Enhancing the cognitive, psychological, and social outcomes of adults undergoing surgery for focal drug-resistant epilepsy: protocol for a scoping review.
Evelyn E Harvey, Honor Coleman, Deepa Bapat, Gloria Brigiari, Francesco Brigo, Sarah Brown, Sean M D Carnegie, Dario Englot, Michael W K Fong, Heather M Francis, Isabella Hogan, Nathalie Jetté, Andres Kanner, Aileen McGonigal, Bryce P Mulligan, Didier Vincent Oxenham, Piero Perucca, Sarah J Wilson
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Abstract
Introduction: Achieving seizure control remains a primary objective of epilepsy surgery but other important patient-centred outcomes should not be overlooked. Despite the need for more holistic approaches supporting well-being over and above seizure control, scant empirical research has identified effective interventions aimed at improving adults' cognitive, psychological, and/or social outcomes following epilepsy surgery. This novel scoping review will be the first to map the evidence in this landscape.
Methods and analysis: The review will be conducted with reference to the Joanna Briggs Institute Manual for Evidence Synthesis and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Databases searched will include MEDLINE, Embase, and CINAHL. Interventions of interest may be delivered preoperatively and/or postoperatively, and primary outcomes will be specific to cognitive, psychological, and social functioning after either resective or ablative epilepsy surgery conducted in adulthood. No limitations will be imposed on publication date, language, or country/region of origin. Selection will be based on title and abstract examination followed by full-text review. Data will be charted in duplicate and the results of descriptive and qualitative analyses will be presented using tabular and graphical formats, along with a narrative summary of the findings.
Ethics and dissemination: Ethics approval is not required for this review. The final review will be submitted for peer review in a medical journal and considered for dissemination via the International League Against Epilepsy (ILAE). This review is intended as a first step towards informing the development of ILAE consensus-based recommendations on enhancing cognitive, psychological, and social outcomes after epilepsy surgery in adulthood.
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