Changes in quality of life after epilepsy surgery: the role of reprioritization response shift.

Abstract:

OBJECTIVES:Health-related quality of life (HRQOL) is an important indicator of well-being in patients with epilepsy. When assessing changes in HRQOL over time, some of the changes observed may be due to the patients' change in the internal standards, value, or meaning that they attribute to the HRQOL domain being measured, rather than actual change, a phenomenon known as response shift. Response shifts are increasingly recognized as an important explanation for the seemingly paradoxical or counterintuitive HRQOL results often observed in chronic conditions. We investigated the presence of changing values (reprioritization response shift) in data from a surgical randomized controlled trial of patients with temporal lobe epilepsy (TLE). METHODS:Eighty patients with TLE, who were randomized to surgical and medical treatment, provided data on the epilepsy-specific 31-item Quality of life in Epilepsy (QOLIE-31) questionnaire at baseline and 1 year after randomization. Reprioritization response shift among the seven QOLIE-31 domains was assessed using changes in the relative importance weights derived from logistic regression and discriminant analysis. RESULTS:The relative importance analysis showed a statistically significant increase over time in the importance of social function, but a significant decrease in the relative importance of seizure worry. There were no significant changes in the relative importance of the remaining five domains in distinguishing between surgical and medical group over time. SIGNIFICANCE:Patients that receive surgical treatment are more likely to experience a decrease in the valuation of seizure worry and an increase in the value of social function as compared to patients who are medically treated. Changes in expectation about seizure freedom and social function may confound the assessment of longitudinal change on these outcomes, and highlight the importance of assessing response shift and the limitations of assessing HRQOL at a single point in time or without a control group. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Sajobi TT,Fiest KM,Wiebe S

doi

10.1111/epi.12697

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

1331-8

issue

9

eissn

0013-9580

issn

1528-1167

journal_volume

55

pub_type

杂志文章,随机对照试验
  • Aminophylline and CGS 8216 reverse the protective action of diazepam against electroconvulsions in mice.

    abstract::Aminophylline (50 and 100 mg/kg) and CGS 8216 (20 and 40 mg/kg) decreased the anticonvulsant potency of diazepam (5 and 10 mg/kg) against electroshock-induced seizures. It should be emphasized that aminophylline moderately affected the protective action of the benzodiazepine at a dose of 5 mg/kg, whereas it was equipo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05713.x

    authors: Czuczwar SJ,Turski WA,Ikonomidou C,Turski L

    更新日期:1985-11-01 00:00:00

  • Ipsilateral and contralateral MRI volumetric abnormalities in chronic unilateral temporal lobe epilepsy and their clinical correlates.

    abstract:PURPOSE:To assess the presence, extent, and clinical correlates of quantitative MR volumetric abnormalities in ipsilateral and contralateral hippocampus, and temporal and extratemporal lobe regions in unilateral temporal lobe epilepsy (TLE). METHODS:In total, 34 subjects with unilateral left (n = 15) or right (n = 19)...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2005.27004.x

    authors: Seidenberg M,Kelly KG,Parrish J,Geary E,Dow C,Rutecki P,Hermann B

    更新日期:2005-03-01 00:00:00

  • Significance of lateralization of upper limb automatisms in temporal lobe epilepsy: a quantitative movement analysis.

    abstract:PURPOSE:To evaluate the significance of lateralization of ictal upper limb automatisms in patients with temporal lobe epilepsy (TLE). METHODS:Ictal upper limb automatisms of 28 patients with temporal lobe epilepsy were quantified. Duration of automatisms in relation to total seizure duration, movement speed, extent, l...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02599.x

    authors: Mirzadjanova Z,Peters AS,Rémi J,Bilgin C,Silva Cunha JP,Noachtar S

    更新日期:2010-10-01 00:00:00

  • Hippocampal sclerosis and a second focal lesion--how often is it ipsilateral?

    abstract:PURPOSE:Hippocampal sclerosis (HS) is the most common pathologic finding in intractable temporal lobe epilepsy (TLE). In many patients, HS is accompanied by an extrahippocampal lesion (EHL). We sought to assess the lobar distribution and side of EHLs in relation to HS in a large consecutive series of patients presentin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03021.x

    authors: Hofman PA,Fitt G,Mitchell LA,Jackson GD

    更新日期:2011-04-01 00:00:00

  • A new potential AED, carisbamate, substantially reduces spontaneous motor seizures in rats with kainate-induced epilepsy.

