Evidence map›Paper›PMID 34817723›Full record

ReviewCurrent neurology and neuroscience reports2021

Diagnostic Delay in Epilepsy: the Scope of the Problem.

Jacob Pellinen, Jaqueline French, Kelly G Knupp

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current neurology and neuroscience reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Primary treatment gap among adults with epilepsy: A cross-sectional analysis.Epileptic disorders : international epilepsy journal with videotape · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Treatment gaps in epilepsy.Frontiers in epidemiology · 2022
    Review
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

3 authors at 2 institutions in 1 country.

Jacob PellinenDepartment of Neurology, University of Colorado School of Medicine, Aurora, CO, USA. Jacob.Pellinen@cuanschutz.edu.ORCID http://orcid.org/0000-0002-0747-7210
Jaqueline FrenchComprehensive Epilepsy Center, New York University School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0003-2242-8027
Kelly G KnuppDepartments of Pediatrics and Neurology, University of Colorado School of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-1967-0827
University of Colorado Denver · USNew York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewDiagnostic delay is an increasingly recognized issue in epilepsy. At the same time, there is a clear disparity between public awareness of epilepsy and that of other public health issues. A contributing factor for this seems to be a lack of studies testing interventions designed to improve seizure recognition. In this review, we summarize the main findings from recent studies investigating diagnostic delay in epilepsy, highlighting causes, consequences, and potential interventions in future research that may improve quality of care in this population. RECENT

findingsBuilding on prior evidence, diagnostic delay in patients with new-onset focal epilepsy has been identified as an important problem for patients with epilepsy. Such delay in diagnosis can lead to delayed treatment and potentially preventable morbidity and mortality including motor vehicle accidents. Nonmotor seizure semiology appears to be a major contributor for delay; such seizures are largely unrecognized when patients present to emergency departments for care. Improving recognition and diagnosis of recurrent nonmotor seizures in emergency departments represents a significant opportunity for improving time to diagnosis, particularly when patients present following a first lifetime motor seizure and meet diagnostic criteria for epilepsy. Diagnostic delay in epilepsy is a significant public health issue and recent studies have highlighted potential areas for intervention.

Indexed as

Epilepsies, PartialEpilepsyEpilepsy, GeneralizedDelayed DiagnosisHumansSeizuresClinical neurologyEpilepsy diagnosisEpilepsy/seizuresEpilepsy semiologyFocal seizuresGeneralized seizures

Identifiers

PMID34817723
OpenAlexW3215794446

What OpenQuestion holds

Textmetadata
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.