Abstract
An audit of the management of epilepsy in 30 general practices is presented. A total of 377 patients from widely dispersed practices in the UK independently completed questionnaires which mirrored similar questionnaires answered by their doctors. A lack of detailed awareness by the doctor of how epilepsy was affecting the patient was detected. Many patients were found to have difficulty in communicating anxieties and problems associated with the disease to their general practitioner. Use of drug monotherapy and anticonvulsant blood level monitoring was sub-optimal. This multi-centre study supports previous single-centre reports of certain deficiencies in long-term management of epilepsy in general practice.
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Selected References
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- Goodridge D. M., Shorvon S. D. Epileptic seizures in a population of 6000. I: Demography, diagnosis and classification, and role of the hospital services. Br Med J (Clin Res Ed) 1983 Sep 3;287(6393):641–644. doi: 10.1136/bmj.287.6393.641. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goodridge D. M., Shorvon S. D. Epileptic seizures in a population of 6000. II: Treatment and prognosis. Br Med J (Clin Res Ed) 1983 Sep 3;287(6393):645–647. doi: 10.1136/bmj.287.6393.645. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hopkins A., Scambler G. How doctors deal with epilepsy. Lancet. 1977 Jan 22;1(8004):183–186. doi: 10.1016/s0140-6736(77)91777-9. [DOI] [PubMed] [Google Scholar]
- Jones A. L. Medical audit of the care of patients with epilepsy in one group practice. J R Coll Gen Pract. 1980 Jul;30(216):396–400. [PMC free article] [PubMed] [Google Scholar]
- POND D. A., BIDWELL B. H. A survey of epilepsy in fourteen general practices. II. Social and psychological aspects. Epilepsia. 1960 Apr;1:285–299. doi: 10.1111/j.1528-1157.1959.tb04266.x. [DOI] [PubMed] [Google Scholar]
- Shorvon S. D., Chadwick D., Galbraith A. W., Reynolds E. H. One drug for epilepsy. Br Med J. 1978 Feb 25;1(6111):474–476. doi: 10.1136/bmj.1.6111.474. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shorvon S. D., Reynolds E. H. Reduction in polypharmacy for epilepsy. Br Med J. 1979 Oct 27;2(6197):1023–1025. doi: 10.1136/bmj.2.6197.1023. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Troupin A. S. Diagnostic decision. The measurement of anticonvulsant agent levels. Ann Intern Med. 1984 Jun;100(6):854–858. doi: 10.7326/0003-4819-100-6-854. [DOI] [PubMed] [Google Scholar]
- White P. T., Buckley E. G. The management of epilepsy-an audit of two practices. Health Bull (Edinb) 1981 Mar;39(2):82–88. [PubMed] [Google Scholar]
- Zander L. I., Graham H., Morrell D. C., Fenwick P. Audit of care for epileptics in a general practice. Br Med J. 1979 Oct 27;2(6197):1035–1035. doi: 10.1136/bmj.2.6197.1035. [DOI] [PMC free article] [PubMed] [Google Scholar]