{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T01:40:00Z","timestamp":1793929200937,"version":"4.8.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurol Sci"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction and goal<\/jats:title>\n                <jats:p>The \ninvestigation of gender differences in treatment response is crucial for effective personalized therapies. With only 30%, women are underrepresented in trials for deep brain stimulation (DBS) in Parkinson\u2019s disease (PD). It is therefore important to evaluate gender-specific outcomes of DBS in PD in order to improve therapeutic counseling.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We analyzed clinical outcome parameters of 203 patients with PD that underwent DBS surgery targeting the subthalamic nucleus (STN) at our movement disorder center. A total of 27.6% of patients were female and 72.4% male. Motor and non-motor scores were compared before and 1\u00a0year after DBS surgery (1y FU) using Wilcoxon signed-rank tests and gender specific outcomes were analyzed with chi-square tests.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>At 1y FU, we found significant improvement in UPDRS II, UPDRS III (35.78\u2009\u00b1\u200936.14% MedOFF vs. StimON-MedOFF), UPDRS IV, depression (BDI-II), and health-related disability as (ADL) that showed no gender-specific differences. No significant change was revealed for UPDRS I, QUIP, and DemTect for the entire cohort. However, when analyzing both groups separately, only women improved in general cognition (plus 1.26\u2009\u00b1\u20093.03 DemTect points, <jats:italic>p<\/jats:italic>\u2009=\u20090.014*), whereas only men ameliorated in depression (minus 1.97\u2009\u00b1\u20096.92 BDI-II points, <jats:italic>p<\/jats:italic>\u2009=\u20090.002**) and impulsivity (minus 2.80\u2009\u00b1\u20097.27 QUIP points, <jats:italic>p<\/jats:italic>\u2009=\u20090.004**). Chi-square tests, however, revealed no significant differences between genders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion and outlook<\/jats:title>\n                <jats:p>STN-DBS is a highly effective treatment for motor and non-motor symptoms of PD for both women and men but our study hints towards gender-specific outcomes in non-motor-domains like cognition, depressive symptoms, and impulsivity. To explore this in more detail, larger cohorts need to be investigated in multicenter trials.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10072-023-06598-y","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T15:04:57Z","timestamp":1673017497000},"page":"1625-1631","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Gender-specific outcomes of deep brain stimulation for Parkinson\u2019s disease \u2014 results from a single movement disorder center"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5097-0281","authenticated-orcid":false,"given":"Dorothee","family":"K\u00fcbler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Astalosch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena","family":"Gaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Lu\u00edsa","family":"de Almeida Marcelino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerd-Helge","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"K\u00fchn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"6598_CR1","doi-asserted-by":"publisher","first-page":"576121","DOI":"10.3389\/fneur.2020.576121","volume":"11","author":"I G\u00f6ttgens","year":"2020","unstructured":"G\u00f6ttgens I, van Halteren AD, de Vries NM et al (2020) The impact of sex and gender on the multidisciplinary management of care for persons with Parkinson\u2019s disease. 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GHS reports honoraria for lectures by Medtronic, Boston Scientific and Abbott. DK, MA, VG, PK, and AM have nothing to disclose.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}