Prospective and longitudinal long-term employment outcomes after resective epilepsy surgery

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Edelvik, AnnaUniv Gothenburg, Dept Clin Neurosci & Rehabil, Sahlgrenska Acad, Inst Neurosci & Physiol, Gothenburg, Sweden. (author)

Prospective and longitudinal long-term employment outcomes after resective epilepsy surgery

Article/chapterEnglish2015

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2015
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LIBRIS-ID:oai:DiVA.org:uu-268433
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-268433URI
https://doi.org/10.1212/WNL.0000000000002069DOI

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Language:English
Summary in:English

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Objective:To investigate long-term employment outcomes after resective epilepsy surgery in a national population-based cohort of adults.Methods:In the Swedish National Epilepsy Surgery Register, all adults who were operated with resective epilepsy surgery from 1995 to 2010 were identified. Two-year follow-up was available for 473/496, 5-year follow-up for 220/240, 10-year follow-up for 240/278, and 15-year follow-up for 85/109 patients.Results:There were no significant changes in employment outcome over time at group level, but for those with full-time employment at baseline, 79%, 79%, 57%, and 47% of seizure-free patients were in full-time work at 2-, 5-, 10-, and 15-year follow-up, compared to patients with benefits at baseline, where 16%, 27%, 31%, and 33% of seizure-free patients worked full time at these time points (p = 0.018 at 10 years). More patients with full-time work had ability to drive, a family of their own, and higher educational status than patients in part-time work or on benefits. Univariate predictors for employment at long term were having employment preoperatively, higher education, favorable seizure outcome, male sex, and younger age at surgery. Multivariate predictors were having employment preoperatively, favorable seizure outcome, and younger age.Conclusions:The best vocational outcomes occurred in seizure-free patients who were employed or students at baseline, which may reflect a higher general psychosocial level of function. Younger age also predicted better employment outcomes and it therefore seems plausible that early referral for surgery could contribute to better vocational outcomes.

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MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng

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Flink, RolandUppsala universitet,Klinisk neurofysiologi(Swepub:uu)rolandfk (author)
Malmgren, KristinaUniv Gothenburg, Dept Clin Neurosci & Rehabil, Sahlgrenska Acad, Inst Neurosci & Physiol, Gothenburg, Sweden. (author)
Univ Gothenburg, Dept Clin Neurosci & Rehabil, Sahlgrenska Acad, Inst Neurosci & Physiol, Gothenburg, Sweden.Klinisk neurofysiologi (creator_code:org_t)

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In:Neurology85:17, s. 1482-14900028-38781526-632X

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Neurology

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By the university: Uppsala University

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