OBJECTIVE: To examine national trends of pediatric epilepsy surgery usage in the United States between 1997 and 2009. METHODS: We performed a serial cross-sectional study of pediatric epilepsy surgery using triennial data from the Kids' Inpatient Database from 1997 to 2009. The rates of epilepsy surgery for lobectomies, partial lobectomies, and hemispherectomies in each study year were calculated based on the number of prevalent epilepsy cases in the corresponding year. The age-race-sex adjusted rates of surgeries were also estimated. Mann-Kendall trend test was used to test for changes in the rates of surgeries over time. Multivariable regression analysis was also performed to estimate the effect of time, age, race, and sex on the annual incidence of epilepsy surgery. RESULTS: The rates of pediatric epilepsy surgery increased significantly from 0.85 epilepsy surgeries per 1,000 children with epilepsy in 1997 to 1.44 epilepsy surgeries per 1,000 children with epilepsy in 2009. An increment in the rates of epilepsy surgeries was noted across all age groups, in boys and girls, all races, and all payer types. The rate of increase was lowest in blacks and in children with public insurance. The overall number of surgical cases for each study year was lower than 35% of children who were expected to have surgery, based on the estimates from the Connecticut Study of Epilepsy. SIGNIFICANCE: In contrast to adults, pediatric epilepsy surgery numbers have increased significantly in the past decade. However, epilepsy surgery remains an underutilized treatment for children with epilepsy. In addition, black children and those with public insurance continue to face disparities in the receipt of epilepsy surgery. Wiley Periodicals, Inc.
OBJECTIVE: To examine national trends of pediatric epilepsy surgery usage in the United States between 1997 and 2009. METHODS: We performed a serial cross-sectional study of pediatric epilepsy surgery using triennial data from the Kids' Inpatient Database from 1997 to 2009. The rates of epilepsy surgery for lobectomies, partial lobectomies, and hemispherectomies in each study year were calculated based on the number of prevalent epilepsy cases in the corresponding year. The age-race-sex adjusted rates of surgeries were also estimated. Mann-Kendall trend test was used to test for changes in the rates of surgeries over time. Multivariable regression analysis was also performed to estimate the effect of time, age, race, and sex on the annual incidence of epilepsy surgery. RESULTS: The rates of pediatric epilepsy surgery increased significantly from 0.85 epilepsy surgeries per 1,000 children with epilepsy in 1997 to 1.44 epilepsy surgeries per 1,000 children with epilepsy in 2009. An increment in the rates of epilepsy surgeries was noted across all age groups, in boys and girls, all races, and all payer types. The rate of increase was lowest in blacks and in children with public insurance. The overall number of surgical cases for each study year was lower than 35% of children who were expected to have surgery, based on the estimates from the Connecticut Study of Epilepsy. SIGNIFICANCE: In contrast to adults, pediatric epilepsy surgery numbers have increased significantly in the past decade. However, epilepsy surgery remains an underutilized treatment for children with epilepsy. In addition, black children and those with public insurance continue to face disparities in the receipt of epilepsy surgery. Wiley Periodicals, Inc.
Authors: R Jonas; R F Asarnow; C LoPresti; S Yudovin; S Koh; J Y Wu; R Sankar; W D Shields; H V Vinters; G W Mathern Journal: Neurology Date: 2005-02-22 Impact factor: 9.910
Authors: Janelle L Wagner; Paul M Levisohn; Charles N Onufer; Gloria C Uchegbu; Linda Fletcher; Mary Zupanc; Mimi Browne Journal: Epilepsy Behav Date: 2013-08-10 Impact factor: 2.937
Authors: Benjamin D Wissel; Hansel M Greiner; Tracy A Glauser; Francesco T Mangano; Daniel Santel; John P Pestian; Rhonda D Szczesniak; Judith W Dexheimer Journal: Epilepsia Date: 2019-08-23 Impact factor: 5.864
Authors: Nicholas K Schiltz; Kitti Kaiboriboon; Siran M Koroukian; Mendel E Singer; Thomas E Love Journal: Epilepsia Date: 2015-12-23 Impact factor: 5.864
Authors: Lara Jehi; Nathalie Jette; Churl-Su Kwon; Colin B Josephson; Jorge G Burneo; Fernando Cendes; Michael R Sperling; Sallie Baxendale; Robyn M Busch; Chahnez Charfi Triki; J Helen Cross; Dana Ekstein; Dario J Englot; Guoming Luan; Andre Palmini; Loreto Rios; Xiongfei Wang; Karl Roessler; Bertil Rydenhag; Georgia Ramantani; Stephan Schuele; Jo M Wilmshurst; Sarah Wilson; Samuel Wiebe Journal: Epilepsia Date: 2022-07-17 Impact factor: 6.740
Authors: Jacob Bernstein; Samir Kashyap; Michael W Kortz; Bishoy Zakhary; Ariel Takayanagi; Harjyot Toor; Paras Savla; Margaret R Wacker; Ajay Ananda; Dan Miulli Journal: Surg Neurol Int Date: 2021-11-02
Authors: Christos Papadelis; Shannon E Conrad; Yanlong Song; Sabrina Shandley; Daniel Hansen; Madhan Bosemani; Saleem Malik; Cynthia Keator; M Scott Perry Journal: Front Hum Neurosci Date: 2022-01-25 Impact factor: 3.169
Authors: Debopam Samanta; Adam P Ostendorf; Erin Willis; Rani Singh; Satyanarayana Gedela; Ravindra Arya; M Scott Perry Journal: Epilepsy Behav Date: 2021-02-18 Impact factor: 2.937
Authors: Kevin Bretonnel Cohen; Benjamin Glass; Hansel M Greiner; Katherine Holland-Bouley; Shannon Standridge; Ravindra Arya; Robert Faist; Diego Morita; Francesco Mangano; Brian Connolly; Tracy Glauser; John Pestian Journal: Biomed Inform Insights Date: 2016-05-22