Association between sociodemographic status and antiepileptic drug prescriptions in children with epilepsy

Summary Purpose: We investigated whether in Sweden sociodemographic differences are associated with access to expert health care and antiepileptic drug (AED) prescriptions in children with epilepsy. Methods: Data on epilepsy, prescription of AEDs, and sociodemographic variables were obtained from...

Celý popis

Uloženo v:

Podrobná bibliografie
Vydáno v:	Epilepsia (Copenhagen) Ročník 53; číslo 12; s. 2149 - 2155
Hlavní autoři:	Mattsson, Peter, Tomson, Torbjörn, Edebol Eeg-Olofsson, Karin, Brännström, Lars, Ringbäck Weitoft, Gunilla
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Oxford, UK Blackwell Publishing Ltd 01.12.2012 Wiley-Blackwell
Témata:	Adolescence Adolescent Age Age Factors Anticonvulsants - therapeutic use Anticonvulsants. Antiepileptics. Antiparkinson agents Antiepileptic agents Biological and medical sciences Carbamazepine Child Child, Preschool Children Cross-Sectional Studies Data processing Drug prescriptions drug therapy Educational Status Epilepsy Epilepsy - drug therapy Epilepsy - epidemiology Epilepsy - psychology Epilepsy - rehabilitation Etiracetam Female Geriatrics Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Infant lamotrigine Logistic Models Male Medical sciences Nervous system (semeiology, syndromes) Neurologi Neurology Neuropharmacology oxcarbazepine Pediatrics Pharmacology. Drug treatments Physician's practice patterns Physician's practice patterns/statistics and numerical data Prescription Drugs - therapeutic use Retrospective Studies Social Class Socioeconomic factors statistics and numerical data Human Nervous system diseases drug therapy Epilepsy Physician Anticonvulsant Drug prescriptions statistics and numerical data Cerebral disorder Educational status Physician's practice patterns Treatment Socioeconomic factors Central nervous system disease Child
ISSN:	0013-9580, 1528-1167, 1528-1167
On-line přístup:	Získat plný text
Tagy:	Přidat tag Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!

Popis
Shrnutí:	Summary Purpose: We investigated whether in Sweden sociodemographic differences are associated with access to expert health care and antiepileptic drug (AED) prescriptions in children with epilepsy. Methods: Data on epilepsy, prescription of AEDs, and sociodemographic variables were obtained from several national administrative registers. We linked individual data to examine whether access by pediatric epilepsy patients to neuropediatricians and the prescription of individual AEDs differed according to gender, age, parental education, place of residence, parental region of birth, and household income. We also assessed whether AEDs are prescribed differently to patients with epilepsy by neuropediatricians as compared to other physicians. Key Findings: Of 1,788,382 children aged 1–17 years in 2006, living in the country by the end of 2006, 9,935 had a diagnosis of epilepsy (0.56%). Patients with epilepsy on AED treatment (n = 3,631) comprised 0.24% of the total Swedish population aged 1–17 years. Out of 3631 patients with epilepsy on AED treatment, 2301 (63.4%) received prescriptions from a neuropediatrician. Children with epilepsy aged 1–5 years old—as opposed to older children and adolescents—and children with epilepsy residing in large cities—as opposed to children living in smaller cities and rural areas—were more likely to be treated by a neuropediatrician. Children living in large cities received oxcarbazepine to a greater extent than children living in rural areas. Levetiracetam was prescribed more extensively to children whose parents had higher incomes. Of the five most frequently used AEDs, three (lamotrigine, oxcarbazepine, and levetiracetam) were prescribed to a larger extent by a neuropediatrician rather than by other specialists, and one AED (carbamazepine) was prescribed to a lesser extent. Significance: The results of this nationwide cross‐sectional study of children with epilepsy are important because they show that universal coverage for medical care does not eliminate inequalities of access to health care services among children and adolescents. No data are available that can guide us as to whether the density of child neurologists is of importance to access to expert health care, but this seems likely. Prescription patterns of AEDs differ between child neurologists and other specialists.
Bibliografie:	istex:44DE673302FD134818968F237257AD857DDB701D ArticleID:EPI3717 ark:/67375/WNG-CNFJWNG6-W ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0013-9580 1528-1167 1528-1167
DOI:	10.1111/j.1528-1167.2012.03717.x