Evidence map›Paper›PMID 38262645›Full record

ArticleBMJ open2024

Health-related quality of life in epilepsy and its associated factors among adult patients with epilepsy attending Mizan Tepi University Teaching Hospital, Southwest Ethiopia: a cross-sectional study.

Wudu Yesuf, Desta Hiko, Eshetu Alemayehu, Samuel Kusheta, Abel Shita, Melkamu Beyene

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
5.4field-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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  7. Article
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

6 authors at 2 institutions in 1 country.

Wudu YesufDepartment of Public Health, Mizan-Aman College of Health Sciences, Aman, Ethiopia.
Desta HikoDepartment of Epidemiology, Jimma University College of Public Health and Medical Sciences, Jimma, Ethiopia.
Eshetu AlemayehuDepartment of Epidemiology, Jimma University College of Public Health and Medical Sciences, Jimma, Ethiopia.
Samuel KushetaDepartment of Public Health, Hosanna College of Health Sciences, Hosanna, Ethiopia kushetasamuel@gmail.com.ORCID 0000-0001-8704-7722
Abel ShitaDepartment of Public Health, Mizan-Aman College of Health Sciences, Aman, Ethiopia.
Melkamu BeyeneDepartment of Epidemiology, Mizan-Tepi University, Mizzan, Ethiopia.
Jimma University · ETMizan Tepi University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the mean score of health-related quality of life in epilepsy and its associated factors among adult patients with epilepsy.

designInstitution-based cross-sectional study based on random case selection was conducted.

settingThe study was carried out at Mizan-Tepi University Teaching Hospital located in Southwest Ethiopia.

participantsA total of 346 patients with epilepsy who visited the psychiatric clinic for follow-up for at least 3 months and who were 18 years or older were included in the study.

main outcome measureHealth-related quality of life in epilepsy measured using quality-of-life in epilepsy (QOLIE)-31 health survey evaluated as a dependent variable with simple and multivariable linear regressions.

resultsThe overall weighted mean score of health-related quality of life was 55.6 (SD=20.9). Only 50.3% of patients scored above a total score of 50. Age (β=-0.35, 95% CI-0.46 to -0.23), anxiety (β=-6.79, 95% CI -9.26 to -4.32), depression (β=-7.36, 95% CI -10.16 to -4.55), low self-esteem (β=-5.29, 95% CI -8.07 to -2.51), perceived stigma (β=-3.62, 95% CI -6.30 to -0.94), taking medication two times or more times per day (β=-2.4, 95% CI -4.58 to -0.27), being illiterate (β=-4.1, 95% CI -6.87 to -1.31) and having more than two seizures for a year (β=-4.18, 95% CI -6.97 to -1.39) were negatively affecting health-related quality of life while income of >1000 birr per month (β=4.5, 95% CI 2.00 to 6.99), social support (β=0.34, 95% CI 0.27 to 0.40) and being free of seizure for a year (β=6.5, 95% CI 3.66 to 9.33) were positively affecting health-related quality of life.

conclusionsOnly half of the patients with epilepsy in the study area are leading a better quality of life and the overall mean health-related quality of life score is lower than the global mean score. Health-related quality of life was inversely associated with age, anxiety, depression, low self-esteem, perceived stigma, taking medication two times a day or more, being illiterate and experiencing more than two seizures in a year. Besides controlling seizures, public educational campaigns should be conducted to raise public awareness regarding the need for social support.

Indexed as

EpilepsyQuality of LifeAdultAmbulatory Care FacilitiesCross-Sectional StudiesEthiopiaHospitals, TeachingHumansSeizuresUniversitiesAdult psychiatryEpilepsyQuality of Life

Identifiers

PMID38262645
PMCPMC10806578
OpenAlexW4391146858

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LicenceCC BY-NC
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Registered trials

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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.