Epilepsy Surgery : Factors That Affect Patient Decision-Making in Choosing or Deferring a Procedure
المؤلفون المشاركون
Mani, Ram
Lawler, Kathy
Pollard, John R.
Noble, Eva
Anderson, Christopher Todd
المصدر
Epilepsy Research and Treatment
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-13، 13ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-09-16
دولة النشر
مصر
عدد الصفحات
13
التخصصات الرئيسية
الملخص EN
Surgical resection for well-selected patients with refractory epilepsy provides seizure freedom approximately two-thirds of the time.
Despite this, many good candidates for surgery, after a presurgical workup, ultimately do not consent to a procedure.
The reasons why patients decline potentially effective surgery are not completely understood.
We explored the socio cultural, medical, personal, and psychological differences between candidates who chose (n = 23) and those who declined surgical intervention (n = 9).
We created a novel questionnaire addressing a range of possible factors important in patient decision making.
We found that patients who declined surgery were less bothered by their epilepsy (despite comparable severity), more anxious about surgery, and less likely to listen to their doctors (and others) and had more comorbid psychiatric disease.
Patients who chose surgery were more embarrassed by their seizures, more interested in being “seizure-free”, and less anxious about specific aspects of surgery.
Patient attitudes, beliefs, and anxiety serve as barriers to ideal care.
These results can provide opportunities for education, treatment, and intervention.
Additionally, patients who fit a profile of someone who is likely to defer surgery may not be appropriate for risky and expensive presurgical testing.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Anderson, Christopher Todd& Noble, Eva& Mani, Ram& Lawler, Kathy& Pollard, John R.. 2013. Epilepsy Surgery : Factors That Affect Patient Decision-Making in Choosing or Deferring a Procedure. Epilepsy Research and Treatment،Vol. 2013, no. 2013, pp.1-13.
https://search.emarefa.net/detail/BIM-462355
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Anderson, Christopher Todd…[et al.]. Epilepsy Surgery : Factors That Affect Patient Decision-Making in Choosing or Deferring a Procedure. Epilepsy Research and Treatment No. 2013 (2013), pp.1-13.
https://search.emarefa.net/detail/BIM-462355
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Anderson, Christopher Todd& Noble, Eva& Mani, Ram& Lawler, Kathy& Pollard, John R.. Epilepsy Surgery : Factors That Affect Patient Decision-Making in Choosing or Deferring a Procedure. Epilepsy Research and Treatment. 2013. Vol. 2013, no. 2013, pp.1-13.
https://search.emarefa.net/detail/BIM-462355
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-462355
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر