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| DOI | 10.1111/EPI.17689 | ||
| Año | 2024 | ||
| Tipo |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Objectives: Although hemispheric surgeries are among the most effective procedures for drug-resistant epilepsy (DRE) in the pediatric population, there is a large variability in seizure outcomes at the group level. A recently developed HOPS score provides individualized estimation of likelihood of seizure freedom to complement clinical judgement. The objective of this study was to develop a freely accessible online calculator that accurately predicts the probability of seizure freedom for any patient at 1-, 2-, and 5-years post-hemispherectomy. Methods: Retrospective data of all pediatric patients with DRE and seizure outcome data from the original Hemispherectomy Outcome Prediction Scale (HOPS) study were included. The primary outcome of interest was time-to-seizure recurrence. A multivariate Cox proportional-hazards regression model was developed to predict the likelihood of post-hemispheric surgery seizure freedom at three time points (1-, 2- and 5- years) based on a combination of variables identified by clinical judgment and inferential statistics predictive of the primary outcome. The final model from this study was encoded in a publicly accessible online calculator on the International Network for Epilepsy Surgery and Treatment (iNEST) website (https://hops-calculator.com/). Results: The selected variables for inclusion in the final model included the five original HOPS variables (age at seizure onset, etiologic substrate, seizure semiology, prior non-hemispheric resective surgery, and contralateral fluorodeoxyglucose–positron emission tomography [FDG-PET] hypometabolism) and three additional variables (age at surgery, history of infantile spasms, and magnetic resonance imaging [MRI] lesion). Predictors of shorter time-to-seizure recurrence included younger age at seizure onset, prior resective surgery, generalized seizure semiology, FDG-PET hypometabolism contralateral to the side of surgery, contralateral MRI lesion, non-lesional MRI, non-stroke etiologies, and a history of infantile spasms. The area under the curve (AUC) of the final model was 73.0%. Significance: Online calculators are useful, cost-free tools that can assist physicians in risk estimation and inform joint decision-making processes with patients and families, potentially leading to greater satisfaction. Although the HOPS data was validated in the original analysis, the authors encourage external validation of this new calculator.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Weil, Alexander G. | - |
CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
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| 2 | Dimentberg, Evan | - |
CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
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| 3 | Lewis, Evan | - |
Neurology Center of Toronto by Numinus - Canadá
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| 4 | Ibrahim, George M. | - |
University of Toronto - Canadá
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| 5 | Kola, Olivia | - |
David Geffen School of Medicine at UCLA - Estados Unidos
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| 6 | Tseng, Chi Hong | - |
David Geffen School of Medicine at UCLA - Estados Unidos
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| 7 | Chen, Jia Shu | - |
The Warren Alpert Medical School - Estados Unidos
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| 8 | Lin, Kao Min | - |
Xiamen Humanity Hospital - China
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| 9 | Cai, Li Xin | - |
Peking University First Hospital - China
|
| 10 | Liu, Qing Zhu | - |
Peking University First Hospital - China
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| 11 | Lin, Jiu Luan | - |
Tsinghua University - China
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| 12 | Zhou, Wen Jing | - |
Tsinghua University - China
|
| 13 | Mathern, Gary W. | - |
David Geffen School of Medicine at UCLA - Estados Unidos
|
| 14 | Smyth, Matthew D. | - |
St. Louis Children's Hospital - Estados Unidos
|
| 15 | O'Neill, Brent R. | - |
The Children's Hospital, Aurora - Estados Unidos
|
| 16 | Dudley, Roy | - |
Centre universitaire de santé McGill, Hôpital de Montreal Pour Enfants - Canadá
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| 17 | Ragheb, John | - |
Nicklaus Children's Hospital - Estados Unidos
|
| 18 | Bhatia, Sanjiv | - |
Nicklaus Children's Hospital - Estados Unidos
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| 19 | Delev, Daniel | - |
Universitätsklinikum Freiburg - Alemania
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| 20 | Ramantani, Georgia | - |
Universitätsklinikum Freiburg - Alemania
Kinderspital Zürich - Suiza |
| 21 | Zentner, Josef | - |
Universitätsklinikum Freiburg - Alemania
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| 22 | Wang, Anthony C. | - |
David Geffen School of Medicine at UCLA - Estados Unidos
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| 23 | Dorfer, Christian | - |
Medizinische Universitat Wien - Austria
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| 24 | Feucht, Martha | - |
Medizinische Universitat Wien - Austria
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| 25 | Czech, Thomas | - |
Medizinische Universitat Wien - Austria
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| 26 | Bollo, Robert J. | - |
