[Barriers impeding access to epilepsy surgery: a review of the literature].

[Barriers impeding access to epilepsy surgery: a review of the literature]. Rev Neurol. 2017 Sep 16;65(6):268-279 Authors: Ladino LD, Benjumea-Cuartas V, Vargas-Osorio J, Villamil-Osorio LV, Hernandez-Vanegas L, Martinez-Juarez IE, Tellez-Zenteno JF Abstract 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 w...
Source: Revista de Neurologia - Category: Neurology Authors: Tags: Rev Neurol Source Type: research