Search results for: Charles E. Begley

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The economic burden of caregiving in epilepsy: An estimate based on a survey of US caregivers

Shaun A. Hussain, Jesse D. Ortendahl, Tanya G. K. Bentley, Amanda L. Harmon, more

Epilepsia > 61 > 2 > 319 - 329

Objective The burden of caregiving for persons with epilepsy (PWEs) has not been examined previously in the United States. We assessed the clinical impact and direct and indirect economic costs for caregivers of PWEs. Methods An internet survey of 500 caregivers of PWEs was conducted from May to July 2015 using a combination of validated instruments and questions designed specifically for this...

article

The primary prevention of epilepsy: A report of the Prevention Task Force of the International League Against Epilepsy

David J. Thurman, Charles E. Begley, Arturo Carpio, Sandra Helmers, more

Epilepsia > 59 > 5 > 905 - 914

Among the causes of epilepsy are several that are currently preventable. In this review, we summarize the public health burden of epilepsy arising from such causes and suggest priorities for primary epilepsy prevention. We conducted a systematic review of published epidemiologic studies of epilepsy of 4 preventable etiologic categories—perinatal insults, traumatic brain injury (TBI), central nervous...

article

Rationale and Design of a Statewide Cohort to examine efficient resource utilization for patients with Intracerebral hemorrhage (EnRICH)

Farhaan S. Vahidy, Ellie G. Meyer, Arvind B. Bambhroliya, Jennifer R. Meeks, more

BMC Neurology > 2018 > 18 > 1 > 1-8

Background Intracerebral hemorrhage is a devastating disease with no specific treatment modalities. A significant proportion of patients with intracerebral hemorrhage are transferred to large stroke treatment centers, such as Comprehensive Stroke Centers, because of perceived need for higher level of care. However, evidence of improvement in patient-centered outcomes for these patients treated at...

article

Self-management in epilepsy: Why and how you should incorporate self-management in your practice

Sandra L. Helmers, Rosemarie Kobau, Martha Sajatovic, Barbara C. Jobst, more

Epilepsy & Behavior > 2017 > 68 > C > 220-224

article

The Managing Epilepsy Well Network:

Martha Sajatovic, Barbara C. Jobst, Ross Shegog, Yvan A. Bamps, more

American Journal of Preventive Medicine > 2017 > 52 > 3(S3) > S241-S245

Epilepsy, a complex spectrum of disorders, affects about 2.9 million people in the U.S. Similar to other chronic disorders, people with epilepsy face challenges related to management of the disorder, its treatment, co-occurring depression, disability, social disadvantages, and stigma. Two national conferences on public health and epilepsy (1997, 2003) and a 2012 IOM report on the public health dimensions...

article

Factors Associated With the Likelihood of Hospitalization Following Emergency Department Visits for Behavioral Health Conditions

Jane E. Hamilton, Pratikkumar V. Desai, Nathan R. Hoot, Robin E. Gearing, more

Academic Emergency Medicine > 23 > 11 > 1257 - 1266

Objectives Behavioral health–related emergency department (ED) visits have been linked with ED overcrowding, an increased demand on limited resources, and a longer length of stay (LOS) due in part to patients being admitted to the hospital but waiting for an inpatient bed. This study examines factors associated with the likelihood of hospital admission for ED patients with behavioral health conditions...

chapter

Pharmacoeconomics of Epilepsy Treatment

Charles E. Begley

Atlas of Epilepsies > Section 16: Management of Epilepsies I: Antiepileptic Drug (AED) Prophylactic Treatment > 1599-1601

article

The direct cost of epilepsy in the United States: A systematic review of estimates

Charles E. Begley, Tracy L. Durgin

Epilepsia > 56 > 9 > 1376 - 1387

ObjectiveTo develop estimates of the direct cost of epilepsy in the United States for the general epilepsy population and sub‐populations by systematically comparing similarities and differences in types of estimates and estimation methods from recently published studies. MethodsPapers published since 1995 were identified by systematic literature search. Information on types of estimates, study designs,...

article

Newer antiepileptic drug use and other factors decreasing hospital encounters

Edward Faught, Sandra L. Helmers, Charles E. Begley, David J. Thurman, more

Epilepsy & Behavior > 2015 > 45 > C > 169-175

A retrospective analysis was conducted in one claims database and was confirmed in a second independent database (covering both commercial and government insurance plans between 11/2009 and 9/2011) for the understanding of factors influencing antiepileptic drug (AED) use and the role of AEDs and other health-care factors in hospital encounters. In both datasets, epilepsy cases were identified by AED...

article

Impact of the 2011 heat wave on mortality and emergency department visits in Houston, Texas

