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ABSTRACT: Objective
The impact of the coronavirus disease 2019 (COVID-19) pandemic on epilepsy care across Japan was investigated by conducting a multicenter retrospective cohort study.Methods
This study included monthly data on the frequency of (1) visits by outpatients with epilepsy, (2) outpatient electroencephalography (EEG) studies, (3) telemedicine for epilepsy, (4) admissions for epilepsy, (5) EEG monitoring, and (6) epilepsy surgery in epilepsy centers and clinics across Japan between January 2019 and December 2020. We defined the primary outcome as epilepsy-center-specific monthly data divided by the 12-month average in 2019 for each facility. We determined whether the COVID-19 pandemic-related factors (such as year [2019 or 2020], COVID-19 cases in each prefecture in the previous month, and the state of emergency) were independently associated with these outcomes.Results
In 2020, the frequency of outpatient EEG studies (-10.7%, p<0.001) and cases with telemedicine (+2,608%, p=0.031) were affected. The number of COVID-19 cases was an independent associated factor for epilepsy admission (-3.75*10-3 % per case, p<0.001) and EEG monitoring (-3.81*10-3 % per case, p = 0.004). Further, the state of emergency was an independent factor associated with outpatient with epilepsy (-11.9%, p<0.001), outpatient EEG (-32.3%, p<0.001), telemedicine for epilepsy (+12,915%, p<0.001), epilepsy admissions (-35.3%; p<0.001), EEG monitoring (-24.7%: p<0.001), and epilepsy surgery (-50.3%, p<0.001).Significance
We demonstrated the significant impact that the COVID-19 pandemic had on epilepsy care. These results support those of previous studies and clarify the effect size of each pandemic-related factor on epilepsy care.
SUBMITTER: Kuroda N
PROVIDER: S-EPMC9348370 | biostudies-literature | 2022 May
REPOSITORIES: biostudies-literature
Kuroda Naoto N Kubota Takafumi T Horinouchi Toru T Ikegaya Naoki N Kitazawa Yu Y Kodama Satoshi S Kuramochi Izumi I Matsubara Teppei T Nagino Naoto N Neshige Shuichiro S Soga Temma T Takayama Yutaro Y Sone Daichi D Kanemoto Kousuke K Ikeda Akio A Terada Kiyohito K Goji Hiroko H Ohara Shinji S Hagiwara Koichi K Kamada Takashi T Iida Koji K Ishikawa Nobutsune N Shiraishi Hideaki H Iwata Osato O Sugano Hidenori H Iimura Yasushi Y Higashi Takuichiro T Hosoyama Hiroshi H Hanaya Ryosuke R Shimotake Akihiro A Kikuchi Takayuki T Yoshida Takeshi T Shigeto Hiroshi H Yokoyama Jun J Mukaino Takahiko T Kato Masaaki M Sekimoto Masanori M Mizobuchi Masahiro M Aburakawa Yoko Y Iwasaki Masaki M Nakagawa Eiji E Iwata Tomohiro T Tokumoto Kentaro K Nishida Takuji T Takahashi Yukitoshi Y Kikuchi Kenjiro K Matsuura Ryuki R Hamano Shin-Ichiro SI Fujimoto Ayataka A Enoki Hideo H Tomoto Kyoichi K Watanabe Masako M Takubo Youji Y Fukuchi Toshihiko T Nakamoto Hidetoshi H Kubota Yuichi Y Kunii Naoto N Shirota Yuichiro Y Ishikawa Eiichi E Nakasato Nobukazu N Maehara Taketoshi T Inaji Motoki M Takagi Shunsuke S Enokizono Takashi T Masuda Yosuke Y Hayashi Takahiro T
Epilepsia open 20220528
<h4>Objective</h4>The impact of the coronavirus disease 2019 (COVID-19) pandemic on epilepsy care across Japan was investigated by conducting a multicenter retrospective cohort study.<h4>Methods</h4>This study included monthly data on the frequency of (1) visits by outpatients with epilepsy, (2) outpatient electroencephalography (EEG) studies, (3) telemedicine for epilepsy, (4) admissions for epilepsy, (5) EEG monitoring, and (6) epilepsy surgery in epilepsy centers and clinics across Japan betw ...[more]