TY - JOUR
T1 - Physicians’ beliefs about brain surgery for drug-resistant epilepsy
T2 - A global survey
AU - Asadi-Pooya, Ali A.
AU - Brigo, Francesco
AU - Trinka, Eugen
AU - Lattanzi, Simona
AU - Karakis, Ioannis
AU - Kishk, Nirmeen Adel
AU - Valente, Kette D.
AU - Jusupova, Asel
AU - Turuspekova, Saule T.
AU - Daza-Restrepo, Anilu
AU - Contreras, Guilca
AU - Kutlubaev, Mansur A.
AU - Guekht, Alla
AU - Rahimi-Jaberi, Abbas
AU - Aljandeel, Ghaieb
AU - Calle-Lopez, Yamile
AU - Alsaadi, Taoufik
AU - Ashkanani, Abdulaziz
AU - Ranganathan, Lakshmi Narasimhan
AU - Al-Asmi, Abdullah
AU - Khachatryan, Samson G.
AU - Gigineishvili, David
AU - Mesraoua, Boulenouar
AU - Mwendaweli, Naluca
N1 - Funding Information:
This study was supported by Shiraz University of Medical Sciences , Shiraz, Iran.
Publisher Copyright:
© 2022
PY - 2022/12/1
Y1 - 2022/12/1
N2 - PURPOSE: To investigate the opinions of physicians about brain surgery for drug-resistant epilepsy worldwide.METHODS: Practicing neurologists, psychiatrists, and neurosurgeons from around the world were invited to participate in an online survey. The survey anonymously collected data about demographics, years in clinical practice, discipline, nation, work setting, and answers to the questions about beliefs and attitudes about brain surgery for drug-resistant epilepsy.RESULTS: In total, 1410 physicians from 20 countries and different world regions participated. The propensity to discuss brain surgery with patients, who have drug-resistant seizures, was higher among men (versus women) [Odds Ratio (OR) 1.67, 95% CI 1.20-2.31; p = 0.002]. In comparison to neurologists, psychiatrists were less likely (OR 0.28, 95% CI 0.17-0.47; p < 0.001) and neurosurgeons were more likely (OR 2.00, 95% CI 1.08-3.72; p = 0.028) to discuss about it. Survey participants working in Africa, Asia, the Middle East, and the Former Union of Soviet Socialist Republics showed a lower propensity to discuss epilepsy surgery with patients.CONCLUSION: This study showed that on an international level, there is still a knowledge gap concerning epilepsy surgery and much needs to be done to identify and overcome barriers to epilepsy surgery for patients with drug-resistant seizures worldwide.
AB - PURPOSE: To investigate the opinions of physicians about brain surgery for drug-resistant epilepsy worldwide.METHODS: Practicing neurologists, psychiatrists, and neurosurgeons from around the world were invited to participate in an online survey. The survey anonymously collected data about demographics, years in clinical practice, discipline, nation, work setting, and answers to the questions about beliefs and attitudes about brain surgery for drug-resistant epilepsy.RESULTS: In total, 1410 physicians from 20 countries and different world regions participated. The propensity to discuss brain surgery with patients, who have drug-resistant seizures, was higher among men (versus women) [Odds Ratio (OR) 1.67, 95% CI 1.20-2.31; p = 0.002]. In comparison to neurologists, psychiatrists were less likely (OR 0.28, 95% CI 0.17-0.47; p < 0.001) and neurosurgeons were more likely (OR 2.00, 95% CI 1.08-3.72; p = 0.028) to discuss about it. Survey participants working in Africa, Asia, the Middle East, and the Former Union of Soviet Socialist Republics showed a lower propensity to discuss epilepsy surgery with patients.CONCLUSION: This study showed that on an international level, there is still a knowledge gap concerning epilepsy surgery and much needs to be done to identify and overcome barriers to epilepsy surgery for patients with drug-resistant seizures worldwide.
KW - Brain
KW - Epilepsy
KW - Seizure
KW - Surgery
KW - Treatment
KW - Physicians
KW - Humans
KW - Male
KW - Epilepsy/surgery
KW - Drug Resistant Epilepsy/surgery
KW - Female
KW - Surveys and Questionnaires
KW - Seizures
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UR - https://www.mendeley.com/catalogue/8db20557-128f-3d65-ac47-2b3c832ca893/
U2 - 10.1016/j.seizure.2022.10.012
DO - 10.1016/j.seizure.2022.10.012
M3 - Article
C2 - 36252422
AN - SCOPUS:85139857907
SN - 1059-1311
VL - 103
SP - 18
EP - 22
JO - Seizure
JF - Seizure
ER -