Epilepsy surgery trends in the United States, 1990-2008.

ABSTRACT:

Objective

To examine national time trends of resective surgery for the treatment of medically refractory epilepsy before and after Class I evidence demonstrating its efficacy and subsequent practice guidelines recommending early surgical evaluation.

Methods

We performed a population-based cohort study with time trends of patients admitted to US hospitals for medically refractory focal epilepsy between 1990 and 2008 who did or did not undergo lobectomy, as reported in the Nationwide Inpatient Sample.

Results

Weighted data revealed 112,026 hospitalizations for medically refractory focal epilepsy and 6,653 resective surgeries (lobectomies and partial lobectomies) from 1990 to 2008. A trend of increasing hospitalizations over time was not accompanied by an increase in sur

SUBMITTER: Englot DJ 

PROVIDER: S-EPMC3324320 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature