Factors associated with work outcome after anterior temporal lobectomy for intractable epilepsy.
Whereas the effect of anterior temporal lobectomy on seizure frequency is well recognized, less is known about its impact on work status.
One hundred thirty-four of 190 consecutive patients with temporal lobectomy participated in this study.
Eligibility criteria were developed to ensure that only patients with the potential of achieving specific outcomes were included in the corresponding analyses.
After surgery, significantly more patients were independent in activities of daily living (p<0.001) or able to drive (p<0.001).
Income from work also increased (p<0.01).). Nearly one fifth of the patients who were eligible for analysis had either a gain (8%) or a loss (11%) of full-or of part-time work.
Univariate analyses revealed the following factors to be associated with full-time work after surgery : student or full-time work within a year before surgery, full-time work experience before surgery, full-or part-time employment experience before surgery, no disability benefits before surgery, low postsurgical seizure frequency, improved postsurgical seizure control, excellent postsurgical seizure control, driving after surgery, and further education after surgery (p<0.05).
Significant factors on multivariate analysis were being a student or having full-time work within a year before surgery [odds ratio, 16.2 (95% Cl, 4.3-60.5) ], driving after surgery 115.2 (3.2-72.0) ], and obtaining further education after surgery 19.2 (2.2-53.0) ]. (...)
Mots-clés Pascal : Epilepsie partielle complexe, Réfractaire, Lobectomie temporale, Antérieur, Capacité travail, Rythme travail, Conduite véhicule, Impact socioéconomique, Traitement, Médecine travail, Facteur prédictif, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Chirurgie
Mots-clés Pascal anglais : Complex partial epilepsy, Refractory, Temporal lobectomy, Anterior, Work capacity, Working rhythm, Vehicle driving, Socioeconomical impact, Treatment, Occupational medicine, Predictive factor, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0342518
Code Inist : 002B25J01. Création : 12/09/1997.