Primary Children's Medical Center - Estados Unidos
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| 27 | Issabekov, Galymzhan | - |
Xuanwu Hospital, Capital Medical University - China
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| 28 | Zhu, Hongwei | - |
University of British Columbia, Faculty of Medicine - Canadá
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| 29 | Connolly, Mary | - |
University of British Columbia, Faculty of Medicine - Canadá
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| 30 | Steinbok, Paul | - |
University of British Columbia, Faculty of Medicine - Canadá
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| 31 | Zhang, Jian Guo | - |
Beijing Tiantan Hospital, Capital Medical University - China
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| 32 | Zhang, Kai | - |
Beijing Tiantan Hospital, Capital Medical University - China
|
| 33 | Hidalgo, Eveline Teresa | - |
Hassenfeld Children’s Hospital - Estados Unidos
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| 34 | Weiner, Howard L. | - |
Texas Children's Hospital - Estados Unidos
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| 35 | Wong-Kisiel, Lily | - |
Mayo Clinic College of Medicine and Science - Estados Unidos
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| 36 | Lapalme-Remis, Samuel | - |
Centre Hospitalier de L'Universite de Montreal - Canadá
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| 37 | Tripathi, Manjari | - |
All India Institute of Medical Sciences, New Delhi - India
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| 38 | Sarat Chandra, Poodipedi | - |
All India Institute of Medical Sciences, New Delhi - India
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| 39 | Hader, Walter | - |
University of Calgary - Canadá
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| 40 | Wang, Feng Peng | - |
Xiamen Humanity Hospital - China
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| 41 | Yao, Yi | - |
Shenzhen Children's Hospital - China
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| 42 | Champagne, Pierre Olivier | - |
CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
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| 43 | Brunette-Clément, Tristan | - |
CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
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| 44 | Guo, Qiang | - |
Guangdong Sanjiu Brain Hospital - China
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| 45 | Li, Shao Chun | - |
Guangdong Sanjiu Brain Hospital - China
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| 46 | Budke, Marcelo | - |
Hospital Infantil Universitario Niño Jesús - España
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| 47 | Pérez-Jiménez, Maria Angeles | - |
Hospital Infantil Universitario Niño Jesús - España
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| 48 | Raftopoulos, Christian | - |
Hospital Infantil Universitario Niño Jesús - España
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| 49 | Finet, Patrice | - |
Cliniques Universitaires Saint-Luc - Bélgica
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| 50 | Michel, Pauline | - |
Cliniques Universitaires Saint-Luc - Bélgica
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| 51 | Schaller, Karl | - |
Université de Genève - Suiza
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| 52 | Stienen, Martin N. | - |
Kantonsspital St.Gallen - Suiza
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| 53 | Baro, Valentina | - |
Università degli Studi di Padova - Italia
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| 54 | Cantillano Malone, Christian | - |
Pontificia Universidad Católica de Chile - Chile
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| 55 | Pociecha, Juan | - |
Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La Infancia - Argentina
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| 56 | Chamorro, Noelia | - |
Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La Infancia - Argentina
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| 57 | Muro, Valeria L. | - |
Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La Infancia - Argentina
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| 58 | von Lehe, Marec | - |
Medizinische Hochschule Brandenburg Theodor Fontane - Alemania
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| 59 | Vieker, Silvia | - |
Neurosurgical Clinic - Alemania
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| 60 | Oluigbo, Chima | - |
Childrens National Health System - Estados Unidos
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| 61 | Gaillard, William D. | - |
Childrens National Health System - Estados Unidos
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| 62 | Al Khateeb, Mashael | - |
Alfaisal University - Arabia Saudí
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| 63 | Al Otaibi, Faisal | - |
Alfaisal University - Arabia Saudí
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| 64 | Krayenbühl, Niklaus | - |
UniversitatsSpital Zurich - Suiza
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| 65 | Bolton, Jeffrey | - |
Boston Children's Hospital - Estados Unidos
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| 66 | Pearl, Phillip L. | - |
Boston Children's Hospital - Estados Unidos
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| 67 | Fallah, Aria | - |
David Geffen School of Medicine at UCLA - Estados Unidos
|