Evidence map›Paper›PMID 37876310›Full record

ReviewEpilepsia open2024

Expert opinion on diagnosis and management of epilepsy-associated comorbidities.

Jukka Peltola, Rainer Surges, Berthold Voges, Tim J von Oertzen

Open access · goldAbstract readReview
In one paragraph

Review in Epilepsia open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.8field-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

16 citing papers in PubMed, 26 citations in OpenAlex.

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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

4 authors at 4 institutions in 3 countries.

Jukka PeltolaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0002-4119-8063
Rainer SurgesDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-3177-8582
Berthold VogesDepartment of Neurology, Epilepsy Center Hamburg, Protestant Hospital Alsterdorf, Hamburg, Germany.ORCID 0000-0003-0556-9565
Tim J von OertzenMedical Faculty, Johannes Kepler University, Linz, Austria.ORCID 0000-0003-2164-7842
Evangelisches Krankenhaus Alsterdorf · DEJohannes Kepler University of Linz · ATTampere University · FIUniversity Hospital Bonn · DE

Funding

LivaNova PLC
6 · The paper itself

Abstract

Apart from seizure freedom, the presence of comorbidities related to neurological, cardiovascular, or psychiatric disorders is the largest determinant of a reduced health-related quality of life in people with epilepsy (PwE). However, comorbidities are often underrecognized and undertreated, and clinical management of comorbid conditions can be challenging. The focus of a comprehensive treatment regimen should maximize seizure control while optimizing clinical management of treatable comorbidities to improve a person's quality of life and overall health. A panel of four European epileptologists with expertise in their respective fields of epilepsy-related comorbidities combined the latest available scientific evidence with clinical expertise and collaborated to provide consensus practical advice to improve the identification and management of comorbidities in PwE. This review provides a critical evaluation for the diagnosis and management of sleep-wake disorders, cardiovascular diseases, cognitive dysfunction, and depression in PwE. Whenever possible, clinical data have been provided. The PubMed database was the main search source for the literature review. The deleterious pathophysiological processes underlying neurological, cardiovascular, or psychiatric comorbidities in PwE interact with the processes responsible for generating seizures to increase cerebral and physiological dysfunction. This can increase the likelihood of developing drug-resistant epilepsy; therefore, early identification of comorbidities and intervention is imperative. The practical evidence-based advice presented in this article may help clinical neurologists and other specialist physicians responsible for the care and management of PwE.

Indexed as

EpilepsyQuality of LifeComorbidityHumansSeizurescardiovascular diseasescognitive dysfunctiondepressionepilepsysleep-wake disorderssudden cardiac death

Identifiers

PMID37876310
PMCPMC10839328
OpenAlexW4387930702

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.