Socioeconomic outcome of epilepsy surgery: A controlled national study
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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
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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
N1 - Copyright © 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
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