Epilepsy Surgery : Factors That Affect Patient Decision-Making in Choosing or Deferring a Procedure
Joint Authors
Mani, Ram
Lawler, Kathy
Pollard, John R.
Noble, Eva
Anderson, Christopher Todd
Source
Epilepsy Research and Treatment
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-16
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462355