Factors associated with work outcome after anterior temporal lobectomy for intractable epilepsy

A. L. Reeves, E. L. So, R. W. Evans, G. D. Cascino, F. W. Sharbrough, P. C. O'Brien, Max R. Trenerry

Research output: Contribution to journalArticlepeer-review

63 Scopus citations

Abstract

Purpose: Whereas the effect of anterior temporal lobectomy on seizure frequency is well recognized, less is known about its impact on work status. Methods: One hundred thirty four of 190 consecutive patients with temporal lobectomy participated in this study. Eligibility criteria were developed to ensure that only patients with the potential of achieving specific outcomes were included in the corresponding analyses. Results: After surgery, significantly more patients were independent in activities of daily living (p < 0.001) or able to drive (p < 0.001). Income from work also increased (p < 0.01). Nearly one fifth of the patients who were eligible for analysis had either a gain (8%) or a loss (11%) of full- or of part-time work. Univariate analyses revealed the following factors to be associated with full-time work after surgery: student or fulltime work within a year before surgery, full- time work experience before surgery, full- or part-time employment experience before surgery, no disability benefits before surgery, low postsurgical seizure frequency, improved postsurgical seizure control, excellent postsurgical seizure control, driving after surgery, and further education after surgery (p < 0.05). Significant factors on multivariate analysis were being a student or having full-time work within a year before surgery [odds ratio, 16.2 (95% CI, 4.3-60.5)], driving after surgery [15.2 (3.2-72.0)], and obtaining further education after surgery 19.2 (2.2-53.0)]. Conclusions: Anterior temporal lobectomy for intractable epilepsy improves activities of daily living and the ability to drive. Work outcome of this surgery is influenced by presurgical work experience, successful postsurgical seizure control especially to allow driving, and obtaining further education after surgery.

Original languageEnglish (US)
Pages (from-to)689-695
Number of pages7
JournalEpilepsia
Volume38
Issue number6
DOIs
StatePublished - 1997

Keywords

  • Epilepsy
  • Epileptic seizures
  • Socioeconomic outcome
  • Temporal lobectomy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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