    abstract:PURPOSE:Animal models with spontaneous epileptic seizures may be useful in the discovery of new antiepileptic drugs (AEDs). The purpose of the present study was to evaluate the efficacy of carisbamate on spontaneous motor seizures in rats with kainate-induced epilepsy. METHODS:Repeated, low-dose (5 mg/kg), intraperito...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01657.x

    authors: Grabenstatter HL,Dudek FE

    更新日期:2008-10-01 00:00:00

  • Epilepsy in primary cerebral tumors: the characteristics of epilepsy at the onset (results from the PERNO study--Project of Emilia Romagna Region on Neuro-Oncology).

    abstract:PURPOSE:To present new information on the semiology and short-term evolution of seizures associated with primary brain tumors (PBTs) in a prospective study. METHODS:This study is a section of the PERNO study--Project of Emilia Romagna Region on Neuro-Oncology, the main aim of which is to collect prospectively all case...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12314

    authors: Michelucci R,Pasini E,Meletti S,Fallica E,Rizzi R,Florindo I,Chiari A,Monetti C,Cremonini AM,Forlivesi S,Albani F,Baruzzi A,PERNO Study Group.

    更新日期:2013-10-01 00:00:00

  • Hospitalization rates for epilepsy in the United States, 1973-1976.

    abstract::Data on numbers of admissions and admission rates for all-listed and first-listed epilepsy in nonfederal short-stay hospitals are presented. These statistics are based on 232,000 hospital discharge records from a probability sample of approximately 7,000 hospitals. The patterns of admission rates for epilepsy are comp...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1981.tb04332.x

    authors: Jerath BK,Kimbell BA

    更新日期:1981-02-01 00:00:00

  • Distribution of pyramidal cell density and hyperexcitability in the epileptic human hippocampal formation.

    abstract::Pyramidal cell densities in various regions of the anterior and posterior hippocampal formation were measured from en bloc temporal lobe resections and compared with presurgical stereoelectroencephalography (SEEG) data derived from depth electrodes in 12 patients with temporal lobe epilepsy. These data were compared w...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1984.tb03483.x

    authors: Babb TL,Lieb JP,Brown WJ,Pretorius J,Crandall PH

    更新日期:1984-12-01 00:00:00

  • Outcome of surgical treatment in familial mesial temporal lobe epilepsy.

    abstract:PURPOSE:To describe postoperative outcome in patients with familial mesial temporal lobe epilepsy (FMTLE). METHODS:We studied FMTLE patients who underwent surgical treatment for refractory seizures. FMTLE was defined when at least two individuals in a family had a clinical EEG diagnosis of MTLE. Preoperative investiga...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.06503.x

    authors: Kobayashi E,D'Agostino MD,Lopes-Cendes I,Andermann E,Dubeau F,Guerreiro CA,Schenka AA,Queiroz LS,Olivier A,Cendes F,Andermann F

    更新日期:2003-08-01 00:00:00

  • Functional plasticity after left anterior temporal lobectomy: reconstitution and compensation of verbal memory functions.

    abstract:PURPOSE:This study investigated the functional plasticity of the brain to reconstitute and compensate for verbal memory functions after epilepsy surgery of left temporocortical and temporomesial structures. We hypothesized that memory outcome would be best when surgery is performed within the period of cerebral plastic...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01392.x

    authors: Helmstaedter C,Elger CE

    更新日期:1998-04-01 00:00:00

  • Clinical utility of the Boston Naming Test in predicting ultimate side of surgery in patients with medically intractable temporal lobe epilepsy: A double cross-validation study.

    abstract::The Boston Naming Test (BNT) is often used in the evaluation of surgical epilepsy patients to assess left temporal lobe function. In 2005, Busch et al. demonstrated the diagnostic utility of the BNT in predicting ultimate side of surgery in patients with temporal lobe epilepsy. BNT raw score significantly predicted ul...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01865.x

    authors: Busch RM,Frazier TW,Iampietro MC,Chapin JS,Kubu CS

    更新日期:2009-05-01 00:00:00

  • The early prognosis of epilepsy in childhood: the prediction of a poor outcome. The Dutch study of epilepsy in childhood.

    abstract:PURPOSE:To examine which variables available early in the course of childhood epilepsy are associated with a poor short-term outcome and to develop models to predict such an outcome. METHODS:We prospectively followed up 466 children with newly diagnosed epilepsy for 2 years. Variables were collected at intake and afte...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00770.x

    authors: Arts WF,Geerts AT,Brouwer OF,Boudewyn Peters AC,Stroink H,van Donselaar CA

    更新日期:1999-06-01 00:00:00

  • Febrile infection-related epilepsy syndrome (FIRES): pathogenesis, treatment, and outcome: a multicenter study on 77 children.

    abstract:PURPOSE:To explore the correlations between treatment modalities and selected disease parameters with outcome in febrile infection-related epilepsy syndrome (FIRES), a catastrophic epileptic encephalopathy with a yet undefined etiology. METHODS:We conducted a retrospective multicenter study on children who had been in...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2011.03250.x

    authors: Kramer U,Chi CS,Lin KL,Specchio N,Sahin M,Olson H,Nabbout R,Kluger G,Lin JJ,van Baalen A

