Physicians’ beliefs about brain surgery for drug-resistant epilepsy: A global survey

Ali A. Asadi-Pooya; Francesco Brigo; Eugen Trinka; Simona Lattanzi; Ioannis Karakis; Nirmeen Adel Kishk; Kette D. Valente; Asel Jusupova; Saule T. Turuspekova; Anilu Daza-Restrepo; Guilca Contreras; Mansur A. Kutlubaev; Alla Guekht; Abbas Rahimi-Jaberi; Ghaieb Aljandeel; Yamile Calle-Lopez; Taoufik Alsaadi; Abdulaziz Ashkanani; Lakshmi Narasimhan Ranganathan; Abdullah Al-Asmi; Samson G. Khachatryan; David Gigineishvili; Boulenouar Mesraoua; Naluca Mwendaweli

doi:10.1016/j.seizure.2022.10.012

Physicians’ beliefs about brain surgery for drug-resistant epilepsy: A global survey

Ali A. Asadi-Pooya^*, Francesco Brigo, Eugen Trinka, Simona Lattanzi, Ioannis Karakis, Nirmeen Adel Kishk, Kette D. Valente, Asel Jusupova, Saule T. Turuspekova, Anilu Daza-Restrepo, Guilca Contreras, Mansur A. Kutlubaev, Alla Guekht, Abbas Rahimi-Jaberi, Ghaieb Aljandeel, Yamile Calle-Lopez, Taoufik Alsaadi, Abdulaziz Ashkanani, Lakshmi Narasimhan Ranganathan, Abdullah Al-AsmiSamson G. Khachatryan, David Gigineishvili, Boulenouar Mesraoua, Naluca Mwendaweli

^*Corresponding author for this work

Medicine

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	18-22
Number of pages	5
Journal	Seizure
Volume	103
DOIs	https://doi.org/10.1016/j.seizure.2022.10.012
Publication status	Published - Dec 1 2022

Keywords

Brain
Epilepsy
Seizure
Surgery
Treatment
Physicians
Humans
Male
Epilepsy/surgery
Drug Resistant Epilepsy/surgery
Female
Surveys and Questionnaires
Seizures

ASJC Scopus subject areas

Neurology
Clinical Neurology

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Asadi-Pooya, A. A., Brigo, F., Trinka, E., Lattanzi, S., Karakis, I., Kishk, N. A., Valente, K. D., Jusupova, A., Turuspekova, S. T., Daza-Restrepo, A., Contreras, G., Kutlubaev, M. A., Guekht, A., Rahimi-Jaberi, A., Aljandeel, G., Calle-Lopez, Y., Alsaadi, T., Ashkanani, A., Ranganathan, L. N., ... Mwendaweli, N. (2022). Physicians’ beliefs about brain surgery for drug-resistant epilepsy: A global survey. Seizure, 103, 18-22. https://doi.org/10.1016/j.seizure.2022.10.012

Asadi-Pooya, AA, Brigo, F, Trinka, E, Lattanzi, S, Karakis, I, Kishk, NA, Valente, KD, Jusupova, A, Turuspekova, ST, Daza-Restrepo, A, Contreras, G, Kutlubaev, MA, Guekht, A, Rahimi-Jaberi, A, Aljandeel, G, Calle-Lopez, Y, Alsaadi, T, Ashkanani, A, Ranganathan, LN, Al-Asmi, A, Khachatryan, SG, Gigineishvili, D, Mesraoua, B & Mwendaweli, N 2022, 'Physicians’ beliefs about brain surgery for drug-resistant epilepsy: A global survey', Seizure, vol. 103, pp. 18-22. https://doi.org/10.1016/j.seizure.2022.10.012

@article{14ab30984e564bfb869c134ad50d9ab8,

title = "Physicians{\textquoteright} beliefs about brain surgery for drug-resistant epilepsy: A global survey",

abstract = "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.",

keywords = "Brain, Epilepsy, Seizure, Surgery, Treatment, Physicians, Humans, Male, Epilepsy/surgery, Drug Resistant Epilepsy/surgery, Female, Surveys and Questionnaires, Seizures",

author = "Asadi-Pooya, {Ali A.} and Francesco Brigo and Eugen Trinka and Simona Lattanzi and Ioannis Karakis and Kishk, {Nirmeen Adel} and Valente, {Kette D.} and Asel Jusupova and Turuspekova, {Saule T.} and Anilu Daza-Restrepo and Guilca Contreras and Kutlubaev, {Mansur A.} and Alla Guekht and Abbas Rahimi-Jaberi and Ghaieb Aljandeel and Yamile Calle-Lopez and Taoufik Alsaadi and Abdulaziz Ashkanani and Ranganathan, {Lakshmi Narasimhan} and Abdullah Al-Asmi and Khachatryan, {Samson G.} and David Gigineishvili and Boulenouar Mesraoua and Naluca Mwendaweli",

note = "Funding Information: This study was supported by Shiraz University of Medical Sciences , Shiraz, Iran. Publisher Copyright: {\textcopyright} 2022",

year = "2022",

month = dec,

day = "1",

doi = "10.1016/j.seizure.2022.10.012",

language = "English",

volume = "103",

pages = "18--22",

journal = "Seizure",

issn = "1059-1311",

publisher = "W.B. Saunders Ltd",

}

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

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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ER -

Physicians’ beliefs about brain surgery for drug-resistant epilepsy: A global survey

Abstract

Keywords

ASJC Scopus subject areas

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