Effects of resective epilepsy surgery on the social determinants of health

•Epilepsy surgery induce changes in social determinants of health in patients with epilepsy.•80.4% and 19.6% of patients were classified as Engel I and Engel II at 4 year´s postoperative follow-up.•Following focal resective epilepsy surgery there was a significant increase in the education level, fi...

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Bibliographic Details
Published in:Epilepsy research 2020-07, Vol.163, p.106338-106338, Article 106338
Main Authors: Ortega, Juvenal Barbosa, San-Juan, Daniel, Segura, Natalia Hernández, Vanegas, Mario Alonso, Anschel, David J.
Format: Article
Language:English
Subjects:
Difficult-to-control epilepsy
epilepsy surgery
social determinants of health
social position
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Summary:•Epilepsy surgery induce changes in social determinants of health in patients with epilepsy.•80.4% and 19.6% of patients were classified as Engel I and Engel II at 4 year´s postoperative follow-up.•Following focal resective epilepsy surgery there was a significant increase in the education level, financial income and employment at 4 years’ postoperative follow-up. The aim of this study is to analyze changes in the Social Determinants of Health (SDH) in patients undergoing epilepsy surgery in Mexico. We retrospectively analyzed 102 adult patients who underwent brain resection for focal epilepsy (2002-2014) with at least 4 years of follow-up; described clinical variables (age, race, sex, age of onset of epilepsy, age at the time of surgery, type of surgery, side of surgery) and sociodemographic variables including education, income, race/ethnicity, occupation, and marital status. Descriptive and inferential statistics were used. 54.9% (56) of the participants were women, with a mean age of 38.2 (±9.6) years at the time of the survey. The average and mean duration of drug-resistant epilepsy before surgery after diagnosis was 19.6 (±9.3) years; 77.9% (77) had temporal lobe surgeries and 24.5% (25) had extra-temporal lobe surgeries; 80.4% (82) and 19.6% (20) of patients were classified as Engel I and Engel II, respectively, with at least 4 years of postoperative follow-up. Education level (26.9%, p=
ISSN:0920-1211
1872-6844
DOI:10.1016/j.eplepsyres.2020.106338