A Prospective Study of the Requirement for and the Provision of Epilepsy Surgery in the United Kingdom.
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| Title: | A Prospective Study of the Requirement for and the Provision of Epilepsy Surgery in the United Kingdom. |
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| Authors: | Lhatoo, Samden D., Solomon, Juliet K., McEvoy, Andrew W., Kitchen, Neil D., Shorvon, Simon D., Sander, Josemir W. |
| Source: | Epilepsia (Series 4). May2003, Vol. 44 Issue 5, p673-676. 4p. |
| Subjects: | Epilepsy, Developmental disabilities, Neurosurgery |
| Geographic Terms: | United Kingdom |
| Abstract: | Summary: Purpose: Of the 30,000 persons in whom epilepsy develops annually in the United Kingdom, in ∼6000 (20%), intractability develops. Some of these patients will be appropriate for epilepsy surgery. We aimed to estimate the number of patients who should be considered surgical candidates, by extrapolation from a population-based study of prognosis and the number who are receiving epilepsy surgery, by a survey of U.K. neurosurgeons. Methods: We identified the number of patients who may eventually require surgery from a prospective cohort of patients with newly diagnosed epilepsy. We identified all U.K. neurosurgeons who had performed any epilepsy surgery in the past year. Each identified surgeon prospectively recorded the number and types of operations carried out for 6 months. Results: Of newly diagnosed patients each year, 450 (1.5%) may eventually require surgery. Thirty-two respondents (22% of all U.K. neurosurgeons) reported that they performed epilepsy surgery. The 211 operations were carried out in the 6 months surveyed (422 operations annually or 13 per surgeon per year). Temporal lobe resection (77%) was the most common procedure. Conclusions: Based on a prevalence of 5/1,000 persons with epilepsy, ≤4,500 patients in the U.K. require epilepsy surgery. Every year, 450 patients with newly diagnosed epilepsy who may eventually require surgery are added to this “surgical pool.” At the current annual rate of operations, a large number of refractory patients remain untreated. This is probably partly because many patients are not referred for specialist care and therefore remain underinvestigated. [ABSTRACT FROM AUTHOR] |
| Copyright of Epilepsia (Series 4) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 9697999 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A Prospective Study of the Requirement for and the Provision of Epilepsy Surgery in the United Kingdom. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Lhatoo%2C+Samden+D%2E%22">Lhatoo, Samden D.</searchLink><br /><searchLink fieldCode="AR" term="%22Solomon%2C+Juliet+K%2E%22">Solomon, Juliet K.</searchLink><br /><searchLink fieldCode="AR" term="%22McEvoy%2C+Andrew+W%2E%22">McEvoy, Andrew W.</searchLink><br /><searchLink fieldCode="AR" term="%22Kitchen%2C+Neil+D%2E%22">Kitchen, Neil D.</searchLink><br /><searchLink fieldCode="AR" term="%22Shorvon%2C+Simon+D%2E%22">Shorvon, Simon D.</searchLink><br /><searchLink fieldCode="AR" term="%22Sander%2C+Josemir+W%2E%22">Sander, Josemir W.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Epilepsia+%28Series+4%29%22">Epilepsia (Series 4)</searchLink>. May2003, Vol. 44 Issue 5, p673-676. 4p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Epilepsy%22">Epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Developmental+disabilities%22">Developmental disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Neurosurgery%22">Neurosurgery</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Summary: Purpose: Of the 30,000 persons in whom epilepsy develops annually in the United Kingdom, in ∼6000 (20%), intractability develops. Some of these patients will be appropriate for epilepsy surgery. We aimed to estimate the number of patients who should be considered surgical candidates, by extrapolation from a population-based study of prognosis and the number who are receiving epilepsy surgery, by a survey of U.K. neurosurgeons. Methods: We identified the number of patients who may eventually require surgery from a prospective cohort of patients with newly diagnosed epilepsy. We identified all U.K. neurosurgeons who had performed any epilepsy surgery in the past year. Each identified surgeon prospectively recorded the number and types of operations carried out for 6 months. Results: Of newly diagnosed patients each year, 450 (1.5%) may eventually require surgery. Thirty-two respondents (22% of all U.K. neurosurgeons) reported that they performed epilepsy surgery. The 211 operations were carried out in the 6 months surveyed (422 operations annually or 13 per surgeon per year). Temporal lobe resection (77%) was the most common procedure. Conclusions: Based on a prevalence of 5/1,000 persons with epilepsy, ≤4,500 patients in the U.K. require epilepsy surgery. Every year, 450 patients with newly diagnosed epilepsy who may eventually require surgery are added to this “surgical pool.” At the current annual rate of operations, a large number of refractory patients remain untreated. This is probably partly because many patients are not referred for specialist care and therefore remain underinvestigated. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Epilepsia (Series 4) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1046/j.1528-1157.2003.46002.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 4 StartPage: 673 Subjects: – SubjectFull: Epilepsy Type: general – SubjectFull: Developmental disabilities Type: general – SubjectFull: Neurosurgery Type: general – SubjectFull: United Kingdom Type: general Titles: – TitleFull: A Prospective Study of the Requirement for and the Provision of Epilepsy Surgery in the United Kingdom. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Lhatoo, Samden D. – PersonEntity: Name: NameFull: Solomon, Juliet K. – PersonEntity: Name: NameFull: McEvoy, Andrew W. – PersonEntity: Name: NameFull: Kitchen, Neil D. – PersonEntity: Name: NameFull: Shorvon, Simon D. – PersonEntity: Name: NameFull: Sander, Josemir W. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 00139580 Numbering: – Type: volume Value: 44 – Type: issue Value: 5 Titles: – TitleFull: Epilepsia (Series 4) Type: main |
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