    更新日期:2011-11-01 00:00:00

  • Dipropylacetic acid (Depakine) in experimental epilepsy in the alert cat.

    abstract::The effect od dipropylacetic acid (DPA; Depakine) on the bemegride-induced convulsive threshold was investigated in alert cats. Forty-five min after DPA 200 mg/kg, s.c., no significant effect was obtained; 5 min after the same dose iv., protection from bemegride-induced seizures was pronounced. DPA did not decrease fo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb04724.x

    authors: van Duijn H,Beckmann MK

    更新日期:1975-03-01 00:00:00

  • Depression and anxiety in women with epilepsy during pregnancy and after delivery: a prospective population-based cohort study on frequency, risk factors, medication, and prognosis.

    abstract:OBJECTIVE:To assess incidence, prevalence, risk factors, and prognosis of peripartum depression and anxiety in a prospective study of women with epilepsy. METHOD:Pregnancies in women with epilepsy (n=706) were compared to pregnancies in all women without epilepsy (n=106,511) including women with specified nonepileptic...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12884

    authors: Bjørk MH,Veiby G,Reiter SC,Berle JØ,Daltveit AK,Spigset O,Engelsen BA,Gilhus NE

    更新日期:2015-01-01 00:00:00

  • Malformation in index pregnancy in women with epilepsy is not followed by recurrence in subsequent pregnancy.

    abstract::Use of antiepileptic drugs (AEDs) in pregnant women with epilepsy (WWE) is associated with an increased risk of major congenital malformations (MCM). Previous studies have suggested that WWE who had a malformation in their index pregnancy were at an increased risk of recurrence in future pregnancies. We aimed to asses...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12411

    authors: Begum S,Sarma SP,Thomas SV

    更新日期:2013-12-01 00:00:00

  • Pharmacokinetics and drug interactions of eslicarbazepine acetate.

    abstract::Eslicarbazepine acetate (ESL) is a novel once-daily antiepileptic drug (AED) approved in Europe since 2009 that was found to be efficacious and well tolerated in a phase III clinical program in adult patients with partial onset seizures previously not controlled with treatment with one to three AEDs, including carbama...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03519.x

    authors: Bialer M,Soares-da-Silva P

    更新日期:2012-06-01 00:00:00

  • Nonepileptic seizures in children.

    abstract:PURPOSE:To determine if the clinical characteristics of nonepileptic seizures (NES) are different in children younger than 13 years age as compared to adolescents. METHODS:Retrospective review of medical records and video-EEGs (VEEG) of all patients with NES confirmed on VEEG monitoring was performed. RESULTS:Sixty-e...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01200.x

    authors: Patel H,Scott E,Dunn D,Garg B

    更新日期:2007-11-01 00:00:00

  • Recurrent seizures alter renal function and plasma atrial natriuretic peptide levels in rats.

    abstract::Status epilepticus can lead to impaired renal function, which has been attributed to complications of myoglobinuria. We confirmed changes in renal function in the absence of myoglobinuria by measuring renal hemodynamics, fluid and electrolyte excretions, and plasma levels of renin and atrial natriuretic peptide (ANP) ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01041.x

    authors: Perrone BL,Vari RC,Kreisman NR

    更新日期:1995-07-01 00:00:00

  • Secular trends and birth cohort effects in unprovoked seizures: Rochester, Minnesota 1935-1984.

    abstract::The incidence of idiopathic/cryptogenic epilepsy and isolated unprovoked seizures has been relatively stable in the population of Rochester, Minnesota, for the 50-year period 1935 through 1984. In each decade, the age-specific rates exhibited a consistent U-shaped pattern of decreasing rates from infancy to age 40-49 ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb02570.x

    authors: Annegers JF,Hauser WA,Lee JR,Rocca WA

    更新日期:1995-06-01 00:00:00

  • Seven-tesla quantitative magnetic resonance spectroscopy of glutamate, γ-aminobutyric acid, and glutathione in the posterior cingulate cortex/precuneus in patients with epilepsy.

    abstract:OBJECTIVE:The posterior cingulate cortex (PCC)/precuneus is a key hub of the default mode network, whose function is known to be altered in epilepsy. Glutamate and γ-aminobutyric acid (GABA) are the main excitatory and inhibitory neurotransmitters in the central nervous system, respectively. Glutathione (GSH) is the mo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16731

    authors: Gonen OM,Moffat BA,Desmond PM,Lui E,Kwan P,O'Brien TJ

    更新日期:2020-12-01 00:00:00

  • Nuclear magnetic resonance relaxometry in a penicillin model of focal epilepsy.

