197714 Self care is the most significantly affected dimension of health utility in epilepsy patients

Tuesday, November 10, 2009

Dokyoung Yoon, MD, PhD, CPH , Department of Family Medicine, Korea University College of Medicine, Ansan, South Korea
Kevin D. Frick, PhD , Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Deborah A. Carr, MEd , Epilepsy Foundation of America, Landover, MD
Joan K. Austin, DNS , Indiana University School of Nursing, Indianapolis, IN
Purpose: To estimate the burden of epilepsy with respect to changes in health utility at the individual and societal levels.

Methods: The data from 2000-2003 Pooled Medical Expenditure Panel Survey in the United States were used to assess differences in health utility by individuals' self-reported epilepsy status. Among 79,572 adults who completed the survey, 74,148 adults (93.2%) who responded all the health utility and variables was included in analysis. Differences in health utility were estimated using regression techniques while adjusting for race, sex, general health status, family size, age, income, and education.

Results: The individuals with epilepsy had less societal health utility and also less self reported health utility. The adjusted difference (on a scale of 0-100) using societal preferences was 5.5 (95% CI: 3.6-7.4). The adjusted difference (on a scale of 0-100) using self-rating was 5.8 (95% CI: 4.3-7.2). Pain and discomfort was the most commonly problematic health utility for those with epilepsy. The odds ratio of problems in self care for those with epilepsy compared to those without epilepsy was 3.0 (95% CI: 2.2-4.1) and it is the highest among five health utility dimensions.

Conclusion: Epilepsy has significant impact on health utility, using either personal or societal quality of life. Health workers should aware the impact of epilepsy on quality of life and subsequent disability. Improving self care should be emphasized on the course epilepsy care.

Learning Objectives:
Identify epilepsy as a disabilty. Describe the pattern of health utility of epilepsy patients.

Keywords: Disability, Quality of Life

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have long studied epilepsy, health utility, and disability. I am the principle author of this research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.