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Preference‐based quality‐of‐life measures for neocortical epilepsy surgery
Author(s) -
Knowlton Robert C.,
Kar Jitesh,
Miller Suzanne,
Limdi Nita,
Elgavish Rotem,
Gilliam Frank G.,
Riley Kristen,
Howell Jennifer,
Kilgore Meredith
Publication year - 2011
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/j.1528-1167.2011.03020.x
Subject(s) - epilepsy , epilepsy surgery , intractable epilepsy , quality of life (healthcare) , psychology , medicine , surgery , neuroscience , psychotherapist
Summary Critical to decision analysis studies are measures of outcome utilities. In epilepsy surgery the benefit versus risk ratio is of particular interest in neocortical resections. Using the standard gamble, we measured preferences of 30 epilepsy patients for 10 outcome states specific to neocortical epilepsy surgery. Although considered preliminary, the findings suggest that the value of being seizure‐free may be greater than that of continued disabling seizures, even if some deficits typical of “eloquent” cortex injury are incurred with surgery. Seizure freedom achieved with polytherapy medical management may be less desirable than that achieved with surgery and monotherapy.