Document Detail


Factors influencing the costs of epilepsy in adults with an intellectual disability.
MedLine Citation:
PMID:  22285238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Despite the common occurrence of intellectual disability (ID) in people with epilepsy, most studies of the cost of epilepsy have focussed primarily or exclusively on people without ID. This paper estimates the costs of supporting people with epilepsy and ID.
METHODS: Prospective resource use and outcome data were collected on 91 participants from the east of England for seven months. Multivariate analysis was used to investigate the relationship between costs and patient and healthcare provider characteristics.
RESULTS: Mean health care costs relating to epilepsy or ID were £2800 (3500 Euros, 5200 USD) p.a. Modelling suggests costs are lower for patients with more severe ID (p=0.014); and higher for patients managed by a consultant neurologist (p=0.037).
DISCUSSION: Our findings support limited evidence from the literature of increased epilepsy costs in people with ID. Patterns of expenditure suggest clinical variation in the treatment of epilepsy according to the severity of ID, particularly in the absence of management by a consultant neurologist.
Authors:
Mark Pennington; Elizabeth Prince; Naomi Bateman; Joanne Gray; Tim J Croudace; Marcus Redley; Nicholas Wood; Howard Ring
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-01-28
Journal Detail:
Title:  Seizure : the journal of the British Epilepsy Association     Volume:  21     ISSN:  1532-2688     ISO Abbreviation:  Seizure     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-06     Completed Date:  2012-07-23     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  9306979     Medline TA:  Seizure     Country:  England    
Other Details:
Languages:  eng     Pagination:  205-10     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
England
Epilepsy / complications*,  economics*
Female
Health Care Costs / statistics & numerical data*
Humans
Intellectual Disability / complications*,  economics*
Male
Grant Support
ID/Acronym/Agency:
PB-PG-0706-10051//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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