Evidence map›Paper›PMID 34509036›Full record

ArticleEpilepsy & behavior : E&B2021

Impact of intellectual and developmental disability on quality-of-life priorities in adults with epilepsy.

Sharon Chiang, Robert Moss, Mary Anne Meskis, Vanessa Vogel-Farley, Joseph E Sullivan, Anup D Patel, Vikram R Rao

Open access · hybridAbstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Holistic management of epilepsy in adults with intellectual development disorders.Epileptic disorders : international epilepsy journal with videotape · 2026
    Article
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  4. Review
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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

7 authors at 4 institutions in 1 country.

Sharon ChiangDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, United States. Electronic address: Sharon.Chiang@ucsf.edu.
Robert MossSeizure Tracker, LLC, Springfield, VA, United States.
Mary Anne MeskisDravet Syndrome Foundation, Cherry Hill, NJ, United States.
Vanessa Vogel-FarleyDup15q Alliance, Highland Park, IL, United States.
Joseph E SullivanDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, United States.
Anup D PatelDepartment of Pediatrics and Division of Neurology, Nationwide Children's Hospital, Columbus, OH, United States.
Vikram R RaoDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, United States.
University of California, San Francisco · USDravet Syndrome Foundation · USHighland Community College - Illinois · USNationwide Children's Hospital · US

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
NINDS Research Education Programs for Residents and Fellows in Neurology, Neurosurgery, Neuropathology, Neuroradiology and Emergency Medicine (R25)R25NS070680 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOSEPHSON, SCOTT ANDREW · 2010 to 2023
$6.8M
NCATS NIH HHS UL1 TR001872NINDS NIH HHS R25 NS070680
6 · The paper itself

Abstract

objectiveAdults living with intellectual and developmental disability (IDD) and epilepsy (IDD-E) face challenges in addition to those faced by the general population of adults with epilepsy, which may be associated with distinct priorities for improving health-related quality of life (HR-QOL). This study sought to (1) conduct a survey of HR-QOL priorities identified by adults with IDD-E and caregivers, and (2) perform an exploratory cross-sectional comparison to adults with epilepsy who do not have IDD.

methodsThis cross-sectional study recruited 65 adults with IDD-E and 134 adults with epilepsy without IDD and caregivers. Using a three-step development process, 256 items from existing quality-of-life scales recommended by the American Academy of Neurology (AAN) were rated by patients/caregivers for their importance as HR-QOL priorities. HR-QOL items identified as critical to the majority of the sample of adults with IDD-E were reported. Health-related quality of life priorities were compared between adults with IDD-E and adults with epilepsy without IDD.

resultsHealth-related quality of life was significantly lower in adults with IDD-E. Health-related quality of life domains identified as critical priorities by adults with IDD-E included seizure burden, anti-seizure medication side effects, seizure unpredictability, and family impact. Priorities for improving HR-QOL differed between adults with and without IDD-E, with concerns about family impact, difficulty finding appropriate living conditions, inadequate assistance, and difficulty transitioning from pediatric-to-adult care valued significantly more among those with IDD-E. SIGNIFICANCE: Intellectual and developmental disability is an important determinant of HR-QOL among adults with epilepsy. We report HR-QOL priorities identified by adults with IDD-E and their caregivers. These results may help epilepsy clinicians and researchers develop tailored strategies to address priorities of the patient with IDD-E/caregiver community.

Indexed as

EpilepsyIntellectual DisabilityAdultCaregiversChildCross-Sectional StudiesDevelopmental DisabilitiesHumansQuality of LifeCore outcomesHealth-related quality of lifeIntellectual disabilityPatient-reported outcomesSeizures

Identifiers

PMID34509036
PMCPMC11161194
OpenAlexW3198321380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.