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Related Experiment Videos

Patient satisfaction and epilepsy surgery

B Guldvog1

  • 1National Center for Epilepsy, Sandvika, Norway.

Epilepsia
|May 1, 1994
PubMed
Summary
This summary is machine-generated.

Most epilepsy surgery patients found the treatment useful, reporting satisfaction linked to seizure control and improved work ability. Dissatisfaction often correlated with neurological deficits and reduced work capacity, showing alignment between patient experience and objective outcomes.

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Area of Science:

  • Neurosurgery
  • Epileptology
  • Patient-Reported Outcomes

Background:

  • Epilepsy surgery aims to improve seizure control and quality of life.
  • Patient experience and satisfaction are crucial metrics for evaluating treatment success.
  • Understanding the relationship between subjective patient reports and objective outcomes is vital.

Purpose of the Study:

  • To describe patient experiences with epilepsy surgery, focusing on perceived usefulness and negative effects.
  • To assess associations between patient satisfaction/dissatisfaction and objective outcome measures.
  • To explore the factors influencing patient-reported utility and dissatisfaction after epilepsy surgery.

Main Methods:

  • Retrospective questionnaire-based evaluation of patients surgically treated for epilepsy in Norway (1949-1988).

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  • Analysis of patient-reported satisfaction and dissatisfaction.
  • Correlation of subjective experiences with objective outcomes like seizure control, working ability, and disability status.

    • Main Results:

    • 75% of patients reported epilepsy surgery as useful; 20% reported negative effects.
    • Satisfaction strongly associated with favorable seizure outcome, improved working ability, and postoperative employment/education.
    • Dissatisfaction significantly linked to neurological deficits and decreased working ability.

    Conclusions:

    • There is overall agreement between subjective patient satisfaction and objective measures of surgical success in epilepsy.
    • Seizure outcome is a key driver of perceived usefulness, while neurological deficits impact reported negative effects.
    • Patient-reported outcomes, including social, occupational, and emotional aspects, are critical in evaluating epilepsy surgery.