Socioeconomic outcome of epilepsy surgery

Socioeconomic outcome of epilepsy surgery: A controlled national study

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Socioeconomic outcome of epilepsy surgery : A controlled national study. / Jennum, Poul; Sabers, Anne; Christensen, Jakob; Ibsen, Rikke; Kjellberg, Jakob.

In: Seizure, Vol. 42, 11.2016, p. 52-56.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Jennum, P, Sabers, A, Christensen, J, Ibsen, R & Kjellberg, J 2016, 'Socioeconomic outcome of epilepsy surgery: A controlled national study', Seizure, vol. 42, pp. 52-56. https://doi.org/10.1016/j.seizure.2016.09.016

APA

Jennum, P., Sabers, A., Christensen, J., Ibsen, R., & Kjellberg, J. (2016). Socioeconomic outcome of epilepsy surgery: A controlled national study. Seizure, 42, 52-56. https://doi.org/10.1016/j.seizure.2016.09.016

Vancouver

Jennum P, Sabers A, Christensen J, Ibsen R, Kjellberg J. Socioeconomic outcome of epilepsy surgery: A controlled national study. Seizure. 2016 Nov;42:52-56. https://doi.org/10.1016/j.seizure.2016.09.016

Author

Jennum, Poul ; Sabers, Anne ; Christensen, Jakob ; Ibsen, Rikke ; Kjellberg, Jakob. / Socioeconomic outcome of epilepsy surgery : A controlled national study. In: Seizure. 2016 ; Vol. 42. pp. 52-56.

Bibtex

@article{24a994d462e44160aac241168f39d2cb,

title = "Socioeconomic outcome of epilepsy surgery: A controlled national study",

abstract = "PURPOSE: Epilepsy surgery has been a standard treatment for refractory epilepsies that cannot be controlled by standard medical treatment. We aimed to evaluate the health and social consequences of resective surgery relative to controls from a study of national data.METHODS: Using the Danish National Patient Registry we identified all subjects with an epilepsy diagnosis between 1996 and 2009 and compared them with a group of patients with an epilepsy diagnosis who had had neither epilepsy surgery nor a vagus stimulation diagnosis by the index date, and who were matched by gender, index year for epilepsy diagnosis, and index year for epilepsy surgery. We considered all the health and social information available in the Danish health, medication and social registers. The duration of follow-up was three years.RESULTS: 254 epilepsy patients and 989 controls were analyzed. Surgery patients were more severely affected by their disease as indicated by health care use and social impact before the surgical procedure. Patients who underwent epilepsy surgery had a significantly lower costs associated with the use of medication, outpatient services, inpatient admissions, and accident and emergency visits after surgery. The surgical intervention had no significant effects on social status in terms of occupation and educational level.CONCLUSION: Although epilepsy surgery was followed by a reduction in inpatient and outpatient health care use, medication and use of accident and emergency facilities, suggesting a positive effect on the epileptic disease, there was no significant effect on social outcome measures.",

keywords = "Adolescent, Adult, Case-Control Studies, Child, Child, Preschool, Denmark, Drug Resistant Epilepsy, Educational Status, Female, Follow-Up Studies, Health Care Costs, Humans, Infant, Infant, Newborn, Male, Neurosurgical Procedures, Occupations, Registries, Severity of Illness Index, Young Adult, Journal Article",

author = "Poul Jennum and Anne Sabers and Jakob Christensen and Rikke Ibsen and Jakob Kjellberg",

year = "2016",

month = nov,

doi = "10.1016/j.seizure.2016.09.016",

language = "English",

volume = "42",

pages = "52--56",

journal = "Seizure : the journal of the British Epilepsy Association",

issn = "1059-1311",

publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Socioeconomic outcome of epilepsy surgery

T2 - A controlled national study

AU - Jennum, Poul

AU - Sabers, Anne

AU - Christensen, Jakob

AU - Ibsen, Rikke

AU - Kjellberg, Jakob

PY - 2016/11

Y1 - 2016/11

N2 - PURPOSE: Epilepsy surgery has been a standard treatment for refractory epilepsies that cannot be controlled by standard medical treatment. We aimed to evaluate the health and social consequences of resective surgery relative to controls from a study of national data.METHODS: Using the Danish National Patient Registry we identified all subjects with an epilepsy diagnosis between 1996 and 2009 and compared them with a group of patients with an epilepsy diagnosis who had had neither epilepsy surgery nor a vagus stimulation diagnosis by the index date, and who were matched by gender, index year for epilepsy diagnosis, and index year for epilepsy surgery. We considered all the health and social information available in the Danish health, medication and social registers. The duration of follow-up was three years.RESULTS: 254 epilepsy patients and 989 controls were analyzed. Surgery patients were more severely affected by their disease as indicated by health care use and social impact before the surgical procedure. Patients who underwent epilepsy surgery had a significantly lower costs associated with the use of medication, outpatient services, inpatient admissions, and accident and emergency visits after surgery. The surgical intervention had no significant effects on social status in terms of occupation and educational level.CONCLUSION: Although epilepsy surgery was followed by a reduction in inpatient and outpatient health care use, medication and use of accident and emergency facilities, suggesting a positive effect on the epileptic disease, there was no significant effect on social outcome measures.

AB - PURPOSE: Epilepsy surgery has been a standard treatment for refractory epilepsies that cannot be controlled by standard medical treatment. We aimed to evaluate the health and social consequences of resective surgery relative to controls from a study of national data.METHODS: Using the Danish National Patient Registry we identified all subjects with an epilepsy diagnosis between 1996 and 2009 and compared them with a group of patients with an epilepsy diagnosis who had had neither epilepsy surgery nor a vagus stimulation diagnosis by the index date, and who were matched by gender, index year for epilepsy diagnosis, and index year for epilepsy surgery. We considered all the health and social information available in the Danish health, medication and social registers. The duration of follow-up was three years.RESULTS: 254 epilepsy patients and 989 controls were analyzed. Surgery patients were more severely affected by their disease as indicated by health care use and social impact before the surgical procedure. Patients who underwent epilepsy surgery had a significantly lower costs associated with the use of medication, outpatient services, inpatient admissions, and accident and emergency visits after surgery. The surgical intervention had no significant effects on social status in terms of occupation and educational level.CONCLUSION: Although epilepsy surgery was followed by a reduction in inpatient and outpatient health care use, medication and use of accident and emergency facilities, suggesting a positive effect on the epileptic disease, there was no significant effect on social outcome measures.

KW - Adolescent

KW - Adult

KW - Case-Control Studies

KW - Child

KW - Child, Preschool

KW - Denmark

KW - Drug Resistant Epilepsy

KW - Educational Status

KW - Female

KW - Follow-Up Studies

KW - Health Care Costs

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Male

KW - Neurosurgical Procedures

KW - Occupations

KW - Registries

KW - Severity of Illness Index

KW - Young Adult

KW - Journal Article

U2 - 10.1016/j.seizure.2016.09.016

DO - 10.1016/j.seizure.2016.09.016

M3 - Journal article

C2 - 27770730

VL - 42

SP - 52

EP - 56

JO - Seizure : the journal of the British Epilepsy Association

JF - Seizure : the journal of the British Epilepsy Association

SN - 1059-1311

ER -

ID: 179087930

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