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Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey
The current study, conceived with the contribution of the Commission for Epilepsy Surgery of the Italian League Against Epilepsy (LICE) and the Epilepsy Study Group of the Italian Neurological Society (SIN), aimed to assess potential physician-related barriers to refer subjects for epilepsy surgery....
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935880/ https://www.ncbi.nlm.nih.gov/pubmed/35312881 http://dx.doi.org/10.1007/s10072-022-06025-8 |
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author | Casciato, Sara Morano, Alessandra Ricci, Lorenzo Asioli, Sofia Barba, Carmen Caulo, Massimo Colicchio, Gabriella Cossu, Massimo Consales, Alessandro de Palma, Luca Villani, Flavio Zamponi, Nelia Tassi, Laura Di Gennaro, Giancarlo Beghi, Ettore Marras, Carlo Efisio |
author_facet | Casciato, Sara Morano, Alessandra Ricci, Lorenzo Asioli, Sofia Barba, Carmen Caulo, Massimo Colicchio, Gabriella Cossu, Massimo Consales, Alessandro de Palma, Luca Villani, Flavio Zamponi, Nelia Tassi, Laura Di Gennaro, Giancarlo Beghi, Ettore Marras, Carlo Efisio |
author_sort | Casciato, Sara |
collection | PubMed |
description | The current study, conceived with the contribution of the Commission for Epilepsy Surgery of the Italian League Against Epilepsy (LICE) and the Epilepsy Study Group of the Italian Neurological Society (SIN), aimed to assess potential physician-related barriers to refer subjects for epilepsy surgery. All the members of SIN and LICE were invited by email to complete a 28-item online questionnaire. The survey items included: (1) individual and medical practice characteristics, (2) knowledge of current indications to select candidates for epilepsy surgery, (3) factors potentially affecting the attitude toward epilepsy surgery. Overall, 210 physicians completed the survey. More than half (63.3%) of the participants showed proper knowledge of the ILAE drug-resistance. Definition and almost two-thirds of them (71.9%) considered themselves adequately informed about indications, risks, and benefits of epilepsy surgery. Surgery was regarded as a valid option to be used as early as possible by 84.8% of the interviewees, and 71% of them estimated its complication rate to be low. However, more than half (63%) of the respondents reportedly referred patients for surgery only after the failure of 3–5 antiseizure medications. Overestimation of risks/complications of surgery and inadequate healthcare resources were identified as the main factor contrasting the patient referral for surgery by 43% and 40.5% of the participants, respectively. In conclusion, this survey confirms the existence of knowledge gap within both physicians and the healthcare system, as well as an educational need regarding epilepsy surgery. Further researches are warranted to define learning outcomes and optimize educational tools. |
format | Online Article Text |
id | pubmed-8935880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-89358802022-03-22 Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey Casciato, Sara Morano, Alessandra Ricci, Lorenzo Asioli, Sofia Barba, Carmen Caulo, Massimo Colicchio, Gabriella Cossu, Massimo Consales, Alessandro de Palma, Luca Villani, Flavio Zamponi, Nelia Tassi, Laura Di Gennaro, Giancarlo Beghi, Ettore Marras, Carlo Efisio Neurol Sci Original Article The current study, conceived with the contribution of the Commission for Epilepsy Surgery of the Italian League Against Epilepsy (LICE) and the Epilepsy Study Group of the Italian Neurological Society (SIN), aimed to assess potential physician-related barriers to refer subjects for epilepsy surgery. All the members of SIN and LICE were invited by email to complete a 28-item online questionnaire. The survey items included: (1) individual and medical practice characteristics, (2) knowledge of current indications to select candidates for epilepsy surgery, (3) factors potentially affecting the attitude toward epilepsy surgery. Overall, 210 physicians completed the survey. More than half (63.3%) of the participants showed proper knowledge of the ILAE drug-resistance. Definition and almost two-thirds of them (71.9%) considered themselves adequately informed about indications, risks, and benefits of epilepsy surgery. Surgery was regarded as a valid option to be used as early as possible by 84.8% of the interviewees, and 71% of them estimated its complication rate to be low. However, more than half (63%) of the respondents reportedly referred patients for surgery only after the failure of 3–5 antiseizure medications. Overestimation of risks/complications of surgery and inadequate healthcare resources were identified as the main factor contrasting the patient referral for surgery by 43% and 40.5% of the participants, respectively. In conclusion, this survey confirms the existence of knowledge gap within both physicians and the healthcare system, as well as an educational need regarding epilepsy surgery. Further researches are warranted to define learning outcomes and optimize educational tools. Springer International Publishing 2022-03-21 2022 /pmc/articles/PMC8935880/ /pubmed/35312881 http://dx.doi.org/10.1007/s10072-022-06025-8 Text en © Fondazione Società Italiana di Neurologia 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Casciato, Sara Morano, Alessandra Ricci, Lorenzo Asioli, Sofia Barba, Carmen Caulo, Massimo Colicchio, Gabriella Cossu, Massimo Consales, Alessandro de Palma, Luca Villani, Flavio Zamponi, Nelia Tassi, Laura Di Gennaro, Giancarlo Beghi, Ettore Marras, Carlo Efisio Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey |
title | Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey |
title_full | Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey |
title_fullStr | Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey |
title_full_unstemmed | Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey |
title_short | Knowledge and attitudes of neurologists toward epilepsy surgery: an Italian survey |
title_sort | knowledge and attitudes of neurologists toward epilepsy surgery: an italian survey |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935880/ https://www.ncbi.nlm.nih.gov/pubmed/35312881 http://dx.doi.org/10.1007/s10072-022-06025-8 |
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