Factors influencing the costs of epilepsy in adults with an intellectual disability

Pennington, Mark, Prince, Elizabeth, Bateman, Naomi, Gray, Joanne, Croudace, Tim, Redley, Marcus, Wood, Nicholas and Ring, Howard (2012) Factors influencing the costs of epilepsy in adults with an intellectual disability. Seizure, 21 (3). pp. 205-210. ISSN 1059-1311

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Official URL: http://dx.doi.org/10.1016/j.seizure.2011.12.012

Abstract

Purpose
Despite the common occurrence of intellectualdisability (ID) in people with epilepsy, most studies of the cost of epilepsy have focussed primarily or exclusively on people without ID. This paper estimates the costs of supporting people with epilepsy and ID.

Methods
Prospective resource use and outcome data were collected on 91 participants from the east of England for seven months. Multivariate analysis was used to investigate the relationship between costs and patient and healthcare provider characteristics.

Results
Mean health care costs relating to epilepsy or ID were £2800 (3500 Euros, 5200 USD) p.a. Modelling suggests costs are lower for patients with more severe ID (p = 0.014); and higher for patients managed by a consultant neurologist (p = 0.037).

Discussion
Our findings support limited evidence from the literature of increased epilepsycosts in people with ID. Patterns of expenditure suggest clinical variation in the treatment of epilepsy according to the severity of ID, particularly in the absence of management by a consultant neurologist.

Item Type: Article
Uncontrolled Keywords: epilepsy, cost, intellectual disability, management
Subjects: B700 Nursing
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Ellen Cole
Date Deposited: 01 May 2012 13:59
Last Modified: 12 Oct 2019 14:37
URI: http://nrl.northumbria.ac.uk/id/eprint/6692

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