Epileptochirurgická léčba zlepšuje kvalitu života - výsledky dotazníkové studie

Title in English Epilepsy Surgery Improves Quality of Life - Results of a Questionnaire Study


Year of publication 2016
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Field Neurology, neurosurgery, neurosciences
Keywords epilepsy; drug-resistant; surgery; seizure-freedom; quality of life; employment after surgery; disability pension
Description Aim: Seizure-freedom is the traditional goal of epilepsy surgery. At presents, our attention is more and more concerned with the effects of epilepsy surgery on other aspects, mainly the impact of epilepsy surgery on employment status and quality of life. Methods: A questionnaire was designed for the purposes of our study; this questionnaire consists of 13 questions focusing on topics related to epilepsy surgery. These questions could be divided into four subfields: 1. demographic data and patients' characteristics, 2. information related to surgery, 3. employment and social support, 4. subjective evaluation of surgery impact on the patient's life. Results: Ninety-one respondents were included in the study - 56 men (61.5%) and 35 women (38.5%), who correctly completed the questionnaires. Fifty-nine patients (64.8%) were completely seizure-free after surgery. Before the surgery, 46 patients (50.5%) were employed, there was a mild increase in employment after surgery that did not reach statistical significance (p = 0.596). Half of the patients (49, 54%) reported an increase in quality of life after surgery. One question asked whether the patient would undergo the surgery again if he/she could change the past; 78 patients (85.7%) agreed they would. Conclusion: The majority of patients undergoing a surgery for drug-resistant epilepsy were seizure-free but only a minority managed subsequently to find an employment. Despite this, epilepsy surgery is assessed positively in the vast majority of patients, it provides them with an increase in quality of life and the majority would undergo the surgery again.

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