Thuy Le, Minh-An and Fong, Si Lei and Lim, Kheng Seang and Gunadharma, Suryani and Sejahtera, Desin Pambudi and Visudtibhan, Anannit and Chan, Derrick and Vorachit, Somchit and Chan, Samleng and Ohnmar, - and Chua, Annabell E. and Cabral-Lim, Leonor and Yassin, Norazieda and Le, Viet-Thang and Tan, Chong Tin (2019) Underutilization of epilepsy surgery in ASEAN countries. Seizure, 69. pp. 51-56. ISSN 1059-1311, DOI https://doi.org/10.1016/j.seizure.2019.04.002.
Full text not available from this repository.Abstract
Purpose: This survey was performed to determine the availability of epilepsy surgery, and understand the limiting factors to epilepsy surgery in ASEAN countries with total of 640 million population. Method: A cross-sectional survey was completed by national representatives in all ASEAN countries (Brunei, Cambodia, East Timor, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Vietnam). Results: Overall facilities for initial epilepsy pre-surgical evaluation are available in most countries, but further non-invasive and invasive investigations are limited. Three countries (Brunei, Cambodia, and East Timor) have no epilepsy center, and 2 countries (Laos, Myanmar) have level 2 centers doing tumor surgery only. Level-3 epilepsy centers are available in 6 countries (Indonesia, Malaysia, Philippine, Singapore, Thailand, Vietnam); only 5 countries (Indonesia, Malaysia, Philippine, Singapore, Thailand) has at least one level-4 epilepsy care facility. Indonesia with 261 million population only has one level 3 and another level 4 center. The costs of presurgical evaluation and brain surgery vary within and among the countries. The main barriers towards epilepsy surgery in ASEAN include lack of expertise, funding and facilities. Conclusions: Epilepsy surgery is underutilized in ASEAN with low number of level 3 centers, and limited availability of advanced presurgical evaluation. Lack of expertise, facilities and funding may be the key factors contributing to the underutilization. © 2019 British Epilepsy Association
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Epilepsy surgery; Underutilization; ASEAN; Survey |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 17 Dec 2019 02:37 |
| Last Modified: | 17 Dec 2019 02:37 |
| URI: | http://eprints.um.edu.my/id/eprint/23241 |
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