Journal ArticleDOI
Core elements of epilepsy diagnosis and management: expert consensus from the Leadership in Epilepsy, Advocacy, and Development (LEAD) faculty.
Tracy A. Glauser,Raman Sankar,Jacquelyn L. Bainbridge,Martina Bebin,Selim R. Benbadis,Deborah T.C. Cantrell,R. Edward Faught,Michael Gruenthal,Laura L. Hershkowitz,Gregory L. Holmes,Aatif M. Husain,David M. Labiner,Georgia Montouris,Dean K. Naritoku,Barbara J. Olson,John M. Pellock,Patricia Penovich,Michael Privitera,R. Eugene Ramsay,Jong M. Rho,Karen C. Richards,William E. Rosenfeld,Jeremy D. Slater,Michael C. Smith,Mark C. Spitz,John M. Stern,David G. Vossler,James W. Wheless +27 more
TLDR
The core elements of epilepsy management identified here suggest minimum standards that can be used across all settings to improve consistency and quality of epilepsy diagnosis and care.Abstract:
Background: Although epilepsy is relatively common, only a limited number of specialized epilepsy centers exist in the United States. Therefore, epilepsy diagnosis and management frequently occur in the community setting. This can complicate patient management and suboptimal care is a potential concern. Delayed recognition and inadequate treatment increase the risk of subsequent seizures, brain damage, disability, and death from seizure-related injuries. To identify core elements of epilepsy management that should be offered to all patients, the Leadership in Epilepsy, Advocacy, and Development (LEAD) faculty assessed current practical issues and identified practices to improve patient care and outcomes.Scope: This paper presents a consensus opinion formed from a survey of 26 current LEAD faculty members, who answered 105 questions about epilepsy diagnosis and patient evaluation, treatment decisions, lifelong monitoring, and the management of special patient subgroups. Consensus agreement was conc...read more
Citations
More filters
Journal ArticleDOI
Conversations between community-based neurologists and patients with epilepsy: results of an observational linguistic study.
Frank Gilliam,Patricia Penovich,Corey Eagan,John M. Stern,David M. Labiner,Meaghan Onofrey,Gregory L. Holmes,Eileen Mathis,Joyce A. Cramer +8 more
TL;DR: Communication gaps observed in discussions of epilepsy and its treatment warrant further exploration and additional research is currently underway to assess the efficacy of a previsit assessment tool.
Journal ArticleDOI
Socio-technical considerations in epilepsy electronic patient record implementation
Louise Mc Quaid,Patricia Breen,Jane Grimson,Charles Normand,Mary Dunne,Norman Delanty,Dipak Kalra,Mary Fitzsimons +7 more
TL;DR: This study was based on the introduction of an anti-epileptic drug (AED) management module of an EPR in an epilepsy out-patient clinic to evaluate its usability and usefulness.
Journal ArticleDOI
Utilization of care among drug resistant epilepsy patients with symptoms of anxiety and depression
Katherine T. Hamilton,Christopher T. Anderson,Nabila Dahodwala,Kathy Lawler,Dale C. Hesdorffer,Jacqueline A. French,John R. Pollard +6 more
TL;DR: For most measures of epilepsy management, symptoms of anxiety and/or depression do not alter epilepsy care; however, drug resistant epilepsy patients with anxiety and-or depression symptoms may be more likely to miss outpatient appointments, and those with the highest burden of psychiatric Symptoms may be admitted more frequently for inpatient services compared to controls.
Journal ArticleDOI
More effective assessment of adverse effects and comorbidities in epilepsy: results of a Phase II communication study.
John M. Stern,David M. Labiner,Frank G. Gilliam,Patricia Penovich,Meaghan Onofrey,Corey Eagan,Gregory L. Holmes +6 more
TL;DR: Using the previsit assessment tool increased the number of discussions about adverse effects and mood/behavioral issues and increased neurologist-patient agreement about issues postvisit.
Journal ArticleDOI
Association of Child Neurology-Indian Epilepsy Society Consensus Document on Parental Counseling of Children with Epilepsy.
