Publication: Underutilization of epilepsy surgery in ASEAN countries
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Issued Date
2019-07-01
Resource Type
ISSN
15322688
10591311
10591311
Other identifier(s)
2-s2.0-85063811389
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Seizure. Vol.69, (2019), 51-56
Suggested Citation
Minh An Thuy Le, Si Lei Fong, Kheng Seang Lim, Suryani Gunadharma, Desin Pambudi Sejahtera, Anannit Visudtibhan, Derrick Chan, Somchit Vorachit, Samleng Chan, Ohnmar, Annabell E. Chua, Leonor Cabral-Lim, Norazieda Yassin, Viet Thang Le, Chong Tin Tan Underutilization of epilepsy surgery in ASEAN countries. Seizure. Vol.69, (2019), 51-56. doi:10.1016/j.seizure.2019.04.002 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/51584
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Underutilization of epilepsy surgery in ASEAN countries
Other Contributor(s)
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
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
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.