Evidence map›Paper›PMID 38790148›Full record

ArticleEpilepsia open2024

Consensus Guideline on the Management of Epilepsy in Egypt: A National Delphi Consensus Study.

Nirmeen Kishk, Hassan Hosny, Reda Badry, Ibrahim Elmenshawi, Mohamed M Hamdy, Ehab Shaker, Hatem S Shehata, Rehab Magdy, Gihan M Ramzy, Mahmoud Hemeda and 24 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Epilepsia open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

34 authors.

Nirmeen KishkNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.ORCID https://orcid.org/0000-0003-4410-7814
Hassan HosnyNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Reda BadryNeurology Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Ibrahim ElmenshawiNeurology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohamed M HamdyNeurology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ehab ShakerNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Hatem S ShehataNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Rehab MagdyNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.ORCID https://orcid.org/0000-0002-4916-276X
Gihan M RamzyNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Mahmoud HemedaNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ahmed GaberNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed AbdelhamedNeurology Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Ahmed AbohagarNeurology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Imane A YassineNeurology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Mohammed AbbasNeurology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Hala A ShaheenNeurology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Mahmoud Abdel MoetyNeurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hussein M H MetwallyNeurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohammad Ali SaeedNeurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed EssmatNeurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ashraf AbdouNeurology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Rasha Hassan SolimanNeurology Department, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt.
Mohammed I OrabyNeurology Department, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt.
Abd El-Naser MoradNeurology Department, Faculty of Medicine, Benha University, Benha, Egypt.
Shaimaa Mohammed KasemNeurology Department, Faculty of Medicine, Benha University, Benha, Egypt.
Magdy AidarosNeurology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Yasser El HeneedyNeurology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ahmed ElNemrNeurology Department, Maadi Military Hospital, Cairo, Egypt.
Ahmed ElkadyNeurology Department, Mataria Teaching Hospital, El Matareya, Egypt.
Ramy AminNeurosurgery Department, Faculty of Medicine, Cairo University, Giza, Egypt.
Walid A Abdel GhanyNeurosurgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-1218-011X
Ahmed A MorsyNeurosurgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Hussein HamdiNeurosurgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.ORCID https://orcid.org/0000-0001-6174-3471
Reham ShamloulNeurology Department, Faculty of Medicine, Cairo University, Giza, Egypt.ORCID https://orcid.org/0000-0002-4628-4980

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn epilepsy, early diagnosis, accurate determination of epilepsy type, proper selection of antiseizure medication, and monitoring are all essential. However, despite recent therapeutic advances and conceptual reconsiderations in the classification and management of epilepsy, serious gaps are still encountered in day-to-day practice in Egypt as well as several other resource-limited countries. Premature mortality, poor quality of life, socio-economic burden, cognitive problems, poor treatment outcomes, and comorbidities are major challenges that require urgent actions to be implemented at all levels. In recognition of this, a group of Egyptian epilepsy experts met through a series of consecutive meetings to specify the main concepts concerning the diagnosis and management of epilepsy, with the ultimate goal of establishing a nationwide Egyptian consensus.

methodsThe consensus was developed through a modified Delphi methodology. A thorough review of the most recent relevant literature and international guidelines was performed to evaluate their applicability to the Egyptian situation. Afterward, several remote and live rounds were scheduled to reach a final agreement for all listed statements.

resultsOf 278 statements reviewed in the first round, 256 achieved ≥80% agreement. Live discussion and refinement of the 22 statements that did not reach consensus during the first round took place, followed by final live voting then consensus was achieved for all remaining statements. SIGNIFICANCE: With the implementation of these unified recommendations, we believe this will bring about substantial improvements in both the quality of care and treatment outcomes for persons with epilepsy in Egypt. PLAIN LANGUAGE SUMMARY: This work represents the efforts of a group of medical experts to reach an agreement on the best medical practice related to people with epilepsy based on previously published recommendations while taking into consideration applicable options in resource-limited countries. The publication of this document is expected to minimize many malpractice issues and pave the way for better healthcare services on both individual and governmental levels.

Indexed as

ConsensusDelphi TechniqueEpilepsyAnticonvulsantsDisease ManagementEgyptHumansPractice Guidelines as TopicAnticonvulsantsantiseizure medicationconsensusDelphi methoddrug resistant epilepsyEgyptepilepsyepilepsy diagnosisepilepsy surgerystatus epilepticusSteering Committee

Identifiers

PMID38790148
PMCPMC11296093

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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.