Krishna Pada Das|Mainak Banerjee|Gobinda Mondal|Lucy Devi|Om Prakash Singh|Bijoy Mukherjee
Evaluation of socio-economic factors causing discontinuation of epilepsy treatment resulting in seizure recurrence: A study in an urban epilepsy clinic in India
Burdwan Medical College & Hospital|Burdwan Medical College & Hospital|Burdwan Medical College & Hospital|Burdwan Medical College & Hospital|Burdwan Medical College & Hospital|Burdwan Medical College & Hospital
background purposethe prevalence rate epilepsy india ranges 415 703 per 1000 population developing countries major problems epilepsy lying treatment gap discontinuation treatment due various adverse socioeconomic factors objective study evaluate rate discontinuation epilepsy treatment related socioeconomic factors responsible discontinuationmaterial methodsamong 1450 patients epilepsy recurrently followed intervals 2 months 05 january 06 january 620 patients discontinued treatment among 887 patient breakthrough seizures two occasions socioeconomic factors respect treatment evaluated followup period visavis income expenditure unemployment status negative attitude towards medical treatment nonavailability drugs locally comorbid psychiatric illnesses polytherapy socialillusional thoughts epilepsyresultsdiscontinuation epilepsy treatment detected 4275 n 620 total patients resulting recurrence seizures reasons discontinuation multiple cases discontinued group average annual cost treatment income rs 5500 110 rs 12800 256 respectively amounting 40 total income expended cost treatment continued group annual cost treatment income rs 4500 90 rs 24400 580 respectively amounting 18 total income p 0001 cost treatment among discontinued group 90 patients reported cost factors 2909 due unemployment 20 frustration despair 2009 due nonavailability medicines locally 1727 spiritual illusional thoughts epilepsy 10 marital disharmony causes discontinuation treatment discontinued group 10 got polytherapy 903 continued group p 001 comorbid psychiatric illnesses observed 454 325 continued group p 010conclusionthe study showed significant number patients 4275 discontinued epilepsy treatment within 1 year due poor knowledge regarding problem discontinuation cost income disparity unemployment spiritual illusional thoughts epilepsy frustration mental impairment lack uniform availability drugs local market tide shortcomings uniform availability cheaper antiepileptic drugs adequate information communication regarding disease upliftment socioeconomic status ensured