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Why patients with refractory epilepsy reject surgery in China

Why patients with refractory epilepsy reject surgery in China
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摘要 EPilepsy is a common neurological disorder among all age groups and socioeconomic classes. Epilepsy surgery has been demonstrated to be a safe and effective treatment for drug-refractory epilepsy.Despite this success, many potential surgical candidates refuse surgery. On average, there is a 20-year delay between the diagnosis of epilepsy and surgical treatment,1 suggesting that epilepsy surgery is underutilized. The prevalence of active epilepsy is even higher in developing countries due to the limited availability and high cost of medication. To date, however, few studies have addressed the reasons for delayed surgical treatment in developing countries such as China. To address these issues, we conducted a cross- sectional survey to document potential barriers limiting patients access to the surgical treatment of epilepsy. EPilepsy is a common neurological disorder among all age groups and socioeconomic classes. Epilepsy surgery has been demonstrated to be a safe and effective treatment for drug-refractory epilepsy.Despite this success, many potential surgical candidates refuse surgery. On average, there is a 20-year delay between the diagnosis of epilepsy and surgical treatment,1 suggesting that epilepsy surgery is underutilized. The prevalence of active epilepsy is even higher in developing countries due to the limited availability and high cost of medication. To date, however, few studies have addressed the reasons for delayed surgical treatment in developing countries such as China. To address these issues, we conducted a cross- sectional survey to document potential barriers limiting patients access to the surgical treatment of epilepsy.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第20期3672-3673,共2页 中华医学杂志(英文版)
关键词 intractable epilepsy patient recruitment ATTITUDES REFERRAL SURGERY intractable epilepsy patient recruitment attitudes referraL surgery
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参考文献5

  • 1Choi H,Carlino R,Heiman G,Hauser WA,Gilliam FG.Evaluation of duration of epilepsy prior to temporal lobe epilepsy surgery during the past two decades.Epilepsy Res 2009; 86:224-227.
  • 2Xu L,Xu M.Epilepsy surgery in China:past,present,and future.Eur J Neurol2009; 17:189-193.
  • 3Rao MB,Radhakrishnan K.Is epilepsy surgery possible in countries with limited resources? Epilepsia 2000; 41 Suppl 4:S31-S34.
  • 4Liu J,Liu Z,Meng F.The economic burden of epilepsy in a sample of people with epilepsy in China.Epilepsy Res 2013;103:288-293.
  • 5Engel J Jr,Wiebe S,French J,Sperling M,Williamson P,Spencer D,et al.Practice parameter:temporal lobe and localized neocortical resections for epilepsy:report of the quality standards subcommittee of the american academy of neurology,in association with the american epilepsy society and the american association of neurological surgeons.Neurology 2003;60:538-547.

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