Longitudinal Evaluation of Quality of Life in Patients with Deep Brain Stimulation Therapy: Results and Lessons Learned From the Impact of Long Term Interdisciplinary Care in a Single Center
Bibliographic record
Abstract
Introduction: This study aims to evaluate the impact of multidisciplinary interventions on the quality of life of 325 patients implanted with deep brain stimulation (DBS) therapy for various diagnoses in our center at Hospital San Vicente Fundacion Rionegro Colombia. Using the validated EQ-5D measurement scale, various dimensions of quality of life were assessed before and after intervention applied in conjuction with a multidisciplinary team with expertice in neurofunctional field.Method: Study Type: Longitudinal, retrospective. Patient Sample: 325 patients implanted with DBS therapy at San Vicente Fundación Hospital in Rionegro, Antioquia. Period of time: Since December 5 2012 to July 30 2025 . Measurement Scale: EQ-5D. Measurement Frequency: Before surgery, 6 months after, and annually thereafter.Discussion: Highly specialized interdisciplinary work enables comprehensive evaluation and treatment of complex neurological conditions, coordinated by a team of experts committed to improving patients' quality of life. Direct collaboration between surgical team and treating specialties was implemented for this sample of 185 patients with different diagnoses, including mainly movement disorders as Parkinson’s disease, essential tremor, dystonia, psychiatrist disorders as severe chronic refractory aggression, osbsessive compulsive disorder, depression, Tourette syndrome, and others as refractory epilepsy and thalamic pain. The program involves specialists from various clinical fields working together for shared and personalized decision-making, including: Neurology, Pain medicine, Neuropsychiatry, Psychiatry, rehabilitation team with physiotherapy, occupational therapy, seepch therapy and others. This neurofunctional care extends beyond the surgical process and works with a psychosocial team supporting patients and families throughout the process, consisting of Neuropsychology, Clinical psychology, Social worker, dietist. We cover in this way the bio psychosocial fields giving to the patients a holistic management and improving the daily activities and the quality of life scores in comparison with same before surgery.Conclusions: The observed improvement in patients can be attributed to a combination of therapeutic interventions and multidisciplinary support. The greatest improvement was seen in patients who adhered to multidisciplinary follow-up and DBS therapy. The study demonstrates that multidisciplinary interventions have a positive impact on patients' quality of life. Further evaluation of these approaches and exploration of new intervention strategies are recommended.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".