FACETS of health disparities in epilepsy surgery and gaps that need to be addressed

Neurology. Clinical Practice
Cody L Nathan, Camilo Gutierrez

Abstract

Disparities in treatment and outcomes of patients with epilepsy have been identified in several distinct patient populations. The purpose of this review is to organize the literature and establish clear pathways as to why certain patient populations are not receiving epilepsy surgery. By establishing the acronym FACETS (fear of treatment, access to care, communication barriers, education, trust between patient and physician, and social support), we set up a pathway to further study this area in an organized fashion, hopefully leading to objective solutions. Studies revealed that African American, Hispanic, and non-English-speaking patients underwent surgical treatment for epilepsy at rates significantly lower compared to white patients. This article explains possible reasons outlined by FACETS for the health disparities in epilepsy surgery that exist in patients of a certain race, socioeconomic status, and language proficiency.

References

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Citations

Feb 16, 2021·Epilepsy & Behavior : E&B·Maria A DonahueBrandy E Fureman
Feb 22, 2021·Epilepsy & Behavior : E&B·Debopam SamantaM Scott Perry
Mar 9, 2021·Epilepsy & Behavior : E&B·Debopam SamantaRavindra Arya
Jul 25, 2021·Seizure : the Journal of the British Epilepsy Association·Vishal MandgeSheryl R Haut
Jul 9, 2021·Annals of Neurology·Allison WillisJustin C McArthur
Sep 24, 2021·Nature Reviews. Neurology·Bruce P HermannCarrie R McDonald

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