Employment outcomes following resective epilepsy surgery

Peter S. Chin, Anne T. Berg, Susan S. Spencer, Michael R. Sperling, Sheryl R. Haut, John T. Langfitt, Carl W. Bazil, Thaddeus S. Walczak, Steven V. Pacia, Barbara G. Vickrey

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)2253-2257
Number of pages5
JournalEpilepsia
Volume48
Issue number12
DOIs
StatePublished - Dec 1 2007

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Keywords

  • Employment
  • Epilepsy surgery

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Chin, P. S., Berg, A. T., Spencer, S. S., Sperling, M. R., Haut, S. R., Langfitt, J. T., Bazil, C. W., Walczak, T. S., Pacia, S. V., & Vickrey, B. G. (2007). Employment outcomes following resective epilepsy surgery. Epilepsia, 48(12), 2253-2257. https://doi.org/10.1111/j.1528-1167.2007.01208.x