Evidence map›Paper›PMID 23719147›Full record

Trial reportNeurology2013

Pretreatment EEG in childhood absence epilepsy: associations with attention and treatment outcome.

Dennis Dlugos, Shlomo Shinnar, Avital Cnaan, Fengming Hu, Solomon Moshé, Eli Mizrahi, David Masur, Yoshi Sogawa, J B Le Pichon, Calley Levine and 5 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

Dennis DlugosChildren's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA. dlugos@email.chop.edu
Shlomo Shinnar
Avital Cnaan
Fengming Hu
Solomon Moshé
Eli Mizrahi
David Masur
Yoshi Sogawa
J B Le Pichon
Calley Levine
Deborah Hirtz
Peggy Clark
Peter C Adamson
Tracy Glauser
Childhood Absence Epilepsy Study Team

Funding

COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
Impact of Initial Therapy and Response on Long Term Outcome in Children with CAEU01NS045911 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI GLAUSER, TRACY A · 2003 to 2013
$31.1M
Consequences of Prolonged Febrile Seizures in ChildhoodR01NS043209 · NINDS · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI SHINNAR, SHLOMO · 2003 to 2012
$21.5M
NEUROIMAGING COREP30HD040677 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2001 to 2015
$15.9M
Consequences of Prolonged Febrile Seizures in ChildhoodR37NS043209 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHINNAR, SHLOMO · 2013 to 2019
$11.4M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031988 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2010 to 2011
$8.2M
RNA fidelity and protein function of Becker-like in-frame deletionsP50AR060836 · NIAMS · CHILDREN'S RESEARCH INSTITUTE · PI PARTRIDGE, TERENCE A · 2011 to 2015
$7.8M
AGE RELATED SEIZURE SUPPRESSIONR01NS020253 · NINDS · YESHIVA UNIVERSITY · PI MOSHE, SOLOMON L. · 1985 to 2011
$4.7M
N-carbamylglutamate in the treatment of hyperammonemiaR01HD058567 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI TUCHMAN, MENDEL · 2008 to 2016
$4.4M
Childhood Absence Epilepsy: Coordinating CenterU01NS045803 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI CNAAN, AVITAL · 2003 to 2008
$4.0M
2 of 7 EPI4K - Phenotyping Clinical Informatics Core U01NS077276 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOWENSTEIN, DANIEL H · 2011 to 2015
$3.1M
NCATS NIH HHS UL1 TR000077NCI NIH HHS U10CA098543NCI NIH HHS U10CA098543-10S1NCI NIH HHS U10CA098543-10S2NCRR NIH HHS UL1 RR025759NCRR NIH HHS UL1RR031988NIAMS NIH HHS P50 AR060836NIAMS NIH HHS P50AR060836NIAMS NIH HHS R01AR061875NICHD NIH HHS P30HD040677NICHD NIH HHS R01HD058567NINDS NIH HHS 1R01NS053998NINDS NIH HHS 2U01-NS045911NINDS NIH HHS 2U01NS045911NINDS NIH HHS NS 053998NINDS NIH HHS NS 066929NINDS NIH HHS NS20253NINDS NIH HHS NS43209NINDS NIH HHS NS45911NINDS NIH HHS NS R01-NS043209NINDS NIH HHS P20 NS080185NINDS NIH HHS R01-NS043209NINDS NIH HHS R01-NS053998NINDS NIH HHS R01-NS062756NINDS NIH HHS R01-NS065840NINDS NIH HHS U01-NS045803NINDS NIH HHS U01 NS045911NINDS NIH HHS U01-NS045911NINDS NIH HHS U01NS045911NINDS NIH HHS U01NS077276NINDS NIH HHS U10NS077308NINDS NIH HHS U10 NS077311NINDS NIH HHS U10-NS077311NLM NIH HHS 1R01LM011124NLM NIH HHS R01-LM011124
6 · The paper itself

Abstract

objectiveIn children with newly diagnosed childhood absence epilepsy (CAE), determine pretreatment EEG features and their associations with baseline neuropsychological function and short-term treatment outcome.

methodsIn a multicenter, randomized clinical trial, patients with CAE underwent a pretreatment, 1-hour video-EEG and neuropsychological testing with freedom-from-failure and seizure-freedom (SF) outcome assessed at the 16- to 20-week visit.

resultsDetailed evaluation of the pretreatment EEG was possible for 99.8% of participants (445/446). Median time to first seizure was 6.0 minutes (range 0-59 minutes), median number of seizures was 5 (range 1-60), and median seizure duration was 10.8 seconds (range 3.3-77.6 seconds). Median duration of shortest seizure per EEG was 7.5 seconds (range 3.0-77.6 seconds). Seizure frequency was not associated with baseline measures of attention, executive function, or treatment outcome. Presence of a seizure lasting ≥20 seconds was noted in 29% of subjects (129/440); these children had higher median omissions T score on the Conners Continuous Performance Test (56.3 vs 51.6, p = 0.01). Patients with a shortest seizure of longer duration were more likely to demonstrate treatment success by both freedom-from-failure (p = 0.02) and SF (p = 0.005) criteria, even after controlling for age, treatment group, and number of seizures, with good predictive value (area under the curve 78% for SF).

conclusionsCAE is reliably and quickly confirmed by EEG. Occurrence of a seizure ≥20 seconds, but not overall seizure frequency, was associated with differential baseline measures of attention. Patients whose shortest pretreatment EEG seizure was longer in duration were more likely to achieve SF, regardless of treatment.

Indexed as

AdolescentAnticonvulsantsAttentionChildChild, PreschoolDouble-Blind MethodElectroencephalographyEpilepsy, AbsenceHumansNeuropsychological TestsPredictive Value of TestsReproducibility of ResultsSeizuresTime FactorsTreatment OutcomeAnticonvulsants

Identifiers

PMID23719147
PMCPMC3770172

What OpenQuestion holds

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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.