Factors influencing the costs of epilepsy in adults with an intellectual disability.

Pennington, M; Prince, E; Bateman, N; Gray, J; Croudace, TJ; Redley, M; Wood, N; Ring, H; (2012) Factors influencing the costs of epilepsy in adults with an intellectual disability. Seizure, 21 (3). pp. 205-10. ISSN 1059-1311 DOI: https://doi.org/10.1016/j.seizure.2011.12.012

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PURPOSE: Despite the common occurrence of intellectual disability (ID) in people with epilepsy, most studies of the cost of epilepsy have focussed primarily or exclusively on people without ID. This paper estimates the costs of supporting people with epilepsy and ID.<br/> METHODS: Prospective resource use and outcome data were collected on 91 participants from the east of England for seven months. Multivariate analysis was used to investigate the relationship between costs and patient and healthcare provider characteristics.<br/> RESULTS: Mean health care costs relating to epilepsy or ID were £2800 (3500 Euros, 5200 USD) p.a. Modelling suggests costs are lower for patients with more severe ID (p=0.014); and higher for patients managed by a consultant neurologist (p=0.037).<br/> DISCUSSION: Our findings support limited evidence from the literature of increased epilepsy costs in people with ID. Patterns of expenditure suggest clinical variation in the treatment of epilepsy according to the severity of ID, particularly in the absence of management by a consultant neurologist.<br/>

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 22285238
Web of Science ID: 302449700012
URI: http://researchonline.lshtm.ac.uk/id/eprint/20767


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