    abstract::Magnetic resonance imaging (MRI) is effective in demonstrating pathologic lesions in patients with epilepsy. It has been suggested that MRI might also reveal functional abnormalities at an interictal epileptic focus when no gross structural change such as gliosis or tumor is present. Experimental epileptic foci were p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03737.x

    authors: McLachlan RS,Karlik SJ,Myles V

    更新日期:1988-07-01 00:00:00

  • Interaction of phenobarbital and phenytoin in an experimental model of seizures in rats.

    abstract::The combination of phenobarbital (PB) and phenytoin (PHT) was recommended for many years for treatment of epilepsy in humans. We tested the effectiveness of the combination in a model of hippocampal seizures termed maximal dentate activation (MDA). Two parameters of MDA were measured: duration and time to onset. Neith...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02936.x

    authors: Stringer JL,Higgins MG

    更新日期:1994-01-01 00:00:00

  • Gabapentin as adjunctive therapy for partial seizures.

    abstract::The safety, tolerability, and efficacy of gabapentin as adjunctive therapy were assessed in epileptic patients who had experienced up to four complex partial seizures per month while receiving phenytoin and/or carbamazepine. This was a multicenter, open-label prospective study, with the treatment period lasting 20 wee...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1528-1157.1999.tb00930.x

    authors: Bruni J

    更新日期:1999-01-01 00:00:00

  • Reduced thalamocortical functional connectivity in temporal lobe epilepsy.

    abstract:OBJECTIVE:In temporal lobe epilepsy (TLE), the thalamus is well known for its role in the propagation and spread of epileptiform activity. However, the integrity of thalamocortical functional connectivity (FC) in TLE and its relation to specific seizure patterns have not yet been determined. We address these issues wit...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13085

    authors: He X,Doucet GE,Sperling M,Sharan A,Tracy JI

    更新日期:2015-10-01 00:00:00

  • The development of intellectual abilities in pediatric temporal lobe epilepsy.

    abstract:PURPOSE:The aim of this study was to examine the impact of clinical variables, particularly age at onset of epilepsy, on intellectual function in a group of children with temporal lobe epilepsy (TLE). METHODS:We reviewed the preoperative neuropsychological test results of 79 children with unilateral TLE who subsequent...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00904.x

    authors: Cormack F,Cross JH,Isaacs E,Harkness W,Wright I,Vargha-Khadem F,Baldeweg T

    更新日期:2007-01-01 00:00:00

  • Trends in outcomes, complications, and hospitalization costs for hemispherectomy in the United States for the years 2000-2009.

    abstract:OBJECTIVE:Hemispherectomy is an established surgical treatment for carefully selected pediatric patients with intractable epilepsy. Published perioperative data report low mortality rates and seizure reduction rates of 50-89%. This study investigates trends in the demographics, hospital utilization, and in-hospital com...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12869

    authors: Lin Y,Harris DA,Curry DJ,Lam S

    更新日期:2015-01-01 00:00:00

  • Interictal and ictal EEG activity in the basal ganglia: an SEEG study in patients with temporal lobe epilepsy.

    abstract:PURPOSE:The interictal and ictal EEG activity in the basal ganglia in patients with temporal lobe epilepsy were studied during invasive EEG monitoring. METHODS:Eight epilepsy surgery candidates, each with a proven mesiotemporal seizure-onset zone, participated in the study. We used two invasive EEG methods to determin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.28001.x

    authors: Rektor I,Kuba R,Brázdil M

    更新日期:2002-03-01 00:00:00

  • Bilateral hippocampal atrophy in medial temporal lobe epilepsy.

    abstract::Quantitative evidence of hippocampal atrophy has been correlated with site of seizure onset, hippocampal neuronal loss, and seizure relief after resection. Most studies have quantified hippocampal atrophy using ratios or differences between right and left hippocampal values. However, bilateral hippocampal atrophy may ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01634.x

    authors: King D,Spencer SS,McCarthy G,Luby M,Spencer DD

    更新日期:1995-09-01 00:00:00

  • Lennox-Gastaut syndrome with late-onset and prominent reflex seizures in trisomy 21 patients.

    abstract:PURPOSE:Lennox-Gastaut syndrome (LGS) is a severe epileptic condition characterized by multiple seizure types including tonic seizures, slow spike-and-wave discharges on electroencephalography (EEG), and cognitive impairment. LGS can occur in apparently healthy subjects or in patients with preexisting brain damage. The...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01944.x

    authors: Ferlazzo E,Adjien CK,Guerrini R,Calarese T,Crespel A,Elia M,Striano P,Gelisse P,Bramanti P,di Bella P,Genton P

    更新日期:2009-06-01 00:00:00