An International Survey of Deep Brain Stimulation Utilization in Asia and Oceania: The DBS Think Tank East

Chencheng Zhang, Adolfo Ramirez-Zamora, Fangang Meng, Zhengyu Lin, Yijie Lai, Dianyou Li, Jinwoo Chang, Takashi Morishita, Tooru Inoue, Shinsuke Fujioka, Genko Oyama, Terry Coyne, Valerie Voon, Paresh K. Doshi, Yiwen Wu, Jun Liu, Bhavana Patel, Leonardo Almeida, Aparna A. Wagle Shukla, Wei HuKelly Foote, Jianguo Zhang, Bomin Sun, Michael S. Okun

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Introduction: To evaluate the current utilization and challenges in fully implementing the use of deep brain stimulation (DBS) treatment in Asia and Oceania. Methods: We conducted a medical literature search to identify DBS research performed by investigators with a primary affiliation in Asian and Oceania countries between March 1, 2013, and March 1, 2019, followed by an international survey-based study. Additionally, we obtained added information regarding the DBS challenges and opportunities from the technology/industry perspective within China and Japan. We also described the current situation of DBS in India. Results: Most publications (390/494; 78.95%) in the English language originated from East Asia. In West Asia, Turkey, Israel, and Iran accounted for most DBS publications. We found no publications from the remaining 35 Asian countries. Lack of community referrals to tertiary centers was identified as the most common limitation for the widespread use of DBS in Asia (68.97%). In China, despite an increasing number of centers performing DBS surgeries, most of them accomplished less than 10 cases per year. In contrast, the number of DBS cases in Japan has been decreasing. Centers offering DBS surgeries as well as corresponding fellowship training in India are limited. Conclusion: Appropriate referrals, access, infrastructure, and the presence of full multidisciplinary DBS teams are common limitations of DBS in Asia. Most centers in China, Japan, and India performed less than 10 cases per year and a future study is expected to address the impact on quality in centers performing such few cases.

Original languageEnglish
Article number162
JournalFrontiers in Human Neuroscience
Publication statusPublished - 2020 Jul 6

Bibliographical note

Funding Information:
We appreciate critical comments from Jeff Bergman and the support from Yunhao Wu and Wenying Xu for gathering the publication information. Funding. Natural Science Foundation of China Grant (81771482 to BS; 81971294 to DL). Shanghai Jiao Tong University School of Medicine 2018 International and Hong Kong, Macao and Taiwan Regional Research Cooperation Project. VV is supported by the Guangci Professorship Program of Ruijin Hospital.

Publisher Copyright:
© Copyright © 2020 Zhang, Ramirez-Zamora, Meng, Lin, Lai, Li, Chang, Morishita, Inoue, Fujioka, Oyama, Coyne, Voon, Doshi, Wu, Liu, Patel, Almeida, Wagle Shukla, Hu, Foote, Zhang, Sun and Okun.

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Neurology
  • Psychiatry and Mental health
  • Biological Psychiatry
  • Behavioral Neuroscience


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