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5-year results from the NSTAPS trial: comparing bilateral deep brain stimulation of the globus pallidus pars interna versus the subthalamic nucleus for advanced Parkinson’s disease.

J. Boel, V. Odekerken, P. vanden Munckhof, G. Geurtsen, M. Figee, J. Dijk, R. de Haan, B. Schmand, P. Schuurman, R. de Bie (Amsterdam, Netherlands)

Meeting: 2017 International Congress

Abstract Number: 1385

Keywords: Deep brain stimulation (DBS), Globus pallidus, Subthalamic nucleus(SIN)

Session Information

Date: Thursday, June 8, 2017

Session Title: Parkinson’s Disease: Clinical Trials, Pharmacology And Treatment

Session Time: 1:15pm-2:45pm

Location: Exhibit Hall C

Objective: Comparing motor, cognitive, and psychiatric outcome 5 years after bilateral deep brain stimulation (DBS) of the globus pallidus pars interna (GPi) and the subthalamic nucleus (STN) for advanced Parkinson’s disease (PD).

Background: Previous results from our clinical trial indicated better off-drug phase motor improvement after STN DBS 1 and 3 years after surgery (Odekerken et al., 2016). Additionally, we reported no relevant between-group differences on measures of cognitive and psychiatric functioning 3 years after surgery (Boel et al., 2016).

Methods: Patients were randomized to GPi DBS (n=65) or STN DBS (n=63). Standardized test assessment was performed at baseline, 1 year, 3 years, and 5 years. GPi and STN DBS were compared on UPDRS motor scores, MMSE, and HADS (Hospital Anxiety and Depression Scale) scores 5 years after surgery.

Results: A total of 71 patients completed (at least a part of) the 5-year follow-up, GPi DBS=33 and STN DBS=38. Drop-out rate was not significantly different between the groups (X2; p=0.28). The analyses on UPDRS, MMSE, and HADS scores are currently being performed.

Conclusions: The results of 5-year follow-up data will be presented at the congress.

References: V.J. Odekerken, J.A. Boel, B.A. Schmand, R.J. de Haan, M. Figee, P. van den Munckhof, P.R. Schuurman, R.M. de Bie, and the NSTAPS study group, GPi vs STN deep brain stimulation for Parkinson disease: Three-year follow-up, Neurology. 86 (2016) 755-761.

J.A. Boel, V.J. Odekerken, B.A. Schmand, G.J. Geurtsen, D.C. Cath, M. Figee, P. van den Munckhof, R.J. de Haan, P.R. Schuurman, R.M. de Bie, and the NSTAPS study group, Cognitive and psychiatric outcome 3 years after globus pallidus pars interna or subthalamic nucleus deep brain stimulation for Parkinson’s disease. Parkinsonism Relat Disord. 33 (2016) 90-95.

To cite this abstract in AMA style:

J. Boel, V. Odekerken, P. vanden Munckhof, G. Geurtsen, M. Figee, J. Dijk, R. de Haan, B. Schmand, P. Schuurman, R. de Bie. 5-year results from the NSTAPS trial: comparing bilateral deep brain stimulation of the globus pallidus pars interna versus the subthalamic nucleus for advanced Parkinson’s disease. [abstract]. Mov Disord. 2017; 32 (suppl 2). https://www.mdsabstracts.org/abstract/5-year-results-from-the-nstaps-trial-comparing-bilateral-deep-brain-stimulation-of-the-globus-pallidus-pars-interna-versus-the-subthalamic-nucleus-for-advanced-parkinsons-disease/. Accessed July 13, 2025.
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