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@ARTICLE{KblerWeller:280910,
author = {Kübler-Weller, Dorothee and Stuke, Heiner and Astalosch,
Melanie and Martins Ribeiro, Luísa and Landfried, Elias and
Schneider, Gerd-Helge and Faust, Katharina and Krause,
Patricia and Roediger, Jan and Haufe, Stefan and Mousavi,
Mahta and Al-Fatly, Bassam and Spies, Claudia and Borchers,
Friedrich and Kühn, Andrea A},
title = {{P}redicting cognition after subthalamic {D}eep {B}rain
{S}timulation in {P}arkinson's {D}isease.},
journal = {npj Parkinson's Disease},
volume = {11},
number = {1},
issn = {2373-8057},
address = {[London]},
publisher = {Springer Nature},
reportid = {DZNE-2025-00993},
pages = {265},
year = {2025},
abstract = {Cognitive deficits have a high impact on quality of life in
Parkinson's disease (PD). This study takes into account the
multifaceted etiology of cognition to estimate the cognitive
outcome after deep brain stimulation (DBS) surgery in PD.
Clinical, neuropsychological, perioperative, neuroimaging-
and laboratory-based risk factors for cognitive dysfunction
were prospectively assessed prior to surgery in 57 patients
(21 female; age 60.2 ± 8.2; disease duration 10.5 ± 5.9
years, preregistered 9 June 2019 at clinicaltrials.gov,
NCT03982953). Elastic net regularized regression and
leave-one-out cross-validation were used to fit a
multivariable model with the Montréal Cognitive Assessment
(MoCA) change one year after surgery as primary outcome. The
backward span had the most robust association with the
cognitive outcome (rho = 0.499, p < 0.001**; c = 0.302). We
propose a post-hoc prediction model for cognition based on
the baseline MoCA and backward span (R² = 0.50). After
clinical validation, our short and easily applicable
prediction model could improve informed therapeutic decision
making.},
cin = {AG Kühn},
ddc = {610},
cid = {I:(DE-2719)5000008},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40877314},
doi = {10.1038/s41531-025-01128-3},
url = {https://pub.dzne.de/record/280910},
}