Evidence map›Paper›PMID 27888514›Full record

SynthesisEpilepsia2017

The burden of premature mortality of epilepsy in high-income countries: A systematic review from the Mortality Task Force of the International League Against Epilepsy.

David J Thurman, Giancarlo Logroscino, Ettore Beghi, W Allen Hauser, Dale C Hesdorffer, Charles R Newton, Fulvio Alexandre Scorza, Josemir W Sander, Torbjörn Tomson, Epidemiology Commission of the International League Against Epilepsy

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Epilepsia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06265103 (Epilepsy Learning Healthcare System), which is not on this map. Cited by 130 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing 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.

NCT06265103 recruitingnot on this mapstarted 2019, after this paper: background citation

Epilepsy Learning Healthcare System (ELHS) for Quality Care & Outcome Improvement

Typeobservational_patient_registrySponsorEpilepsy Foundation of AmericaRan2019 to 2099Enrolled100,000ConditionsEpilepsy, Seizure Disorder, Neurologic Disorder, Rare DiseasesArmsClinical care and quality improvement
3 · Its place in the literature

Who cites it

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

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  5. Pre-Existing Medical Conditions: A Systematic Literature Review of a Silent Contributor to Adult Drowning.International journal of environmental research and public health · 2022
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70 more citing papers are in PubMed but not listed here.

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

10 authors.

David J ThurmanDepartment of Neurology, School of Medicine, Emory University, Atlanta, Georgia, U.S.A.
Giancarlo LogroscinoDepartment of Clinical Research in Neurology, University of Bari "Aldo Moro,", Pia Fondazione Cardinale G. Panico, Lecce, Italy.
Ettore BeghiMario Negri Institute, Milan, Italy.
W Allen HauserSergievsky Center and Mailman School of Public Health, Columbia University, New York City, New York, U.S.A.
Dale C HesdorfferSergievsky Center and Mailman School of Public Health, Columbia University, New York City, New York, U.S.A.
Charles R NewtonDepartment of Neurosciences, Institute of Child Health, University College London, London, United Kingdom.
Fulvio Alexandre ScorzaDepartment of Neurology and Neurosurgery, Federal University of São Paulo, São Paulo, Brazil.
Josemir W SanderNIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, London, United Kingdom.ORCID 0000-0001-6041-9661
Torbjörn TomsonDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Epidemiology Commission of the International League Against Epilepsy

Funding

Wellcome Trust 203077
6 · The paper itself

Abstract

Since previous reviews of epidemiologic studies of premature mortality among people with epilepsy were completed several years ago, a large body of new evidence about this subject has been published. We aim to update prior reviews of mortality in epilepsy and to reevaluate and quantify the risks, potential risk factors, and causes of these deaths. We systematically searched the Medline and Embase databases to identify published reports describing mortality risks in cohorts and populations of people with epilepsy. We reviewed relevant reports and applied criteria to identify those studies likely to accurately quantify these risks in representative populations. From these we extracted and summarized the reported data. All population-based studies reported an increased risk of premature mortality among people with epilepsy compared to general populations. Standard mortality ratios are especially high among people with epilepsy aged <50 years, among those whose epilepsy is categorized as structural/metabolic, those whose seizures do not fully remit under treatment, and those with convulsive seizures. Among deaths directly attributable to epilepsy or seizures, important immediate causes include sudden unexpected death in epilepsy (SUDEP), status epilepticus, unintentional injuries, and suicide. Epilepsy-associated premature mortality imposes a significant public health burden, and many of the specific causes of death are potentially preventable. These require increased attention from healthcare providers, researchers, and public health professionals.

Indexed as

Developed CountriesMortality, PrematureAge FactorsDatabases, BibliographicDeath, SuddenEpilepsyHumansRisk FactorsSex FactorsConvulsionsDeathDeveloped countriesPremature mortalityResource-rich countriesSeizures

Identifiers

PMID27888514
PMCPMC7004822

What OpenQuestion holds

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Registered trials

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.