Physicians’ beliefs about brain surgery for drug-resistant epilepsy: A global survey

Asadi-Pooya A.A. Brigo F. Trinka E. Lattanzi S. Karakis I. Kishk N.A. Valente K.D. Jusupova A. Turuspekova S.T. Daza-Restrepo A. Contreras G. Kutlubaev M.A. Guekht A. Rahimi-Jaberi A. Aljandeel G. Calle-Lopez Y. Alsaadi T. Ashkanani A. Ranganathan L.N. Al-Asmi A. Khachatryan S.G. Gigineishvili D. Mesraoua B. Mwendaweli N.
December 2022 W.B. Saunders Ltd

Seizure
2022 #103 18 - 22 pp.

Purpose: To investigate the opinions of physicians about brain surgery for drug-resistant epilepsy worldwide. Methods: Practicing neurologists, psychiatrists, and neurosurgeons from around the world were invited to participate in an online survey. The survey anonymously collected data about demographics, years in clinical practice, discipline, nation, work setting, and answers to the questions about beliefs and attitudes about brain surgery for drug-resistant epilepsy. Results: In total, 1410 physicians from 20 countries and different world regions participated. The propensity to discuss brain surgery with patients, who have drug-resistant seizures, was higher among men (versus women) [Odds Ratio (OR) 1.67, 95% CI 1.20–2.31; p = 0.002]. In comparison to neurologists, psychiatrists were less likely (OR 0.28, 95% CI 0.17–0.47; p < 0.001) and neurosurgeons were more likely (OR 2.00, 95% CI 1.08–3.72; p = 0.028) to discuss about it. Survey participants working in Africa, Asia, the Middle East, and the Former Union of Soviet Socialist Republics showed a lower propensity to discuss epilepsy surgery with patients. Conclusion: This study showed that on an international level, there is still a knowledge gap concerning epilepsy surgery and much needs to be done to identify and overcome barriers to epilepsy surgery for patients with drug-resistant seizures worldwide.

Brain , Epilepsy , Seizure , Surgery , Treatment

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Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Neurology, Jefferson Comprehensive Epilepsy Center, Thomas Jefferson University, Philadelphia, PA, United States
Department of Neurology, Hospital of Merano (SABES-ASDAA), Merano-Meran, Italy
Department of Neurology, Christian-Doppler Medical Centre, Paracelsus Medical University, Salzburg, 5020, Austria
Institute Neuroscience Christian-Doppler Medical Centre, Paracelsus Medical University, Austria
Centre for Cognitive Neuroscience, Salzburg, 5020, Austria
Department of Public Health, Health Services Research and Health Technology Assessment, Member of the European Referencenetwork EpiCARE., Medical Informatics and Technology, UMIT – University for Health Sciences, Hall in Tirol, Austria
Department of Experimental and Clinical Medicine, Neurological Clinic, Marche Polytechnic University, Ancona, Italy
Department of Neurology, Emory University School of Medicine, Atlanta, GA, United States
Department of Neurology, Cairo University Epilepsy Unit (CUEU), School of Medicine, Cairo University, Cairo, Egypt
Deparment of Psychiatry, Laboratory of Clinical Neurophysiology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, Brazil
Neurology and Clinical Genetics Department, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
Department of Nervous Diseases, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
ENyS CONICET – Neuroscience and Epilepsy service, El Cruce Hospital “Dr. Néstor Kirchner”, Buenos Aires, Argentina
Epilepsy Unit. La Trinidad Medical Center, Caracas, Venezuela
Department of Neurology, Bashkir State Medical University, Ufa, Russian Federation
Department of Neurology, Nerosurgery and Medical Genetics, Moscow Research and Clinical Center for Neurospychiatry, Pirogov Russian National Research Medical University, Moscow, Russian Federation
Iraqi Council for Medical Specializations, Faculty of Epileptology, Medical City, Baghdad, Iraq
Neurology Section, University of Antioquia, Fundación Clínica del Norte-Neuroclínica, Medellín, Colombia
Deptartment of Neurology, American Center for Psychiatry and Neurology, and Khalifa University, Abu Dhabi, United Arab Emirates
Ahmadi Hospital, Kuwait, Kuwait
Madras Medical College, Institute of Neurology, Tamil Nadu, Chennai, India
Neurology unit, Department of Medicine, College of Medicine and Health Sceinces and Sultan Qaboos University Hospital, Sultan Qaboos University, Oman
Department of Neurology and Neurosurgery, National Institute of Health, Yerevan, Armenia
Department of Neurology & Neurosurgery, Institute of Neurology, Javakhishvili Tbilisi State University, Tbilisi, Georgia
Neurosciences Department, Hamad Medical Corporation and Weill Cornell Medical College, Doha, Qatar
Ministry of Health, University Teaching Hospital, Lusaka Province, Zambia

Epilepsy Research Center
Department of Neurology
Department of Neurology
Department of Neurology
Institute Neuroscience Christian-Doppler Medical Centre
Centre for Cognitive Neuroscience
Department of Public Health
Department of Experimental and Clinical Medicine
Department of Neurology
Department of Neurology
Deparment of Psychiatry
Neurology and Clinical Genetics Department
Department of Nervous Diseases
ENyS CONICET – Neuroscience and Epilepsy service
Epilepsy Unit. La Trinidad Medical Center
Department of Neurology
Department of Neurology
Iraqi Council for Medical Specializations
Neurology Section
Deptartment of Neurology
Ahmadi Hospital
Madras Medical College
Neurology unit
Department of Neurology and Neurosurgery
Department of Neurology & Neurosurgery
Neurosciences Department
Ministry of Health

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