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Consensus Guideline on the Management of Epilepsy in Egypt: A National Delphi Consensus Study

Article scientifique 2022 Anglais

Résumé

Abstract In epilepsy, early diagnosis, accurate determination of epilepsy type, proper selection of anti-seizure treatment, and monitoring; all are essential. However, despite recent therapeutic advances and conceptual reconsiderations in the classification and management of epilepsy, serious gaps are still encountered in day-to-day practice in Egypt as well as several other limited resources countries. Premature mortality, poor quality of life, disabilities, diminished family function, cognitive problems, poor treatment outcomes, comorbidities, and significant economic burden are major challenges that impose urgent actions to be implemented at all levels. In recognition of this, a group of Egyptian epilepsy experts met through a series of consecutive meetings to specify main concepts and questions concerning the diagnosis, evaluation, and management of Epilepsy, with an ultimate goal of establishing a nationwide Egyptian consensus to guide health care professionals in the management of patients with epilepsy in general and to declare a pragmatic pathway for patients with drug-resistant epilepsy. The consensus was developed through a modified Delphi methodology. A thorough review of the most recent relevant literature and international guidelines was performed to evaluate their applicability to the Egyptian situation. Afterward, several remote and live rounds were scheduled to reach a final agreement for all listed statements. With the implementation of these unified recommendations, we believe this will bring about substantial improvements in both the quality of care and treatment outcomes for persons with epilepsy in Egypt.

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Kishk, N., Hosny, H., Badry, R., Elmenshawi, I., Hamdy, M., Shaker, E., Shehata, H., Magdy, R., Ramzy, G., Hemeda, M., Gaber, A., Abdelhamed, M., Abohagar, A., Yassine, I., Abbas, M., Shaheen, H., Moety, M., Metwally, H., Saeed, M., Essmat, A., Abdou, A., Soliman, R., Oraby, M., Morad, A., Kasem, S., Aidaros, M., Heneedy, Y., ElNemr, A., Elkady, A., Amin, R., Ghany, W., Morsy, A., Shamloul, R. (2022). Consensus Guideline on the Management of Epilepsy in Egypt: A National Delphi Consensus Study. https://doi.org/10.21203/rs.3.rs-1519715/v1

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Auteur(s)

Nirmeen A. Kishk Hassan Hosny Reda Badry Ibrahim Elmenshawi Mohamed M. Hamdy Ehab Shaker Hatem Shehata Rehab Magdy Gihan M. Ramzy Mahmoud Hemeda Ahmed Gaber Mohamed A. Abdelhamed Ahmed Abohagar I. Yassine Mohammed Abbas Hala A. Shaheen Mahmoud Abdel Moety Hussein M H Metwally Mohammad Ali Saeed Ahmed Essmat Ashraf Abdou Rasha H. Soliman Mohammed I. Oraby Abd El‐Naser Morad Shaimaa Mohammed Kasem Magdy Aidaros Yasser El Heneedy Ahmed ElNemr Ahmed M. Elkady Ramy Amin Walid A. Abdel Ghany Ahmed Morsy Reham Shamloul

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