دورية أكاديمية
Consensus Guideline on the Management of Epilepsy in Egypt: A National Delphi Consensus Study.
| العنوان: | Consensus Guideline on the Management of Epilepsy in Egypt: A National Delphi Consensus Study. |
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| المؤلفون: | Kishk N; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt., Hosny H; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt., Badry R; Neurology Department, Faculty of Medicine, Assiut University, Asyut, Egypt., Elmenshawi I; Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Hamdy MM; Neurology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt., Shaker E; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt., Shehata HS; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt., Magdy R; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt., Ramzy GM; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt., Hemeda M; Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Gaber A; Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Abdelhamed M; Neurology Department, Faculty of Medicine, Assiut University, Asyut, Egypt., Abohagar A; Neurology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt., Yassine IA; Neurology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt., Abbas M; Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Shaheen HA; Neurology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt., Abdel Moety M; Neurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Metwally HMH; Neurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Saeed MA; Neurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Essmat A; Neurology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Abdou A; Neurology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt., Soliman RH; Neurology Department, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt., Oraby MI; Neurology Department, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt., Morad AE; Neurology Department, Faculty of Medicine, Benha University, Benha, Egypt., Kasem SM; Neurology Department, Faculty of Medicine, Benha University, Benha, Egypt., Aidaros M; Neurology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt., El Heneedy Y; Neurology Department, Faculty of Medicine, Tanta University, Tanta, Egypt., ElNemr A; Neurology Department, Maadi Military Hospital, Cairo, Egypt., Elkady A; Neurology Department, Mataria Teaching Hospital, El Matareya, Egypt., Amin R; Neurosurgery Department, Faculty of Medicine, Cairo University, Giza, Egypt., Abdel Ghany WA; Neurosurgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Morsy AA; Neurosurgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Hamdi H; Neurosurgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt., Shamloul R; Neurology Department, Faculty of Medicine, Cairo University, Giza, Egypt. |
| المصدر: | Epilepsia open [Epilepsia Open] 2024 May 24. Date of Electronic Publication: 2024 May 24. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101692036 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2470-9239 (Electronic) Linking ISSN: 24709239 NLM ISO Abbreviation: Epilepsia Open Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hoboken, New Jersey : John Wiley & Sons, Inc., [2016]- |
| مستخلص: | Objective: In epilepsy, early diagnosis, accurate determination of epilepsy type, proper selection of antiseizure medication, and monitoring are all essential. However, despite recent therapeutic advances and conceptual reconsiderations in the classification and management of epilepsy, serious gaps are still encountered in day-to-day practice in Egypt as well as several other resource-limited countries. Premature mortality, poor quality of life, socio-economic burden, cognitive problems, poor treatment outcomes, and comorbidities are major challenges that require urgent actions to be implemented at all levels. In recognition of this, a group of Egyptian epilepsy experts met through a series of consecutive meetings to specify the main concepts concerning the diagnosis and management of epilepsy, with the ultimate goal of establishing a nationwide Egyptian consensus. Methods: The consensus was developed through a modified Delphi methodology. A thorough review of the most recent relevant literature and international guidelines was performed to evaluate their applicability to the Egyptian situation. Afterward, several remote and live rounds were scheduled to reach a final agreement for all listed statements. Results: Of 278 statements reviewed in the first round, 256 achieved ≥80% agreement. Live discussion and refinement of the 22 statements that did not reach consensus during the first round took place, followed by final live voting then consensus was achieved for all remaining statements. Significance: With the implementation of these unified recommendations, we believe this will bring about substantial improvements in both the quality of care and treatment outcomes for persons with epilepsy in Egypt. Plain Language Summary: This work represents the efforts of a group of medical experts to reach an agreement on the best medical practice related to people with epilepsy based on previously published recommendations while taking into consideration applicable options in resource-limited countries. The publication of this document is expected to minimize many malpractice issues and pave the way for better healthcare services on both individual and governmental levels. (© 2024 The Authors. Epilepsia Open published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.) |
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| فهرسة مساهمة: | Keywords: Delphi method; Egypt; Steering Committee; antiseizure medication; consensus; drug resistant epilepsy; epilepsy; epilepsy diagnosis; epilepsy surgery; status epilepticus |
| تواريخ الأحداث: | Date Created: 20240525 Latest Revision: 20240525 |
| رمز التحديث: | 20240525 |
| DOI: | 10.1002/epi4.12922 |
| PMID: | 38790148 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2470-9239 |
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| DOI: | 10.1002/epi4.12922 |