Kai Zhang, Tsun-Hsuan Chen, Charles E Begley

Environmental Health > 2015 > 14 > 1 > 1-7

Background Heat waves have been linked to increased risk of mortality and morbidity, and are projected to increase in frequency and intensity in a changing climate. Houston and other areas in Texas experienced an exceptional heat wave in the summer of 2011 producing the hottest August on record. This study aims to assess the health-related impact of this heat wave. Methods Distributed lag models...

article

Description and feasibility of MINDSET: A clinic decision aid for epilepsy self-management

Ross Shegog, Charles E. Begley, Angelique Harding, Stephanie Dubinsky, more

Epilepsy & Behavior > 2013 > 29 > 3 > 527-536

Decision-support aids can assist health-care providers (HCPs) and patients in epilepsy self-management. This paper describes MINDSET (Management Information Decision Support Epilepsy Tool), a self-management decision aid on a portable tablet PC designed to obtain a patient's self-management profile and cue goal-directed communication, and presents the results of a test of its feasibility as a clinical...

article

Research implications of the Institute of Medicine Report, Epilepsy Across the Spectrum: Promoting Health and Understanding

Dale C. Hesdorffer, Vicki Beck, Charles E. Begley, Malachy L. Bishop, more

Epilepsia > 54 > 2 > 207 - 216

In March 2012 the Institute of Medicine (IOM) released the report, Epilepsy Across The Spectrum: Promoting Health and Understanding. This report examined the public health dimensions of the epilepsies with a focus on the following four areas: public health surveillance and data collection and integration; population and public health research; health policy, health care, and human services; and education...

article

Standards for epidemiologic studies and surveillance of epilepsy

David J. Thurman, Ettore Beghi, Charles E. Begley, Anne T. Berg, more

Epilepsia > 52 > s7 > 2 - 26

Worldwide, about 65 million people are estimated to have epilepsy. Epidemiologic studies are necessary to define the full public health burden of epilepsy; to set public health and health care priorities; to provide information needed for prevention, early detection, and treatment; to identify education and service needs; and to promote effective health care and support programs for people with epilepsy...

article

Socioeconomic status and self-management in epilepsy: Comparison of diverse clinical populations in Houston, Texas

Charles E. Begley, Ross Shegog, Biebele Iyagba, Vincent Chen, more

Epilepsy & Behavior > 2010 > 19 > 3 > 232-238

We compared the scores on self-management and associated psychosocial scales of patients with epilepsy at two clinics in Houston, TX, USA, to determine if there were systematic differences associated with socioeconomic status (SES). Patients of low SES reported higher scores on overall, information, and safety management (P<0.03) and no differences on medication, seizure, and lifestyle management...

article

The Prevention Research Centers’ Managing Epilepsy Well Network

Colleen K. DiIorio, Yvan A. Bamps, Ariele L. Edwards, Cam Escoffery, more

Epilepsy & Behavior > 2010 > 19 > 3 > 218-224

The Managing Epilepsy Well (MEW) Network was created in 2007 by the Centers for Disease Control and Prevention's (CDC) Prevention Research Centers and Epilepsy Program to promote epilepsy self-management research and to improve the quality of life for people with epilepsy. MEW Network membership comprises four collaborating centers (Emory University, University of Texas Health Science Center at Houston,...

article

Concordance of survey and billing data in a study of outpatient healthcare cost and utilization among epilepsy patients

David R. Lairson, Rituparna Basu, Charles E. Begley, Thomas Reynolds

Epilepsy Research > 2009 > 87 > 1 > 59-69

We assessed the concordance between healthcare utilization and cost measured with patient survey and billing data among 226 epilepsy patients in a large multi-specialty group practice. Does survey information on utilization combined with prices, provide a cost of care that is approximately equal to the cost of care derived from billing data, utilizing the same price structure? Do measures of cost...

article

Expanding the scope of health reform: application in the United States

Charles E. Begley, Lu Ann Aday, David R. Lairson, Carl H. Slater

Social Science & Medicine > 2002 > 55 > 7 > 1213-1229

Since the demise of the Clinton national health plan in the early 1990s, a number of states in the US have continued to pursue health reform. The reforms reflect the on-going debate in the US and throughout the world over market-minimizing versus market-maximizing strategies to improve healthcare systems. This paper describes the limits of this debate and supports a broader view that focuses on how...

article

Early treatment cost in epilepsy and how it varies with seizure type and frequency

Charles E. Begley, David R. Lairson, Thomas F. Reynolds, Sharon Coan

Epilepsy Research > 2001 > 47 > 3 > 205 - 215

The purpose of this paper is to describe the temporal pattern of healthcare cost in two population-based samples of new cases of epilepsy from two different regions of the US, and show how it varies with seizure type and frequency. Epilepsy-related healthcare cost from onset through 4 years of follow-up was determined for two population-based incident samples from Houston, TX and Rochester, MN. Cases...

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