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Preference‐based quality‐of‐life measures for neocortical epilepsy surgery
Summary Critical to decision analysis studies are measures of outcome utilities. In epilepsy surgery the benefit versus risk ratio is of particular interest in neocortical resections. Using the standard gamble, we measured preferences of 30 epilepsy patients for 10 outcome states specific to neocort...
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| Published in: | Epilepsia (Copenhagen) 2011-05, Vol.52 (5), p.1018-1020 |
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| Main Authors: | , , , , , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c4590-d970036b2fa550b841461870074f7f51d27c64c56bc219d140eb68b05d89ec833 |
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| container_issue | 5 |
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| container_title | Epilepsia (Copenhagen) |
| container_volume | 52 |
| creator | Knowlton, Robert C. Kar, Jitesh Miller, Suzanne Limdi, Nita Elgavish, Rotem Gilliam, Frank G. Riley, Kristen Howell, Jennifer Kilgore, Meredith |
| description | Summary
Critical to decision analysis studies are measures of outcome utilities. In epilepsy surgery the benefit versus risk ratio is of particular interest in neocortical resections. Using the standard gamble, we measured preferences of 30 epilepsy patients for 10 outcome states specific to neocortical epilepsy surgery. Although considered preliminary, the findings suggest that the value of being seizure‐free may be greater than that of continued disabling seizures, even if some deficits typical of “eloquent” cortex injury are incurred with surgery. Seizure freedom achieved with polytherapy medical management may be less desirable than that achieved with surgery and monotherapy. |
| doi_str_mv | 10.1111/j.1528-1167.2011.03020.x |
| format | article |
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Critical to decision analysis studies are measures of outcome utilities. In epilepsy surgery the benefit versus risk ratio is of particular interest in neocortical resections. Using the standard gamble, we measured preferences of 30 epilepsy patients for 10 outcome states specific to neocortical epilepsy surgery. Although considered preliminary, the findings suggest that the value of being seizure‐free may be greater than that of continued disabling seizures, even if some deficits typical of “eloquent” cortex injury are incurred with surgery. Seizure freedom achieved with polytherapy medical management may be less desirable than that achieved with surgery and monotherapy.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2011.03020.x</identifier><identifier>PMID: 21426329</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Anticonvulsants - therapeutic use ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Biological and medical sciences ; Cortex ; Decision analysis ; Decision Support Techniques ; Disease-Free Survival ; Epilepsy ; Epilepsy - physiopathology ; Epilepsy - psychology ; Epilepsy - surgery ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Health Status ; Humans ; Injuries ; Male ; Medical sciences ; Middle Aged ; Models, Psychological ; Neocortex - physiopathology ; Neocortex - surgery ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Outcomes research ; Patient Preference - psychology ; Pharmacology. Drug treatments ; Quality of Life ; Risk Assessment ; Seizures ; Surgery ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Epilepsia (Copenhagen), 2011-05, Vol.52 (5), p.1018-1020</ispartof><rights>Wiley Periodicals, Inc. © 2011 International League Against Epilepsy</rights><rights>2015 INIST-CNRS</rights><rights>Wiley Periodicals, Inc. © 2011 International League Against Epilepsy.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4590-d970036b2fa550b841461870074f7f51d27c64c56bc219d140eb68b05d89ec833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24253667$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21426329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knowlton, Robert C.</creatorcontrib><creatorcontrib>Kar, Jitesh</creatorcontrib><creatorcontrib>Miller, Suzanne</creatorcontrib><creatorcontrib>Limdi, Nita</creatorcontrib><creatorcontrib>Elgavish, Rotem</creatorcontrib><creatorcontrib>Gilliam, Frank G.</creatorcontrib><creatorcontrib>Riley, Kristen</creatorcontrib><creatorcontrib>Howell, Jennifer</creatorcontrib><creatorcontrib>Kilgore, Meredith</creatorcontrib><title>Preference‐based quality‐of‐life measures for neocortical epilepsy surgery</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Summary
Critical to decision analysis studies are measures of outcome utilities. In epilepsy surgery the benefit versus risk ratio is of particular interest in neocortical resections. Using the standard gamble, we measured preferences of 30 epilepsy patients for 10 outcome states specific to neocortical epilepsy surgery. Although considered preliminary, the findings suggest that the value of being seizure‐free may be greater than that of continued disabling seizures, even if some deficits typical of “eloquent” cortex injury are incurred with surgery. Seizure freedom achieved with polytherapy medical management may be less desirable than that achieved with surgery and monotherapy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Cortex</subject><subject>Decision analysis</subject><subject>Decision Support Techniques</subject><subject>Disease-Free Survival</subject><subject>Epilepsy</subject><subject>Epilepsy - physiopathology</subject><subject>Epilepsy - psychology</subject><subject>Epilepsy - surgery</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Health Status</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Psychological</subject><subject>Neocortex - physiopathology</subject><subject>Neocortex - surgery</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Outcomes research</subject><subject>Patient Preference - psychology</subject><subject>Pharmacology. Drug treatments</subject><subject>Quality of Life</subject><subject>Risk Assessment</subject><subject>Seizures</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkctu1DAUhi0EotOBV0CREGKVcI7vWbBAVSmVKjELWFuOc4Iyykym9kQ0uz4Cz8iT4NChSKzwwrfz6cj-P8YKhArzeLetUHFbImpTcUCsQACH6u4JWz0WnrIVAIqyVhbO2HlKWwAw2ojn7Iyj5FrwesU2m0gdRdoH-nn_o_GJ2uJ28kN_nPN57PI09B0VO_JpipSKbozFnsYwxmMf_FDQoR_okOYil79RnF-wZ50fEr08rWv29ePll4tP5c3nq-uLDzdlkKqGsq0NgNAN77xS0FiJUqPNd0Z2plPYchO0DEo3gWPdogRqtG1AtbamYIVYs7cPfQ9xvJ0oHd2uT4GGwefXTclZozm3tZL_QUqsOQjM5Ot_yO04xX3-hkOFhgsLdun36kRNzY5ad4j9zsfZ_Qk1A29OgE85oi76fejTX05yJXQWsWbvH7jvOcL5sY7gFslu6xaXbnHpFsnut2R35y4318tO_ALx6ZrQ</recordid><startdate>201105</startdate><enddate>201105</enddate><creator>Knowlton, Robert C.</creator><creator>Kar, Jitesh</creator><creator>Miller, Suzanne</creator><creator>Limdi, Nita</creator><creator>Elgavish, Rotem</creator><creator>Gilliam, Frank G.</creator><creator>Riley, Kristen</creator><creator>Howell, Jennifer</creator><creator>Kilgore, Meredith</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201105</creationdate><title>Preference‐based quality‐of‐life measures for neocortical epilepsy surgery</title><author>Knowlton, Robert C. ; Kar, Jitesh ; Miller, Suzanne ; Limdi, Nita ; Elgavish, Rotem ; Gilliam, Frank G. ; Riley, Kristen ; Howell, Jennifer ; Kilgore, Meredith</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4590-d970036b2fa550b841461870074f7f51d27c64c56bc219d140eb68b05d89ec833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Cortex</topic><topic>Decision analysis</topic><topic>Decision Support Techniques</topic><topic>Disease-Free Survival</topic><topic>Epilepsy</topic><topic>Epilepsy - physiopathology</topic><topic>Epilepsy - psychology</topic><topic>Epilepsy - surgery</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Health Status</topic><topic>Humans</topic><topic>Injuries</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Psychological</topic><topic>Neocortex - physiopathology</topic><topic>Neocortex - surgery</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Outcomes research</topic><topic>Patient Preference - psychology</topic><topic>Pharmacology. Drug treatments</topic><topic>Quality of Life</topic><topic>Risk Assessment</topic><topic>Seizures</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knowlton, Robert C.</creatorcontrib><creatorcontrib>Kar, Jitesh</creatorcontrib><creatorcontrib>Miller, Suzanne</creatorcontrib><creatorcontrib>Limdi, Nita</creatorcontrib><creatorcontrib>Elgavish, Rotem</creatorcontrib><creatorcontrib>Gilliam, Frank G.</creatorcontrib><creatorcontrib>Riley, Kristen</creatorcontrib><creatorcontrib>Howell, Jennifer</creatorcontrib><creatorcontrib>Kilgore, Meredith</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knowlton, Robert C.</au><au>Kar, Jitesh</au><au>Miller, Suzanne</au><au>Limdi, Nita</au><au>Elgavish, Rotem</au><au>Gilliam, Frank G.</au><au>Riley, Kristen</au><au>Howell, Jennifer</au><au>Kilgore, Meredith</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preference‐based quality‐of‐life measures for neocortical epilepsy surgery</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2011-05</date><risdate>2011</risdate><volume>52</volume><issue>5</issue><spage>1018</spage><epage>1020</epage><pages>1018-1020</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary
Critical to decision analysis studies are measures of outcome utilities. In epilepsy surgery the benefit versus risk ratio is of particular interest in neocortical resections. Using the standard gamble, we measured preferences of 30 epilepsy patients for 10 outcome states specific to neocortical epilepsy surgery. Although considered preliminary, the findings suggest that the value of being seizure‐free may be greater than that of continued disabling seizures, even if some deficits typical of “eloquent” cortex injury are incurred with surgery. Seizure freedom achieved with polytherapy medical management may be less desirable than that achieved with surgery and monotherapy.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21426329</pmid><doi>10.1111/j.1528-1167.2011.03020.x</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epilepsia (Copenhagen), 2011-05, Vol.52 (5), p.1018-1020 |
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| subjects | Adolescent Adult Aged Anticonvulsants - therapeutic use Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Cortex Decision analysis Decision Support Techniques Disease-Free Survival Epilepsy Epilepsy - physiopathology Epilepsy - psychology Epilepsy - surgery Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Health Status Humans Injuries Male Medical sciences Middle Aged Models, Psychological Neocortex - physiopathology Neocortex - surgery Nervous system (semeiology, syndromes) Neurology Neuropharmacology Outcomes research Patient Preference - psychology Pharmacology. Drug treatments Quality of Life Risk Assessment Seizures Surgery Surveys and Questionnaires Treatment Outcome |
| title | Preference‐based quality‐of‐life measures for neocortical epilepsy surgery |
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