Evidence map›Paper›PMID 34395226›Full record

ArticleJournal of epilepsy research2021

Survey on Antiepileptic Drug Therapy in Patients with Drug Resistant Epilepsy.

Jun-Sang Sunwoo, Hyunjin Jo, Kyung Wook Kang, Keun Tae Kim, Daeyoung Kim, Dong Wook Kim, Min-Jee Kim, Saeyoon Kim, Woojun Kim, Hye-Jin Moon and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of epilepsy research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Genetic Polymorphisms inPharmaceuticals (Basel, Switzerland) · 2026
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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

18 authors at 15 institutions in 1 country.

Jun-Sang SunwooDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Korea.
Hyunjin JoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Kyung Wook KangDepartment of Neurology, Chonnam National University Hospital, Chonnam National University School of Medicine, Gwangju, Korea.
Keun Tae Kim, KoreaDepartment of Neurology, Keimyung University School of Medicine, Daegu.
Daeyoung KimDepartment of Neurology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
Dong Wook KimDepartment of Neurology, Konkuk University School of Medicine, Seoul, Korea.
Min-Jee KimDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Saeyoon KimDepartment of Pediatrics, College of Medicine, Yeungnam University, Daegu, Korea.
Woojun KimDepartment of Neurology, The Catholic University of Korea Seoul St. Mary's Hospital, Seoul, Korea.
Hye-Jin MoonDepartment of Neurology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Ha Ree ParkDepartment of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Jung-Ick ByunDepartment of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Jong-Geun SeoDepartment of Neurology, School of Medicine, Kyungpook National University, Daegu, Korea.
Sung Chul LimDepartment of Neurology, The Catholic University of Korea St. Vincent's Hospital, Suwon, Korea.
Min Kyung ChuDepartment of Neurology, Severance Hospital, Seoul, Korea.
Su-Hyun HanDepartment of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Kyoung Jin HwangDepartment of Neurology, School of Medicine, Kyung Hee University, Seoul, Korea.
Dae-Won SeoDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Samsung Medical Center · KRAsan Medical Center · KRCatholic University of Korea · KRChung-Ang University Hospital · KRChungnam National University Hospital · KRInje University Ilsan Paik Hospital · KRKonkuk University · KRKyung Hee University · KRKyung Hee University Hospital at Gangdong · KRKyungpook National University · KRSeoul National University Hospital · KRSeverance Hospital · KRSoonchunhyang University · KRThe Catholic University of Korea St. Vincent's Hospital · KRYeungnam University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIndividualized anti-epileptic drug (AED) selection in patient with epilepsy is crucial. However, there is no unified opinion in treating patients with drug resistant epilepsy (DRE). This survey aimed to make a consolidate consensus with epileptologists' perspectives of the treatment for Korean DRE patients by survey responses.

methodsThe survey was conducted with Korean epilepsy experts who have experience prescribing AEDs via e-mail. Survey questionnaires consisted of six items regarding prescription patterns and practical questions in treating patients with DRE in Korea. The research period was from February 2021 to March 2021.

resultsThe survey response rate was 83.3% (90/108). Most (77.8%) of the responders are neurologists. The proportion of patients whose seizures were not controlled by the second AED was 26.9%. The proportion of patients who had taken five or more AEDs is 13.9%, and those who are currently taking five or more AEDs are 7.3%, of which 54.5% and 37.9% reported positive effects on additional AED, respectively. The majority (91.1%) of respondents answered that the mechanism of action was the top priority factor when adding AED. Regarding data priority, responders considered that expert opinion should have the top priority, followed by clinical experiences, reimbursement guidelines and clinical evidence. Responders gave 64.9 points (range from 0 to 100) about overall satisfaction on reimbursement system of Health Insurance Review and Assessment Service for AED.

conclusionsThis study on AED therapy for DRE patients is the first nationwide trial in Korean epilepsy experts. In five drug failure, the top priorities on AED selection are mechanism of action and expert opinion. These findings might help to achieve consensus and recognize the insight on optimal therapy of AED in DRE.

Indexed as

Antiepileptic drugsDrug resistant epilepsyEpilepsySeizures

Identifiers

PMID34395226
PMCPMC8357558
OpenAlexW3188182462

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.