 - 80
Date 2014
Abstract Text 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).
Digital Object Identifier 10.1080/21507740.2014.939380
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Additional Information This is an Author's Accepted Manuscript of an article published in AJOB Neuroscience, 02 Oct 2014 [copyright Taylor & Francis] Ethical Focal Points in the International Practice of Deep Brain Stimulation. Markus Christen, Christian Ineichen, Merlin Bittlinger, Hans-Werner Bothe, Sabine Müller, AJOB Neuroscience, Vol. 5, Iss. 4, 2014 [copyright Taylor & Francis], available online at: http://www.tandfonline.com/ 10.1080/21507740.2014.939380