Surgical satisfaction and influencing factors in patients with epilepsy in China

This study aims to evaluate the level of surgical satisfaction among patients with epilepsy (PWEs) in China and to identify factors influencing their satisfaction.

PWEs who underwent surgical intervention at least three months prior were included. Data on demographics and medical history were collected, and their satisfaction with surgery was assessed using the Chinese version of the 19-item Epilepsy Surgery Satisfaction Questionnaire (C-ESSQ-19). Based on a median satisfaction score of 88.1, patients were categorized into a "high satisfaction group" and a "low satisfaction group". Factors influencing satisfaction were identified through univariate analysis and logistic regression.

A total of 234 PWEs participated, with a median C-ESSQ-19 score of 88.1. Univariate analysis identified nine potential influencing factors: employment status, duration of epilepsy, type of surgery, Seizure control, use of anti-seizure medications (ASMs), severity of epilepsy, seizure-related disability, depression, and quality of life. In the final logistic regression model, good seizure control (odds ratio: 9.367-10.343; P < 0.05) and quality of life (odds ratio: 1.100; P < 0.001) emerged as significant independent factors associated with satisfaction.

PWEs in China reported high levels of satisfaction with surgical outcomes. Improved postoperative quality of life and good seizure control were strongly linked to greater satisfaction.