{"id":3274,"date":"2020-04-24T00:00:00","date_gmt":"2020-04-24T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/disparities-in-deep-brain-stimulation-use-for-parkinsons-disease-in-ontario-canada\/"},"modified":"2023-06-14T19:20:40","modified_gmt":"2023-06-14T23:20:40","slug":"disparities-in-deep-brain-stimulation-use-for-parkinsons-disease-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/disparities-in-deep-brain-stimulation-use-for-parkinsons-disease-in-ontario-canada\/","title":{"rendered":"Disparities in deep brain stimulation use for Parkinson\u2019s Disease in Ontario Canada"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; To examine whether sociodemographic characteristics and healthcare utilization are associated with receiving deep brain stimulation (DBS) surgery for Parkinson&#x2019;s disease (PD) in Ontario, Canada.<\/p>\n<p><strong>Methods<\/strong> &#x2014; Using health administrative data, we identified a cohort of individuals aged 40 years or older diagnosed with incident PD between 1995 and 2009. A case-control study was used to examine whether select factors were associated with DBS for PD. Patients were classified as cases if they underwent DBS surgery at any point 1-year after cohort entry until December 31, 2016. Conditional logistic regression modeling was used to estimate the adjusted odds of DBS surgery for sociodemographic and healthcare utilization indicators.<\/p>\n<p><strong>Results<\/strong> &#x2014; A total of 46,237 individuals with PD were identified, with 543 (1.2%) receiving DBS surgery. Individuals residing in northern Ontario were more likely than southern patients to receive DBS surgery [adjusted odds ratio (AOR) = 2.23, 95% confidence interval (CI) = 1.15&#x2013;4.34]; however, regional variations were not observed after accounting for medication use among older adults (AOR = 1.04, 95% CI = 0.26&#x2013;4.21). Patients living in neighborhoods with the highest concentration of visible minorities were less likely to receive DBS surgery compared to patients living in predominantly white neighborhoods (AOR = 0.27, 95% CI = 0.16&#x2013;0.46). Regular neurologist care and use of multiple PD medications were positively associated with DBS surgery.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Variations in use of DBS may reflect differences in access to care, specialist referral pathways, health-seeking behavior, or need for DBS. Future studies are needed to understand drivers of potential disparities in DBS use.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To examine whether sociodemographic characteristics and healthcare utilization are associated with receiving deep brain stimulation (DBS) surgery for Parkinson&#x2019;s disease (PD) in Ontario, Canada. Methods &#x2014; Using health administrative data, we identified a cohort of individuals aged 40 years or older diagnosed with incident PD between 1995 and 2009. A case-control study was [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-3274","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Crispo JAG, Lam M, Le B, Richard L, Shariff SZ, Ansell DR, Squarzolo M, Marras C, Willis AW, Seitz D. <em>Can J Neurol Sci<\/em>. 2020; 47(5):642-55. Epub 2020 Apr 24.","source_url":"https:\/\/www.cambridge.org\/core\/journals\/canadian-journal-of-neurological-sciences\/article\/disparities-in-deep-brain-stimulation-use-for-parkinsons-disease-in-ontario-canada\/EC7CE6B1DE9147E820B18109DB3B6772\/core-reader","ices_scientist":[1359,1328,1356,1183],"site":[6739],"research_program":[6744],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"538BD238-691B-4880-AD70-0A7B192CC1C4","sitecore_item_name":"Disparities-in-deep-brain-stimulation-use-for-Parkinsons-Disease-in-Ontario-Canada","sitecore_field_values":"{\n  \"Title\": \"Disparities in deep brain stimulation use for Parkinson\u2019s Disease in Ontario Canada\",\n  \"Short title\": \"Disparities in deep brain stimulation\",\n  \"Summary\": \"The study examined whether sociodemographic characteristics and healthcare utilization are associated with receiving deep brain stimulation surgery for Parkinson\u2019s disease in Ontario, Canada.\",\n  \"Citation\": \"<p>Crispo JAG, Lam M, Le B, Richard L, Shariff SZ, Ansell DR, Squarzolo M, Marras C, Willis AW, Seitz D. <em>Can J Neurol Sci<\/em>. 2020; 47(5):642-55. Epub 2020 Apr 24. DOI: <a href=\"https:\/\/doi.org\/10.1017\/cjn.2020.79\" title=\"opens external link\">https:\/\/doi.org\/10.1017\/cjn.2020.79<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To examine whether sociodemographic characteristics and healthcare utilization are associated with receiving deep brain stimulation (DBS) surgery for Parkinson&rsquo;s disease (PD) in Ontario, Canada.<\/p>n<p><strong>Methods<\/strong> &mdash; Using health administrative data, we identified a cohort of individuals aged 40 years or older diagnosed with incident PD between 1995 and 2009. A case-control study was used to examine whether select factors were associated with DBS for PD. Patients were classified as cases if they underwent DBS surgery at any point 1-year after cohort entry until December 31, 2016. Conditional logistic regression modeling was used to estimate the adjusted odds of DBS surgery for sociodemographic and healthcare utilization indicators.<\/p>n<p><strong>Results<\/strong> &mdash; A total of 46,237 individuals with PD were identified, with 543 (1.2%) receiving DBS surgery. Individuals residing in northern Ontario were more likely than southern patients to receive DBS surgery [adjusted odds ratio (AOR) = 2.23, 95% confidence interval (CI) = 1.15&ndash;4.34]; however, regional variations were not observed after accounting for medication use among older adults (AOR = 1.04, 95% CI = 0.26&ndash;4.21). Patients living in neighborhoods with the highest concentration of visible minorities were less likely to receive DBS surgery compared to patients living in predominantly white neighborhoods (AOR = 0.27, 95% CI = 0.16&ndash;0.46). Regular neurologist care and use of multiple PD medications were positively associated with DBS surgery.<\/p>n<p><strong>Conclusions<\/strong> &mdash; Variations in use of DBS may reflect differences in access to care, specialist referral pathways, health-seeking behavior, or need for DBS. Future studies are needed to understand drivers of potential disparities in DBS use.<\/p>n<p><a href=\"https:\/\/www.cambridge.org\/core\/journals\/canadian-journal-of-neurological-sciences\/article\/disparities-in-deep-brain-stimulation-use-for-parkinsons-disease-in-ontario-canada\/EC7CE6B1DE9147E820B18109DB3B6772\/core-reader\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{3B4AF7E8-6835-410B-AEB8-360A79CA0ED8}\",\n  \"ICES Scientists\": \"{E8DA0CD3-1341-4EA5-846D-D3FCFCEB3137}|{6B7BCAA7-8CF8-4655-81FD-CB55616742F5}|{DB9C788E-A93C-4F87-94A6-3DE6BF53C573}|{6D79E354-38E7-4BB3-940B-96E4104357F5}\",\n  \"Posted Date\": \"20200424T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2020\/April\/Disparities-in-deep-brain-stimulation-use-for-Parkinsons-Disease-in-Ontario-Canada"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Disparities in deep brain stimulation use for Parkinson\u2019s Disease in Ontario Canada<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; 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