Evidence map›Paper›PMID 17260051›Full record

ArticleEpilepsy currents

Refractory epilepsy: one size does not fit all.

Jacqueline A French

Abstract read
In one paragraph

Article in Epilepsy currents. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Stiripentol add-on therapy for drug-resistant focal epilepsy.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Felbamate add-on therapy for drug-resistant focal epilepsy.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Stiripentol add-on therapy for drug-resistant focal epilepsy.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Felbamate add-on therapy for drug-resistant focal epilepsy.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Subpial transection surgery for epilepsy.The Cochrane database of systematic reviews · 2018
    Pooled it
  6. Stiripentol add-on therapy for focal refractory epilepsy.The Cochrane database of systematic reviews · 2018
    Pooled it
  7. Felbamate as an add-on therapy for refractory partial epilepsy.The Cochrane database of systematic reviews · 2017
    Pooled it
  8. Pooled it
  9. Trial
  10. Article
  11. Article
  12. 'On-demand' gene therapy for epilepsy.Nature reviews. Neurology · 2023
    Article
  13. Gain-of-functionBrain communications · 2020
    Article
  14. Article
  15. Clobazam add-on therapy for drug-resistant epilepsy.The Cochrane database of systematic reviews · 2019
    Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Jacqueline A FrenchProfessor of Neurology, Director, Penn Epilepsy Center, Assistant Dean for Clinical Trials, Hospital of the University of Pennsylvania Philadelphia, PA, USA. frenchj@mail.med.upenn.edu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A unifying definition of refractory epilepsy has been hotly debated but, to date, has not been agreed upon. Evidence from clinical trials indicates that some patients actually are not refractory, as many will partially respond to add-on treatment or will worsen when antiepileptic drugs (AEDs) are removed. There are several important issues relating to the assessment of AED response that routinely have not been addressed in the determination of treatment responsiveness, such as incorporating baseline seizure severity, including partial response rather than solely an all-or-none response, and the consideration of variability in response over time.

Identifiers

PMID17260051
PMCPMC1783491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.