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Ethical considerations for deep brain stimulation trials in patients with early-onset Alzheimer’s disease

Citation

Viana, JN and Bittlinger, M and Gilbert, F, Ethical considerations for deep brain stimulation trials in patients with early-onset Alzheimer's disease, Journal of Alzheimer's Disease, 58, (2) pp. 289-301. ISSN 1387-2877 (2017) [Refereed Article]


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DOI: doi:10.3233/JAD-161073

Abstract

Several studies of deep brain stimulation (DBS) of the fornix or the nucleus basalis of Meynert have been recently conducted in people with Alzheimer’s disease, with several recruiting participants <65 and thus have early-onset Alzheimer’s disease (EOAD). Although EOAD accounts for less than 5.5% of AD cases, ethical considerations must still be made when performing DBS trials including these participants since a portion of people with EOAD, especially those possessing autosomal-dominant mutations, have an atypical and more aggressive disease progression. These considerations include appropriate patient selection and signing of an informed consent for genetic testing; appropriate study design; potential outcomes that people with EOAD could expect; and accurate interpretation and balanced discussion of trial results. Finally, recommendations for future DBS for AD trials will be made to ensure that EOAD patients will not experience avoidable harms should they be enrolled in these experimental studies.

Item Details

Item Type:Refereed Article
Keywords:Clinical trials as topic, deep brain stimulation, early onset Alzheimer’s disease, ethical review, ethics, familial Alzheimer’s disease, fornix (brain), nucleus basalis of Meynert
Research Division:Philosophy and Religious Studies
Research Group:Applied Ethics
Research Field:Medical Ethics
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Neurodegenerative Disorders Related to Ageing
Author:Viana, JN (Mr Noel Viana)
Author:Gilbert, F (Dr Frederic Gilbert)
ID Code:115983
Year Published:2017
Web of Science® Times Cited:1
Deposited By:Humanities
Deposited On:2017-04-25
Last Modified:2017-11-29
Downloads:0

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