Kavita Srivastava,Rachna Sehgal,Ramesh Konanki,Ridhimaa Jain,Suvasini Sharma,Rekha Mittal,Anaita Hedge,Anju Aggarwal,Arijit Chattopadhyay,Bijoy Patra,Jaya Shankar Kaushik,Lokesh Lingappa,Naveen Sankhyan,Puja Kapoor,Pratibha Singhi,Satinder Aneja,Sheffali Gulati,Sujata Kanhere,Surekha Rajadhyakshya,Veena Kalra,Vineet Bhushan Gupta,Vrajesh Udani,Yeeshu Singh Sudan,Man Mohan Mehendiratta,Manjari Tripathi,G T Subhash,Bhavneet Bharti,Srinivas Rao,Munawwar Naseem,Snehashish Mukherjee,Priya Jain,Mehreen Khosla,Kavita Shanbagh,Deepa Jain,Sumeet Mansingh,Dhaneshwar Yadav,Chetan Singh,Sunita Raina,Sapna Srivastava,Leena Ahuja,Rashmi Kumar,Kollencheri Puthenveettil Vinayan,Rakesh K. Jain,Satish Jain,Devendra Mishra +44 more
TL;DR: An expert group meeting of pediatric neurologists and epileptologists in India along with social workers/epilepsy educators, legal experts, parents, and teachers was held and a consensus document was formulated regarding parental counseling in children with epilepsy.
References
More filters
Journal ArticleDOI
ILAE treatment guidelines: evidence-based analysis of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes.
Tracy A. Glauser,Elinor Ben-Menachem,Blaise F. D. Bourgeois,Avital Cnaan,David Chadwick,Carlos A. M. Guerreiro,Reetta Kälviäinen,Richard H. Mattson,Emilio Perucca,Torbjörn Tomson +9 more
TL;DR: In this article, a 10-member subcommission of the Commission on Therapeutic Strategies of The International League Against Epilepsy (ILAE) evaluated available evidence found through a structured literature review including MEDLINE, Current Contents and the Cochrane Library for all applicable articles from 1940 until July 2005.
Journal ArticleDOI
Efficacy and tolerability of the new antiepileptic drugs I: treatment of new onset epilepsy: report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society.
Jacqueline A. French,Andres M. Kanner,Jocelyn F. Bautista,Bassel Abou-Khalil,Thomas R. Browne,Cynthia L. Harden,William H. Theodore,Carl W. Bazil,John M. Stern,Steven C. Schachter,Donna Bergen,Deborah Hirtz,Georgia Montouris,Mark Nespeca,Barry E. Gidal,William J. Marks,William R. Turk,James H. Fischer,Blaise F. D. Bourgeois,Andrew Wilner,R. E. Faught,R. Sachdeo,Ahmad Beydoun,Tracy A. Glauser +23 more
TL;DR: The results of this evidence-based assessment provide guidelines for the prescription of AEDs for patients with newly diagnosed epilepsy and identify those seizure types and syndromes where more evidence is necessary.
Journal ArticleDOI
The Importance of Drug Interactions in Epilepsy Therapy
TL;DR: Physicians prescribing AEDs to patients with epilepsy must, therefore, be aware of the potential for drug interactions and the effects (pharmacokinetic and pharmacodynamic) that can occur both during combination therapy and on drug discontinuation.
Journal ArticleDOI
Update on the Epidemiology and Prognosis of Pediatric Epilepsy
Shlomo Shinnar,John M. Pellock +1 more
TL;DR: This review summarizes recent data on the epidemiology and prognosis of pediatric epilepsy and indicates that childhood-onset epilepsy is associated with adverse long-term psychosocial outcomes, even in patients attaining remission.
Journal ArticleDOI
Epidemiological and medical aspects of epilepsy in the elderly.
James C. Cloyd,W. A. Hauser,Alan R. Towne,R. E. Ramsay,Richard H. Mattson,Frank Gilliam,Thaddeus S. Walczak +6 more
TL;DR: The incidence and prevalence of epilepsy are high among the elderly as mentioned in this paper and the risk of osteoporosis is high among elderly women taking antiepileptic drugs, which underscores the importance of assessing bone health and treatment in this group.
Related Papers (5)
Management of epilepsy: pharmacologic therapy and quality-of-life issues.
Understanding patients' perspective in the use of generic antiepileptic drugs: compelling lessons for physicians to improve physician/patient communication
Canadian Cardiovascular Society Consensus Conference guidelines on heart failure - 2008 update: Best practices for the transition of care of heart failure patients, and the recognition, investigation and treatment of cardiomyopathies
J. Malcolm O. Arnold,Jonathan G. Howlett,Anique Ducharme,Justin A. Ezekowitz,M. Gardner,Nadia Giannetti,Haissam Haddad,George A. Heckman,Debra Isaac,Philip Jong,Peter Liu,Elizabeth Mann,Robert S. McKelvie,Gordon W. Moe,Anna M. Svendsen,Ross T. Tsuyuki,Kelly O’Halloran,Heather J. Ross,Errol J. Sequeira,Michel White +19 more