Quality of Life after Epilepsy Surgery in Korea
- Choi-Kwon, Smi; Chung, Chun-Kee; Lee, Sang Kun; Choi, Jimi; Han, Kihye; Lee, Eun-Hyun
- Issue Date
- J Clin Neurol 2008;4:116-122
- Epilepsy surgery; Quality of life; Epilepsy Surgery Inventory-55; Anxiety; Depression; Stigma
- Background and PurposeᄏTemporal changes in the quality of life (QOL) and the underlying
factors after epilepsy surgery might be specific to Korea, where social stigma toward patients
with epilepsy is still pronounced.
MethodsᄏThe seizure characteristics, number of antiepileptic drugs (AEDs), and the presence
of stigma, anxiety, and depression were assessed before and after surgery (at 6 months and around
2 years) in 32 surgery patients and 32 nonsurgery patients. The QOL was compared between
these groups using the Epilepsy Surgery Inventory-55 questionnaire. The factors affecting
QOL were also evaluated.
ResultsᄏThe scores in the mental, physical, and role-functioning domains were significantly
higher at 6 months (all p<0.01) and around 2 years (all p<0.01) than at baseline in the surgery
group but not in the nonsurgery group. The factors related to QOL differed at the two followup
times, with seizure freedom being important at 6 months, and AEDs and depression being
important at around 2 years.
ConclusionsᄏA marked increase in QOL in our population was observed after epilepsy surgery.
Although the small sample limits the interpretation of the results, the QOL change in our
surgery patients shows similar trends to those reported in Western countries. A full understanding
of underlying factors related to QOL might aid the development of optimal strategies for improving
the long-term postsurgery QOL in this population.
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