ArticleEpilepsy research2020
Delays and disparities in diagnosis for adults with epilepsy: Findings from U.S. Medicaid data.
Article in Epilepsy research, 2020. 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.
What it found
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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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Prognosis of adults and children following a first unprovoked seizure.The Cochrane database of systematic reviews · 2023Pooled it
- Polypharmacy burden and incident epilepsy among older adults in the United States.Epilepsia open · 2026Article
- Copeptin as a predictor of seizure diagnosis and seizure type in emergency department patients.BMC neurology · 2026Observational
- Unlocking the Potential of Telemedicine in Epilepsy: Noninferiority Analysis of Efficacy and Identifying Patient Preferences.Neurology. Clinical practice · 2025Article
- Incident Epilepsy Among US Medicare Beneficiaries, 2019: Differences by Age, Sex, and Race/Ethnicity.Neurology · 2024Article
- Shining a Light: Advancing Health Equity in Overlooked Epilepsy Communities.Epilepsy currents · 2024Article
- Mortality and mortality disparities among people with epilepsy in the United States, 2011-2021.Epilepsy & behavior : E&B · 2024Article
- Disparities in Teleneurology Use in Medicaid Beneficiaries With Epilepsy by Practice Setting: Promoting Health Equity in Academic Centers.Neurology · 2024Article
- Disparities in Epilepsy Diagnosis and Management in High-Income Countries: A Review of the Literature.Neurology. Clinical practice · 2024Review
- Review
- Knowledge and beliefs about epilepsy genetics among Hispanic and non-Hispanic patients.Epilepsia · 2023Article
- Racial and Ethnic Differences in Antiseizure Medications Among People With Epilepsy on Medicaid: A Case of Potential Inequities.Neurology. Clinical practice · 2023Article
- A framework for health equity in people living with epilepsy.Epilepsy research · 2022Review
- Drivers of US health care spending for persons with seizures and/or epilepsies, 2010-2018.Epilepsia · 2022Article
- Treatment gaps in epilepsy.Frontiers in epidemiology · 2022Review
- The use of virtual tools in narrowing the impact of health disparities in neurology.Frontiers in pediatrics · 2022Article
- Inconsistent Medicaid Coverage is Associated with Negative Health Events for People with Epilepsy.Journal of health care for the poor and underserved · 2022Article
- Fifty shades of racial disparities in epilepsy care.Epilepsy currentsArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo identify disparities in care pathways and time from first seizure to epilepsy diagnosis, we examined 2010-2014 Medicaid claims (including pharmacy) data from 16 States for individuals with incident epilepsy.
methodsWe identified adults (18-64) with an incident epilepsy diagnosis from 1/2012 through 6/2014. These individuals were enrolled in Medicaid for the entire study period and had no history of anti-epileptic drug (AED) use before their first seizure claim. We identified care pathways and calculated the duration from initial seizure to epilepsy diagnosis. We tested associations between these pathways and race/ethnicity, as well as time differences between care pathways using a Chi-squared and Kruskal-Wallis tests.
resultsThe 14,337 adults followed five different care pathways. Their overall median duration from first seizure code to epilepsy diagnosis code was 19.0 months (interquartile range: 4.6, 30.4), and 56.0% filled an AED prescription. Some minorities were more likely to follow pathways with increased durations and delay to diagnosis, and the duration to diagnosis varied significantly across the care pathways. SIGNIFICANCE: The many different care pathways seen in people with epilepsy show substantial and significant time delays between first seizure diagnosis and epilepsy diagnosis, including significant racial/ethnic disparities that warrant attention.
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