id:"swepub:oai:DiVA.org:uu-268433"
Search: id:"swepub:oai:DiVA.org:uu-268433" > Prospective and lon...
- 1 of 1
- Previous record
- Next record
- To hitlist
Prospective and longitudinal long-term employment outcomes after resective epilepsy surgery
-
- Edelvik, Anna (author)
- Univ Gothenburg, Dept Clin Neurosci & Rehabil, Sahlgrenska Acad, Inst Neurosci & Physiol, Gothenburg, Sweden.
-
- Flink, Roland (author)
- Uppsala universitet,Klinisk neurofysiologi
-
- Malmgren, Kristina (author)
- Univ Gothenburg, Dept Clin Neurosci & Rehabil, Sahlgrenska Acad, Inst Neurosci & Physiol, Gothenburg, Sweden.
- Univ Gothenburg, Dept Clin Neurosci & Rehabil, Sahlgrenska Acad, Inst Neurosci & Physiol, Gothenburg, Sweden Klinisk neurofysiologi (creator_code:org_t)
- 2015
- 2015
- English.
- In: Neurology. - 0028-3878 .- 1526-632X. ; 85:17, s. 1482-1490
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Edelvik, Anna
- Flink, Roland
- Malmgren, Kristi ...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Neurology
- Articles in the publication
- Neurology
- By the university
- Uppsala University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
