Outcome assessment for epilepsy surgery: the impact of measuring health-related quality of life.

作者: Barbara G. Vickrey , Ron D. Hays , Jerome Engel , Karen Spritzer , William H. Rogers

DOI: 10.1002/ANA.410370205

关键词:

摘要: Epilepsy surgery is an increasingly common treatment for intractable epilepsy; yet there no clear consensus among experts on how to report epilepsy outcome. Most published outcome reporting systems focus seizure frequency and type but differ in they define clinically distinct categories. We used a reliable valid measure of self-reported health-related quality life (HRQOL), the Surgery Inventory (ESI)-55, as external standard by which evaluate seven previously published, seizure-based classification systems. The ESI-55 was administered 133 adults who had undergone epilepsy, results were linked data their occurrence before after (over year prior HRQOL reports). These patients classified according each system, variation across groups evaluated using analysis variance. Results reveal noteworthy extent different reflect patients' at follow-up. modified existing derive system that most closely reflects when applied over latest 1-year postoperative interval.

参考文章(22)
Matthew H. Liang, Martin G. Larson, Karen E. Cullen, Julie A. Schwartz, Comparative measurement efficiency and sensitivity of five health status instruments for arthritis research Arthritis & Rheumatism. ,vol. 28, pp. 542- 547 ,(1985) , 10.1002/ART.1780280513
ALVAN R. FEINSTEIN, CAROLYN K. WELLS, A clinical-severity staging system for patients with lung cancer. Medicine. ,vol. 69, pp. 1- 33 ,(1990) , 10.1097/00005792-199001000-00001
Susan S. Spencer, Dennis D. Spencer, Peter D. Williamson, Richard H. Mattson, The localizing value of depth electroencephalography in 32 patients with refractory epilepsy Annals of Neurology. ,vol. 12, pp. 248- 253 ,(1982) , 10.1002/ANA.410120306
Ron D. Hays, Cathy Donald Sherbourne, Rebecca M. Mazel, The rand 36-item health survey 1.0 Health Economics. ,vol. 2, pp. 217- 227 ,(1993) , 10.1002/HEC.4730020305
Sheldon Greenfield, The state of outcome research: are we on target? The New England Journal of Medicine. ,vol. 320, pp. 1142- 1143 ,(1989) , 10.1056/NEJM198904273201710
Inge Jensen, K. Vaernet, Temporal lobe epilepsy. Follow-up investigation of 74 temporal lobe resected patients. Acta Neurochirurgica. ,vol. 37, pp. 173- 200 ,(1977) , 10.1007/BF01402126
Shattuck lecture--outcomes management. A technology of patient experience. The New England Journal of Medicine. ,vol. 318, pp. 1549- 1556 ,(1988) , 10.1056/NEJM198806093182327
J. Jr. Engel, Outcome with respect to epileptic seizures. Surgical Treatment of the Epilepsies. pp. 609- 621 ,(1993)
Sidney Goldring, Erik M. Gregorie, Surgical management of epilepsy using epidural recordings to localize the seizure focus. Review of 100 cases. Journal of Neurosurgery. ,vol. 60, pp. 457- 466 ,(1984) , 10.3171/JNS.1984.60.3.0457
T. S. Walczak, R. A. Radtke, J. O. McNamara, D. V. Lewis, J. S. Luther, E. Thompson, W. P. Wilson, A. H. Friedman, B. S. Nashold, Anterior temporal lobectomy for complex partial seizures: evaluation, results, and long-term follow-up in 100 cases. Neurology. ,vol. 40, pp. 413- 413 ,(1990) , 10.1212/WNL.40.3_PART_1.413