| Autor: |
Ladino LD; University of Saskatchewan, Royal University Hospital , Saskatoon, Canada.; Programa de Epilepsia Hospital Pablo Tobon Uribe, Medellin, Colombia., Benjumea-Cuartas V; Neurocentro. Instituto de Epilepsia y Parkinson, Pereira, Colombia., Vargas-Osorio J; Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco Suarez, Mexico DF, Mexico., Villamil-Osorio LV; Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco Suarez, Mexico DF, Mexico., Hernandez-Vanegas L; Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco Suarez, Mexico DF, Mexico., Martinez-Juarez IE; Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco Suarez, Mexico DF, Mexico., Tellez-Zenteno JF; University of Saskatchewan, Royal University Hospital , Saskatoon, Canada. |
| Abstrakt: |
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. |
