Evidence map›Paper›PMID 40299537›Full record

ArticleEpilepsia2025

Ten-year projection of adult epilepsy burden in Australia.

Gopisankar Mohanannair Geethadevi, Kristoffer Jarlov Jensen, Patrick Kwan, Emma Foster, Graeme Jackson, Zhibin Chen, Zanfina Ademi, Australian Epilepsy Project Investigators

Abstract read
In one paragraph

Article in Epilepsia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

8 authors.

Gopisankar Mohanannair GeethadeviHealth Economics and Policy Evaluation Research Group, Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-1203-477X
Kristoffer Jarlov JensenHealth Economics and Policy Evaluation Research Group, Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Clayton, Victoria, Australia.
Patrick KwanNeurology Department, Alfred Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-7310-276X
Emma FosterNeurology Department, Alfred Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-8958-3844
Graeme JacksonFlorey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Zhibin ChenNeurology Department, Alfred Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-1888-6917
Zanfina AdemiHealth Economics and Policy Evaluation Research Group, Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Clayton, Victoria, Australia.
Australian Epilepsy Project Investigators

Funding

Medical Research Future Fund MRFF75908Medical Research Future Fund RFRHPSI000008NHMRC Investigator Grant GNT2025849the Operational Infrastructure Support GrantVictorian-led Frontier Health and Medical Research Program
6 · The paper itself

Abstract

objectiveThe World Health Organization's Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders calls for more epilepsy care centers, but a population-level estimate of epilepsy's projected burden to justify this investment from a societal perspective is lacking. We aimed to project the burden of epilepsy using dynamic life table modeling including number of deaths, years of life, quality-adjusted life years (QALYs), productivity-adjusted life years (PALYs), health care costs, and number of people to be screened for surgical eligibility in the Australian adult population (aged 18-80 years) from 2024 to 2033.

methodsA dynamic model was developed to capture incident and prevalent epilepsy in Australia, using five health states: not seizure-free non-drug resistant (NSF-NDRE), seizure-free non-drug resistant (SF-NDRE), not seizure-free drug resistant (NSF-DRE), seizure-free drug-resistant (SF-DRE), and death in 1-year cycles. The inputs came from published studies, Glosgow cohort study and from the Australian Epilepsy Project.

resultsIn 10 years, 82 723 Australian adults had incident epilepsy, whereas 125 223 formed the prevalent cohort. Over 10 years, the epilepsy population experienced 15 227 deaths and accrued 1 209 280 years of life, distributed as 23.6% NSF-NDRE, 58.3% SF-NDRE, 15.8% NSF-DRE, and 2.1% SF-DRE. The population accrued 992 812 QALYs and 442 600 PALYs. Total health care costs reached $14.2 billion US dollars (USD), of which NSF-DRE contributed 35%. Uncontrolled seizures resulted in the loss of 84 881 QALYs, 19 333 PALYs, $4.5 billion USD, and 4603 lives. A total of 10 665 individuals were eligible for surgical evaluation, with an additional 383 projected annually through 2033. SIGNIFICANCE: This dynamic life table model, based on the current standard of care for epilepsy, demonstrates quality of life impact, productivity loss, and cost burden due to uncontrolled seizures and drug resistance, supporting the need for further investment in epilepsy care. This approach can be applied to other countries to inform policy decisions in epilepsy from a societal perspective.

Indexed as

Cost of IllnessEpilepsyAdolescentAdultAgedAged, 80 and overAustraliaCohort StudiesFemaleHealth Care CostsHumansLife TablesMaleMiddle AgedPrevalenceQuality-Adjusted Life Yearscostsepilepsymodelproductivityquality of life

Identifiers

PMID40299537
PMCPMC12371680

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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.