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Title: Underutilization of epilepsy surgery in ASEAN countries
Authors: Minh An Thuy Le
Si Lei Fong
Kheng Seang Lim
Suryani Gunadharma
Desin Pambudi Sejahtera
Anannit Visudtibhan
Derrick Chan
Somchit Vorachit
Samleng Chan
Annabell E. Chua
Leonor Cabral-Lim
Norazieda Yassin
Viet Thang Le
Chong Tin Tan
Raja Isteri Pengiran Anak Saleha Hospital
University of the Philippines Manila
University of Medicine and Pharmacy Vietnam
Universitas Padjadjaran
Universitas Gadjah Mada
University of Malaya
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
KK Women's And Children's Hospital
University of Health Sciences
University of Medicine 1
University of Health Sciences
Brunei Neurosciences
Sardjito General Hospital
Keywords: Medicine
Issue Date: 1-Jul-2019
Citation: Seizure. Vol.69, (2019), 51-56
Abstract: © 2019 British Epilepsy Association Purpose: This survey was performed to determine the availability of epilepsy surgery, and understand the limiting factors to epilepsy surgery in ASEAN countries with total of 640 million population. Method: A cross-sectional survey was completed by national representatives in all ASEAN countries (Brunei, Cambodia, East Timor, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Vietnam). Results: Overall facilities for initial epilepsy pre-surgical evaluation are available in most countries, but further non-invasive and invasive investigations are limited. Three countries (Brunei, Cambodia, and East Timor) have no epilepsy center, and 2 countries (Laos, Myanmar) have level 2 centers doing tumor surgery only. Level-3 epilepsy centers are available in 6 countries (Indonesia, Malaysia, Philippine, Singapore, Thailand, Vietnam); only 5 countries (Indonesia, Malaysia, Philippine, Singapore, Thailand) has at least one level-4 epilepsy care facility. Indonesia with 261 million population only has one level 3 and another level 4 center. The costs of presurgical evaluation and brain surgery vary within and among the countries. The main barriers towards epilepsy surgery in ASEAN include lack of expertise, funding and facilities. Conclusions: Epilepsy surgery is underutilized in ASEAN with low number of level 3 centers, and limited availability of advanced presurgical evaluation. Lack of expertise, facilities and funding may be the key factors contributing to the underutilization.
ISSN: 15322688
Appears in Collections:Scopus 2019

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