Evidence map›Paper›PMID 31168496›Full record

ArticleEpilepsia open2019

Seizure burden in severe early-life epilepsy: Perspectives from parents.

Anne T Berg, Karen Kaiser, Tracy Dixon-Salazar, Andi Elliot, Nancy McNamara, Mary Anne Meskis, Emily Golbeck, Priya Tatachar, Linda Laux, Carrie Raia and 3 more

Abstract read
In one paragraph

Article in Epilepsia open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Short-Term Impact of Seizures and Mitigation Opportunities.Current neurology and neuroscience reports · 2024
    Pooled it
  2. Atonic seizures in children: a meta-analysis comparing corpus callosotomy to vagus nerve stimulation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Pooled it
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  14. Correlates of Caregiving Burden among Bedouin-Muslim Mothers of Children Diagnosed with Epilepsy.International journal of environmental research and public health · 2022
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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

13 authors.

Anne T BergDepartment of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Chicago Illinois.ORCID https://orcid.org/0000-0002-0298-5523
Karen KaiserDepartment of Medical Social Sciences Northwestern University Feinberg School of Medicine Chicago Illinois.
Tracy Dixon-SalazarLennox-Gastaut Syndrome Foundation Bohemia New York.
Andi ElliotGrandview Missouri.
Nancy McNamaraDepartment of Pediatrics CS Mott Children's Hospital Ann Arbor Michigan.
Mary Anne MeskisDravet Syndrome Foundation Cherry Hill New Jersey.
Emily GolbeckDepartment of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Chicago Illinois.
Priya TatacharDepartment of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Chicago Illinois.
Linda LauxDepartment of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Chicago Illinois.
Carrie RaiaBarrington Illinois.
Janice StanleyChicago Illinois.
April LunaHammond Indiana.
Christian RozekChicago Illinois.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
NCATS NIH HHS UL1 TR001422
6 · The paper itself

Abstract

objectivesSeizure burden is typically measured by seizure frequency yet it entails more than seizure counts, especially for people with severe epilepsies and their caregivers. We aimed to characterize the multi-faceted nature of seizure burden in young people and their parents who are living with severe early-life epilepsies.

methodsA one-day workshop and a series of teleconferences were held with parents of children with severe, refractory epilepsy of early-life origin and providers for children with epilepsy. The workshop sessions were structured as focus groups and aimed to identify components of seizure burden and their impact from the perspective of parents and providers. Data were gathered, organized, and refined during the workshop using an iterative 4-step process that drew upon grounded theory.

resultsThree primary components of seizure burden were identified: frequency, severity, and unpredictability, which was as important if not more important at times than frequency and severity. Caregivers noted that the impacts of seizures were experienced as acute-immediate consequences, longer-term consequences, and as chronic effects that develop and evolve over time. The severity of the child's neurological and medical status as well as where in the disease journey a family was represented additional contextual factors that influenced the experience of seizure burden. SIGNIFICANCE: Patient-reported and patient-centered outcomes are increasingly incorporated into the evaluation of treatment effectiveness. Without understanding how the disease creates burden for the patient (or family), it is difficult to know how to assess the impact of treatment. Our preliminary findings indicate seizure burden is a complex construct and unpredictability can be as important as frequency and severity.

Indexed as

caregiverfamily impactsocial isolationstress

Identifiers

PMID31168496
PMCPMC6546015

What OpenQuestion holds

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Registered trials

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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.