Literature Review

How Does Adherence to Epilepsy Quality Standards Affect Seizure Control?

A large retrospective analysis in patients with epilepsy



Researchers analyzed the records of 6150 patients with a primary or secondary diagnosis of epilepsy in this retrospective cohort study. The purpose of the study was to examine the relationship between adherence to epilepsy quality measures (EQM) and seizure control. Researchers found:

  • The following EQM exceed 80% adherence:
    • Documentation of seizure frequency
    • Addressing therapeutic interventions
    • Referral to a comprehensive epilepsy center
  • The following EQM ranged from 40% to 57% adherence:
    • Documentation of seizure type
    • Etiology or syndrome
    • Assessment of side effects
    • Counseling about epilepsy safety and women’s issues
    • Screening for psychiatric disorders
  • Average EQM adherence was associated with seizure control
  • Adherence to all EQM was low and not associated with seizure control

Moura LM, Mendez DY, DeJesus J, et al. Association of adherence to epilepsy quality standards with seizure control. Epilepsy Res. 2015;doi:10.1016/j.eplepsyres.2015.08.008.

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