Predictors of referral for long-term EEG monitoring for Medicare beneficiaries with drug-resistant epilepsy.

ABSTRACT:

Objective

For people with drug-resistant epilepsy, the use of epilepsy surgery is low despite favorable odds of seizure freedom. To better understand surgery utilization, we explored factors associated with inpatient long-term EEG monitoring (LTM), the first step of the presurgical pathway.

Methods

Using 2001-2018 Medicare files, we identified patients with incident drug-resistant epilepsy using validated criteria of ≥2 distinct antiseizure medication (ASM) prescriptions and ≥1 drug-resistant epilepsy encounter among patients with ≥2 years pre- and ≥1 year post-diagnosis Medicare enrollment. We used multilevel logistic regression to evaluate associations between LTM and patient, provider, and geographic factors. We then analyzed neurologist-diagnosed patients to further eval

SUBMITTER: Hill CE 

PROVIDER: S-EPMC10472378 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature