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Development of an online calculator for the prediction of seizure freedom following pediatric hemispherectomy using the Hemispherectomy Outcome Prediction Scale (HOPS)
Indexado
Scopus SCOPUS_ID:85182501830
DOI 10.1111/EPI.17689
Año 2024
Tipo

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



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.

Revista



Revista ISSN
Epilepsia 0013-9580

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Disciplinas de Investigación



WOS
Clinical Neurology
Scopus
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SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

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Autores - Afiliación



Ord. Autor Género Institución - País
1 Weil, Alexander G. - CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
2 Dimentberg, Evan - CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
3 Lewis, Evan - Neurology Center of Toronto by Numinus - Canadá
4 Ibrahim, George M. - University of Toronto - Canadá
5 Kola, Olivia - David Geffen School of Medicine at UCLA - Estados Unidos
6 Tseng, Chi Hong - David Geffen School of Medicine at UCLA - Estados Unidos
7 Chen, Jia Shu - The Warren Alpert Medical School - Estados Unidos
8 Lin, Kao Min - Xiamen Humanity Hospital - China
9 Cai, Li Xin - Peking University First Hospital - China
10 Liu, Qing Zhu - Peking University First Hospital - China
11 Lin, Jiu Luan - Tsinghua University - China
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
17 Ragheb, John - Nicklaus Children's Hospital - Estados Unidos
18 Bhatia, Sanjiv - Nicklaus Children's Hospital - Estados Unidos
19 Delev, Daniel - Universitätsklinikum Freiburg - Alemania
20 Ramantani, Georgia - Universitätsklinikum Freiburg - Alemania
Kinderspital Zürich - Suiza
21 Zentner, Josef - Universitätsklinikum Freiburg - Alemania
22 Wang, Anthony C. - David Geffen School of Medicine at UCLA - Estados Unidos
23 Dorfer, Christian - Medizinische Universitat Wien - Austria
24 Feucht, Martha - Medizinische Universitat Wien - Austria
25 Czech, Thomas - Medizinische Universitat Wien - Austria
26 Bollo, Robert J. - Primary Children's Medical Center - Estados Unidos
27 Issabekov, Galymzhan - Xuanwu Hospital, Capital Medical University - China
28 Zhu, Hongwei - University of British Columbia, Faculty of Medicine - Canadá
29 Connolly, Mary - University of British Columbia, Faculty of Medicine - Canadá
30 Steinbok, Paul - University of British Columbia, Faculty of Medicine - Canadá
31 Zhang, Jian Guo - Beijing Tiantan Hospital, Capital Medical University - China
32 Zhang, Kai - Beijing Tiantan Hospital, Capital Medical University - China
33 Hidalgo, Eveline Teresa - Hassenfeld Children’s Hospital - Estados Unidos
34 Weiner, Howard L. - Texas Children's Hospital - Estados Unidos
35 Wong-Kisiel, Lily - Mayo Clinic College of Medicine and Science - Estados Unidos
36 Lapalme-Remis, Samuel - Centre Hospitalier de L'Universite de Montreal - Canadá
37 Tripathi, Manjari - All India Institute of Medical Sciences, New Delhi - India
38 Sarat Chandra, Poodipedi - All India Institute of Medical Sciences, New Delhi - India
39 Hader, Walter - University of Calgary - Canadá
40 Wang, Feng Peng - Xiamen Humanity Hospital - China
41 Yao, Yi - Shenzhen Children's Hospital - China
42 Champagne, Pierre Olivier - CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
43 Brunette-Clément, Tristan - CHU Sainte-Justine - Le centre hospitalier universitaire mère-enfant - Canadá
44 Guo, Qiang - Guangdong Sanjiu Brain Hospital - China
45 Li, Shao Chun - Guangdong Sanjiu Brain Hospital - China
46 Budke, Marcelo - Hospital Infantil Universitario Niño Jesús - España
47 Pérez-Jiménez, Maria Angeles - Hospital Infantil Universitario Niño Jesús - España
48 Raftopoulos, Christian - Hospital Infantil Universitario Niño Jesús - España
49 Finet, Patrice - Cliniques Universitaires Saint-Luc - Bélgica
50 Michel, Pauline - Cliniques Universitaires Saint-Luc - Bélgica
51 Schaller, Karl - Université de Genève - Suiza
52 Stienen, Martin N. - Kantonsspital St.Gallen - Suiza
53 Baro, Valentina - Università degli Studi di Padova - Italia
54 Cantillano Malone, Christian - Pontificia Universidad Católica de Chile - Chile
55 Pociecha, Juan - Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La Infancia - Argentina
56 Chamorro, Noelia - Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La Infancia - Argentina
57 Muro, Valeria L. - Fundacion Para La Lucha Contra Las Enfermedades Neurologicas de La Infancia - Argentina
58 von Lehe, Marec - Medizinische Hochschule Brandenburg Theodor Fontane - Alemania
59 Vieker, Silvia - Neurosurgical Clinic - Alemania
60 Oluigbo, Chima - Childrens National Health System - Estados Unidos
61 Gaillard, William D. - Childrens National Health System - Estados Unidos
62 Al Khateeb, Mashael - Alfaisal University - Arabia Saudí
63 Al Otaibi, Faisal - Alfaisal University - Arabia Saudí
64 Krayenbühl, Niklaus - UniversitatsSpital Zurich - Suiza
65 Bolton, Jeffrey - Boston Children's Hospital - Estados Unidos
66 Pearl, Phillip L. - Boston Children's Hospital - Estados Unidos
67 Fallah, Aria - David Geffen School of Medicine at UCLA - Estados Unidos

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