Disparities in epilepsy diagnosis and management in high-income countries Review


Authors: Miller, J. S.; Oladele, F.; McAfee, D.; Adereti, C. O.; Theodore, W. H.; Akinsoji, E. O.
Review Title: Disparities in epilepsy diagnosis and management in high-income countries
Abstract: Purpose of ReviewCurrently, an estimated 3.4 million people in the United States live with epilepsy. Previous studies have identified health disparities associated with race/ethnicity, socioeconomic status (SES), sex, insurance status, and age in this population. However, there has been a dearth of research addressing these disparities. We performed a literature review of articles published between 2010 and 2020 pertaining to health disparities in people with epilepsy (PWE), identified key factors that contribute to gaps in their care, and discussed possible solutions.Recent FindingsHealth disparities in prevalence, treatment access, time to diagnosis, health care delivery and engagement, and clinical outcomes were identified among individuals who were either of low SES, rural-based, uninsured/underinsured, older patients, patients of color, or female sex.SummaryDisparities in care for PWE continue to persist. Greater priority should be placed on addressing these gaps intricately tied to sociodemographic factors. Reforms to mitigate health disparities in PWE are necessary for timely diagnosis, effective treatment, and positive long-term outcomes.
Keywords: surgery; outcomes; quality-of-life; trends; united-states; racial; disparities; health disparities; socioeconomic-status; antiepileptic drug-treatment; pediatric epilepsy
Journal Title: Neurology: Clinical Practice
Volume: 14
Issue: 2
ISSN: 2163-0402
Publisher: Lippincott Williams & Wilkins  
Date Published: 2024-04-01
Start Page: e200259
Language: English
ACCESSION: WOS:001304308700015
DOI: 10.1212/cpj.0000000000200259
PROVIDER: wos
PMCID: PMC10996906
PUBMED: 38585438
Notes: Review -- e200259 -- Source: Wos
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