Revisión

Barriers impeding access to epilepsy surgery: a review of the literature

L.D. Ladino, V. Benjumea-Cuartas, J. Vargas-Osorio, L.V. Villamil-Osorio, L. Hernández-Vanegas, I.E. Martínez-Juárez, J.F. Téllez-Zenteno [REV NEUROL 2017;65:268-279] PMID: 28896001 DOI: https://doi.org/10.33588/rn.6506.2017188

OPEN ACCESS

Volumen 65 | Number 06 | Nº of views of the article 5.639 | Nº of PDF downloads 585 | Article publication date 16/09/2017

Download PDF Castellano Citation Search in PubMed

Share in:

Go to another issue

ABSTRACT

Drug-resistant epilepsy, a chronic condition with long-term consequences can be treated with surgery. The efficacy and safety of surgery for temporal lobe epilepsy have been established through a large number of retrospective and prospective cohort studies and two randomized controlled clinical trials. Despite the excellent outcomes reported after surgery, the literature suggests that this procedure is an underutilized treatment. While evidence is lacking as to why epilepsy surgery is underused, cited reasons include: failure of primary care physicians and neurologists to provide information and identify patients who could be referred for surgery; different levels of technology at various centers, resulting in different candidate selection strategies; the belief that epilepsy surgery is a risky procedure and that it should be only viewed as the last option; patient preference to avoid surgery; parents wanting to wait until their child is old enough to participate in the decision-making process regarding surgery; unwillingness of insurers to cover the expenses associated with presurgical evaluations or lack of insurance; racial and social disparities, among others. In this paper we review the available epidemiological data about lack of utilization of epilepsy surgery. KeywordsDelayed remission Inequality Lobectomy Myths Obstacle Perceptions Pharmacoresistant epilepsy Survey CategoriesEpilepsias y síndromes epilépticos

FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)

Acceso directo al último número

Último Podcast

Revisión

Barriers impeding access to epilepsy surgery: a review of the literature

¡CONVIÉRTASE EN USUARIO PREMIUM DE NEUROLOGIA.COM!

Al hacerse premium, está apoyándonos para que Revista de Neurología siga siendo uno de los referentes de habla hispana en la difusión del conocimiento en neurociencias. ¡Gratuita tanto para autores como para todos los usuarios de la web!