Evidence map›Paper›PMID 36347817›Full record

ArticleEpilepsia2023

Development of a core outcome set for quality of life for adults with drug-resistant epilepsy: A multistakeholder Delphi consensus study.

Sharon Chiang, Robert Moss, John M Stern, Inna Hughes, S Andrew Josephson, Jennifer R Pearce, Brandon E Kopald, Anup D Patel, Vikram R Rao

Open access · greenAbstract readConsensus Statement
In one paragraph

Article in Epilepsia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. 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

9 authors at 6 institutions in 1 country.

Sharon ChiangDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-4548-4550
Robert MossSeizure Tracker, Springfield, Virginia, USA.ORCID 0000-0002-9407-5681
John M SternDepartment of Neurology, University of California, Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-3549-1642
Inna HughesDepartment of Neurology, University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0003-3585-3567
S Andrew JosephsonDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0001-7502-550X
Jennifer R PearcePlain Language Health, Pleasant Hill, California, USA.ORCID 0000-0001-6766-6323
Brandon E KopaldDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Anup D PatelDepartment of Pediatrics and Division of Neurology, Center for Clinical Excellence, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0001-9313-1541
Vikram R RaoDepartment of Neurology and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-6389-2638
University of California, San Francisco · USCollege Track · USJohn F. Kennedy University · USNationwide Children's Hospital · USUniversity of California, Los Angeles · USUniversity of Rochester Medical Center · 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

objectiveIn 2017, the American Academy of Neurology (AAN) convened the AAN Quality Measurement Set working group to define the improvement and maintenance of quality of life (QOL) as a key outcome measure in epilepsy clinical practice. A core outcome set (COS), defined as an accepted, standardized set of outcomes that should be minimally measured and reported in an area of health care research and practice, has not previously been defined for QOL in adult epilepsy.

methodsA cross-sectional Delphi consensus study was employed to attain consensus from patients and caregivers on the QOL outcomes that should be minimally measured and reported in epilepsy clinical practice. Candidate items were compiled from QOL scales recommended by the AAN 2017 Quality Measurement Set. Inclusion criteria to participate in the Delphi study were adults with drug-resistant epilepsy diagnosed by a physician, no prior diagnosis of psychogenic nonepileptic seizures or a cognitive and/or developmental disability, or caregivers of patients meeting these criteria.

resultsA total of 109 people satisfied inclusion/exclusion criteria and took part in Delphi Round 1 (patients, n = 95, 87.2%; caregivers, n = 14, 12.8%), and 55 people from Round 1 completed Round 2 (patients, n = 43, 78.2%; caregivers, n = 12, 21.8%). One hundred three people took part in the final consensus round. Consensus was attained by patients/caregivers on a set of 36 outcomes that should minimally be included in the QOL COS. Of these, 32 of the 36 outcomes (88.8%) pertained to areas outside of seizure frequency and severity. SIGNIFICANCE: Using patient-centered Delphi methodology, this study defines the first COS for QOL measurement in clinical practice for adults with drug-resistant epilepsy. This set highlights the diversity of factors beyond seizure frequency and severity that impact QOL in epilepsy.

Indexed as

Drug Resistant EpilepsyEpilepsyAdultCross-Sectional StudiesDelphi TechniqueHumansOutcome Assessment, Health CareQuality of LifeResearch DesignSeizuresTreatment Outcomecore outcome setDelphi techniquedrug-resistant epilepsyepilepsypatient-centered outcomesquality of life

Identifiers

PMID36347817
PMCPMC11161193
OpenAlexW4308564913

What OpenQuestion holds

Textmetadata
LicenceTDM
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.