Digitala Vetenskapliga Arkivet

Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders
Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Klinisk neurovetenskap. WSSFN Committee on Neurosurgery for Psychiatric Disorders.
Vise andre og tillknytning
2014 (engelsk)Inngår i: Journal of Neurology, Neurosurgery and Psychiatry, ISSN 0022-3050, E-ISSN 1468-330X, Vol. 85, nr 9, s. 1003-1008Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background For patients with psychiatric illnesses remaining refractory to 'tandard' therapies, neurosurgical procedures may be considered. Guidelines for safe and ethical conduct of such procedures have previously and independently been proposed by various local and regional expert groups. Methods To expand on these earlier documents, representative members of continental and international psychiatric and neurosurgical societies, joined efforts to further elaborate and adopt a pragmatic worldwide set of guidelines. These are intended to address a broad range of neuropsychiatric disorders, brain targets and neurosurgical techniques, taking into account cultural and social heterogeneities of healthcare environments. Findings The proposed consensus document highlights that, while stereotactic ablative procedures such as cingulotomy and capsulotomy for depression and obsessive-compulsive disorder are considered 'stablished' in some countries, they still lack level I evidence. Further, it is noted that deep brain stimulation in any brain target hitherto tried, and for any psychiatric or behavioural disorder, still remains at an investigational stage. Researchers are encouraged to design randomised controlled trials, based on scientific and data-driven rationales for disease and brain target selection. Experienced multidisciplinary teams are a mandatory requirement for the safe and ethical conduct of any psychiatric neurosurgery, ensuring documented refractoriness of patients, proper consent procedures that respect patient's capacity and autonomy, multifaceted preoperative as well as postoperative long-term follow-p evaluation, and reporting of effects and side effects for all patients. Interpretation This consensus document on ethical and scientific conduct of psychiatric surgery worldwide is designed to enhance patient safety.

sted, utgiver, år, opplag, sider
BMJ Publishing Group , 2014. Vol. 85, nr 9, s. 1003-1008
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-95283DOI: 10.1136/jnnp-2013-306580ISI: 000342430400014OAI: oai:DiVA.org:umu-95283DiVA, id: diva2:759118
Tilgjengelig fra: 2014-10-29 Laget: 2014-10-27 Sist oppdatert: 2018-06-07bibliografisk kontrollert

Open Access i DiVA

fulltext(344 kB)466 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 344 kBChecksum SHA-512
9822d4b2eca5de255bde5552ee16f5e13dc652f3fe7fa6a10d221284f3935c4625b3b0e10af7260e0b1c054e1822f0a4d4041e897293f1139d0484fe6568a4d6
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekst

Søk i DiVA

Av forfatter/redaktør
Hariz, Marwan
Av organisasjonen
I samme tidsskrift
Journal of Neurology, Neurosurgery and Psychiatry

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 466 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 197 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf