Employment outcomes following resective epilepsy surgery.
作者信息
Chin Peter S, Berg Anne T, Spencer Susan S, Sperling Michael R, Haut Sheryl R, Langfitt John T, Bazil Carl W, Walczak Thaddeus S, Pacia Steven V, Vickrey Barbara G
机构信息
Robert Wood Johnson Clinical Scholars Program, Department of Medicine, University of California Los Angeles and the Greater Los Angeles VA Health Care System, Los Angeles, California 90095-1769, USA.
出版信息
Epilepsia. 2007 Dec;48(12):2253-7. doi: 10.1111/j.1528-1167.2007.01208.x. Epub 2007 Jul 21.
PURPOSE
Analyze determinates of employment changes from before to 2 years after surgery in refractory focal epilepsy patients.
METHODS
Preoperative employment was prospectively assessed in 375 adults with refractory epilepsy. Two-year postsurgical employment status was obtained for 299; factors potentially associated with employment status change among subgroups unemployed and employed at baseline were analyzed.
RESULTS
Presurgical employment status was full-time (n = 148, 39.5%), part-time (n = 26, 6.9%), disabled and unemployed (n = 100, 26.7%), unemployed (n = 44, 11.7%), and other (n = 57, 15.2%). Those with and without 2-year follow-up did not differ on baseline characteristics (all p > 0.10). Two years after surgery, 42.8% were employed full-time and 12.4%, part-time. Among those unemployed before surgery, better seizure outcome was associated with gaining employment at 2 years (p = 0.03).
CONCLUSIONS
Net employment gains were modest 2 years after surgery and higher with better seizure outcomes, reinforcing the need for optimizing surgical candidate selection, long-term follow-up studies, and postsurgical vocational rehabilitation.
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