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Telemedicine and Deep brain stimulation - Current practices and recommendations
Vibhash D Sharma1, Delaram Safarpour2, Shyamal H Mehta3
1Department of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
Parkinsonism & Related Disorders
|July 18, 2021
Summary
Telemedicine enhances care for movement disorders, but challenges remain for deep brain stimulation (DBS) device management. New guidelines are needed to optimize remote care for DBS patients, improving access and reducing travel burdens.
Area of Science:
- Neurology
- Digital Health
- Medical Technology
Background:
- Telemedicine use for chronic neurological conditions, including movement disorders, has grown, improving access and patient satisfaction.
- The COVID-19 pandemic accelerated telehealth adoption for movement disorder patients, especially those with mobility challenges.
- Current telemedicine applications for deep brain stimulation (DBS) are limited by remote device adjustment difficulties and lack of guidelines.
Purpose of the Study:
- To review current and emerging telemedicine strategies for deep brain stimulation (DBS) care.
- To outline principles and recommendations for telemedicine in DBS patient management.
- To discuss patient selection, best practices, and reimbursement for DBS telemedicine.
Main Methods:
- Review of existing literature and emerging strategies for telemedicine in DBS.
- Development of common principles and recommendations for DBS telemedicine care.
- Analysis of patient selection criteria and best practices for remote DBS management.
Main Results:
- Telemedicine offers benefits for movement disorder management, including reduced caregiver burden and increased patient satisfaction.
- Significant challenges exist in remotely managing device-aided therapies like DBS.
- Guidelines are crucial for effective telemedicine implementation in DBS patient care.
Conclusions:
- Developing clear guidelines for telemedicine in deep brain stimulation (DBS) is essential.
- Optimizing telemedicine for DBS can expand access to specialized care, particularly in underserved areas.
- Telemedicine is vital for maintaining care continuity during health crises and reducing patient travel.
