Evidence map›Paper›PMID 39495191›Full record

ReviewEpilepsia open2024

Epilepsy in CHAD: Realities, constraints, and prospects.

Foksouna Sakadi, Madjirabe Ngardidjim Christian, Toure Mohamed Lamine, Kamis Dakisia, Nderbe Melom Christelle, Diponbe Doufene, Lintel Anicet Foksia, Carlos Othon Nguelngar, Anatole Balanmo, Kobada Babing-Ne and 2 more

Abstract 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 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. Review
  3. 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

12 authors.

Foksouna SakadiNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.ORCID https://orcid.org/0000-0001-8839-4152
Madjirabe Ngardidjim ChristianNeurology Unit, Renaissance Teaching Hospital, N'djamena, Chad.
Toure Mohamed LamineNeurology Department, Ignace Deen Teaching Hospital, Conakry, Guinea.
Kamis DakisiaNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.
Nderbe Melom ChristelleNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.
Diponbe DoufeneNeurology Unit, Sino-Chadian Friendship Hospital, N'djamena, Chad.
Lintel Anicet FoksiaNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.
Carlos Othon NguelngarNeurology Department, Ignace Deen Teaching Hospital, Conakry, Guinea.
Anatole BalanmoNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.
Kobada Babing-NeNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.
Desire NalireNeurology Unit, National Reference Teaching Hospital, N'djamena, Chad.
Cisse AmaraNeurology Department, Ignace Deen Teaching Hospital, Conakry, Guinea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epilepsy is a significant public health problem. More than 50 million people worldwide live with epilepsy, and over three-quarters of them are in low- and middle-income countries. The situation in Chad regarding people with epilepsy is challenging to assess, starting from the shortage of scientific data, the inadequacy of technical facilities, the lack of human resources, and the inadequacy of government action. The Ministry of Health and Chadian Society of Neurology are looking forward to prioritizing epilepsy as well as improving the living conditions of persons with this disease. The epilepsy treatment issue is also problematic. Most of the patients are either off treatment or under-medicated. Few antiseizure medications (ASMs) are available, notably carbamazepine, phenobarbital, and valproic acid. Epilepsy remains little-known and does not seem to be a priority for decision-makers. We describe the current situation in Chad, to improve the conditions under which epilepsy is treated. PLAIN LANGUAGE SUMMARY: Epilepsies is a chronic brain problem that is common in poorer settings. The daily lives of people with epilepsy are chaotic in Chad. The challenges are numerous, particularly those related to health infrastructures, due to the lack of adequate diagnostic means and the lack of neurologists. The cultural and language challenges, especially since epilepsy is still considered the devil's disease and the name differs according to the dialects. Stigmatization is also frequent and is often responsible for school dropout, refusal, or dismissal from work. Care and prevention are daily challenges that require government action. Social coverage is insufficient and almost absent in rural areas. It is urgent to prioritize epilepsy in future action plans and also to increase awareness of the conditions to overcome these challenges.

Indexed as

AnticonvulsantsEpilepsyChadHumansAnticonvulsantscare inequalitylow‐income countriespoor settingsseizure disorder

Identifiers

PMID39495191
PMCPMC11633671

What OpenQuestion holds

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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.