Canadian Assessment of Deep Brain Stimulation Access: The Canada Study
Abstract Background The Canada Health Act requires reasonable access to all medically necessary therapies. No information is available to assess the current access to neuromodulation across Canada. This study quantifies the current rate of deep brain stimulation (DBS) for the entire country of Canad...
Published in: | Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Cambridge University Press (CUP)
2018
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1017/cjn.2018.268 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0317167118002688 |
id |
crcambridgeupr:10.1017/cjn.2018.268 |
---|---|
record_format |
openpolar |
spelling |
crcambridgeupr:10.1017/cjn.2018.268 2024-09-09T19:53:48+00:00 Canadian Assessment of Deep Brain Stimulation Access: The Canada Study Honey, C. Michael Malhotra, Armaan K. Tamber, Mandeep S. Prud’homme, Michel Mendez, Ivar Honey, Christopher R. 2018 http://dx.doi.org/10.1017/cjn.2018.268 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0317167118002688 en eng Cambridge University Press (CUP) http://creativecommons.org/licenses/by/4.0/ Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques volume 45, issue 5, page 553-558 ISSN 0317-1671 2057-0155 journal-article 2018 crcambridgeupr https://doi.org/10.1017/cjn.2018.268 2024-06-19T04:05:04Z Abstract Background The Canada Health Act requires reasonable access to all medically necessary therapies. No information is available to assess the current access to neuromodulation across Canada. This study quantifies the current rate of deep brain stimulation (DBS) for the entire country of Canada. Analyses were performed to determine whether there were differences in access based on provincial or territorial location, rural or non-rural region, or socioeconomic status. Methods All implanted DBS devices in Canada over a 2-year epoch (January 2015 to December 2016) were supplied by either Boston Scientific or Medtronic. Investigators received anonymized data from these companies, including patient age and home residence region. The 2016 Statistics Canada census data were used to determine the rate of DBS surgery and whether access was related to provincial location, rural versus non-rural region or socioeconomic status. Results A total of 722 patients were studied. The rate of DBS surgery for the entire country was ten per million population per year. Saskatchewan was significantly above (374%) the national average, whereas Quebec (40%) and Newfoundland & Labrador (32%) were significantly below the national average. No patients from the three territories received DBS. There were no significant differences in access from rural versus non-rural areas or in regions within provinces with different socioeconomic status. Conclusions This is the first study to quantify all patients receiving DBS within an entire country. The current rate of DBS surgery within Canada is ten cases per million per year. Statistically significant regional differences were discovered and discussed. Article in Journal/Newspaper Newfoundland Cambridge University Press Canada Newfoundland Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 45 5 553 558 |
institution |
Open Polar |
collection |
Cambridge University Press |
op_collection_id |
crcambridgeupr |
language |
English |
description |
Abstract Background The Canada Health Act requires reasonable access to all medically necessary therapies. No information is available to assess the current access to neuromodulation across Canada. This study quantifies the current rate of deep brain stimulation (DBS) for the entire country of Canada. Analyses were performed to determine whether there were differences in access based on provincial or territorial location, rural or non-rural region, or socioeconomic status. Methods All implanted DBS devices in Canada over a 2-year epoch (January 2015 to December 2016) were supplied by either Boston Scientific or Medtronic. Investigators received anonymized data from these companies, including patient age and home residence region. The 2016 Statistics Canada census data were used to determine the rate of DBS surgery and whether access was related to provincial location, rural versus non-rural region or socioeconomic status. Results A total of 722 patients were studied. The rate of DBS surgery for the entire country was ten per million population per year. Saskatchewan was significantly above (374%) the national average, whereas Quebec (40%) and Newfoundland & Labrador (32%) were significantly below the national average. No patients from the three territories received DBS. There were no significant differences in access from rural versus non-rural areas or in regions within provinces with different socioeconomic status. Conclusions This is the first study to quantify all patients receiving DBS within an entire country. The current rate of DBS surgery within Canada is ten cases per million per year. Statistically significant regional differences were discovered and discussed. |
format |
Article in Journal/Newspaper |
author |
Honey, C. Michael Malhotra, Armaan K. Tamber, Mandeep S. Prud’homme, Michel Mendez, Ivar Honey, Christopher R. |
spellingShingle |
Honey, C. Michael Malhotra, Armaan K. Tamber, Mandeep S. Prud’homme, Michel Mendez, Ivar Honey, Christopher R. Canadian Assessment of Deep Brain Stimulation Access: The Canada Study |
author_facet |
Honey, C. Michael Malhotra, Armaan K. Tamber, Mandeep S. Prud’homme, Michel Mendez, Ivar Honey, Christopher R. |
author_sort |
Honey, C. Michael |
title |
Canadian Assessment of Deep Brain Stimulation Access: The Canada Study |
title_short |
Canadian Assessment of Deep Brain Stimulation Access: The Canada Study |
title_full |
Canadian Assessment of Deep Brain Stimulation Access: The Canada Study |
title_fullStr |
Canadian Assessment of Deep Brain Stimulation Access: The Canada Study |
title_full_unstemmed |
Canadian Assessment of Deep Brain Stimulation Access: The Canada Study |
title_sort |
canadian assessment of deep brain stimulation access: the canada study |
publisher |
Cambridge University Press (CUP) |
publishDate |
2018 |
url |
http://dx.doi.org/10.1017/cjn.2018.268 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0317167118002688 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques volume 45, issue 5, page 553-558 ISSN 0317-1671 2057-0155 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1017/cjn.2018.268 |
container_title |
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques |
container_volume |
45 |
container_issue |
5 |
container_start_page |
553 |
op_container_end_page |
558 |
_version_ |
1809923259080114176 |