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Titolo:
Are serum anticonvulsant levels in people with epilepsy appropriately monitored?
Autore:
Thapar, A; Richens, A; Roland, M; Jacoby, A; Russell, I; Roberts, C; Porter, E; Wall, S;
Indirizzi:
Univ Manchester, Dept Gen Practice, Manchester, Lancs, England Univ Manchester Manchester Lancs England ice, Manchester, Lancs, England Univ Wales Coll Med, Welsh Epilepsy Unit, Cardiff CF4 4XN, S Glam, Wales Univ Wales Coll Med Cardiff S Glam Wales CF4 4XN f CF4 4XN, S Glam, Wales Univ Manchester, Natl Primary Care Res & Dev Ctr, Manchester, Lancs, England Univ Manchester Manchester Lancs England Ctr, Manchester, Lancs, England Univ Liverpool, Dept Primary Care, Liverpool L69 3BX, Merseyside, England Univ Liverpool Liverpool Merseyside England L69 3BX , Merseyside, England Univ York, Dept Hlth Sci & Clin Evaluat, York YO1 5DD, N Yorkshire, England Univ York York N Yorkshire England YO1 5DD YO1 5DD, N Yorkshire, England Univ Manchester, Clin Trials Unit, Manchester, Lancs, England Univ Manchester Manchester Lancs England nit, Manchester, Lancs, England Manchester Royal Infirm, Manchester M13 9WL, Lancs, England Manchester Royal Infirm Manchester Lancs England M13 9WL , Lancs, England Univ Manchester, Dept Primary Care, Manchester, Lancs, England Univ Manchester Manchester Lancs England are, Manchester, Lancs, England
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 3, volume: 7, anno: 2001,
pagine: 335 - 338
SICI:
1356-1294(200108)7:3<335:ASALIP>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE;
Keywords:
appropriateness; epilepsy; health services research; quality of care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Thapar, A Univ Wales Coll Med, CeReS Off, Room 2TB2 41,Heath Pk, Cardiff CF14 4XN, SGlam, Wales Univ Wales Coll Med Room 2TB2 41,Heath Pk Cardiff S Glam Wales CF14 4XN
Citazione:
A. Thapar et al., "Are serum anticonvulsant levels in people with epilepsy appropriately monitored?", J EVAL CL P, 7(3), 2001, pp. 335-338

Abstract

The medical care of people with epilepsy has often been described as CeReSOffice being poor, although objective markers for the quality of epilepsy care are lacking. This paper describes the results of using a simple quality marker, appropriate measuring of serum anticonvulsant levels, in assessing the quality of epilepsy care. The checking of serum phenytoin levels in certain clinical circumstances is advocated, whereas the checking of serum sodium valproate levels is not generally supported. A total of 1254 people with epilepsy in the community had their medical records examined for evidence of checking of anticonvulsant levels and 1204 of these individuals completed questionnaires about their epilepsy and its treatment. Of those on phenytoin, only 26% to 47% had phenytoin levels checked appropriately; 23% of patients on sodium valproate were inappropriately having their serum levelschecked. The only clinical or organizational factor that predicted whetherchecking of serum phenytoin levels was performed was whether or not patients reported three common phenytoin side-effects but this still showed a small effect size (odds ratio 2.4).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 01:17:51