Diez años de experiencia con el estimulador del nervio vago en una población pediátrica

Faes, G Moro-De; Serrano-Moyano, B; Cantarín-Extremera, Verónica; Moreno-Vinues, B; García-Fernández, María; Pérez-Jiménez, M.A.; Rivero-Martin, M B; Garcia-Ezquiaga, J; Duat-Rodríguez, Anna; Rojas, Milagros

doi:10.33588/rn.6710.2018267

“…These data are widely confirmed by the literature [ 18 , 90 , 91 , 94 , 95 , 96 , 97 , 98 , 99 ]. The main findings after VNS therapy are the following: reduction in seizure frequency; improvement in verbal and figure recognition; increased experiences of attention and arousal; memory consolidation; cognitive flexibility and creativity; and decision-making [ 92 , 93 , 100 , 101 , 102 ]. However, changes are not significant or cover a limited number of domains only, especially in studies based on small samples [ 103 ].…”

Section: Resultsmentioning

confidence: 99%

“…The impact of VNS on QALY was assessed taking into account the following: the difference in the average utility score of QoL between the post-VNS period and the 6-months pre-VNS period; age; gender; and life expectancy in the entire VNS population [ 106 ]. VNS improved different health-related quality of life (HRQOL) domains—mainly cognitive, psychological, and social [ 92 , 107 , 108 , 109 ]—but it also improved memory, mood, behavior, alertness, achievement, and verbal skills [ 97 , 98 , 110 , 111 , 112 , 113 ].…”

Section: Resultsmentioning

confidence: 99%

Health Technology Assessment Report on Vagus Nerve Stimulation in Drug-Resistant Epilepsy

Marras

¹

,

Colicchio

²

,

Palma

³

et al. 2020

IJERPH

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Background: Vagus nerve stimulation (VNS) is a palliative treatment for medical intractable epileptic syndromes not eligible for resective surgery. Health technology assessment (HTA) represents a modern approach to the analysis of technologies used for healthcare. The purpose of this study is to assess the clinical, organizational, financial, and economic impact of VNS therapy in drug-resistant epilepsies and to establish the congruity between costs incurred and health service reimbursement. Methods: The present study used an HTA approach. It is based on an extensive detailed bibliographic search on databases (Medline, Pubmed, Embase and Cochrane, sites of scientific societies and institutional sites). The HTA study includes the following issues: (a) social impact and costs of the disease; (b) VNS eligibility and clinical results; (c) quality of life (QoL) after VNS therapy; (d) economic impact and productivity regained after VNS; and (e) costs of VNS. Results: Literature data indicate VNS as an effective treatment with a potential positive impact on social aspects and on quality of life. The diagnosis-related group (DRG) financing, both on national and regional levels, does not cover the cost of the medical device. There was an evident insufficient coverage of the DRG compared to the full cost of implanting the device. Conclusions: VNS is a palliative treatment for reducing seizure frequency and intensity. Despite its economic cost, VNS should improve patients’ quality of life and reduce care needs.

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Revisión sistemática del uso de agentes físicos de pacientes pediátricos basado en la evidencia científica

Jaime-Estrada

¹

,

Sasia-Zayas

²

2020

JNT

0

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Physical agents are a form of energy that have the ability to interfere with matter, and are used in the process of rehabilitation, among them we can find the use of water, heat, cold, sound, electrical currents, and electromagnetic radiation. The main objective of this study is to analyze if is beneficial the use of physical agents in the intervention and interaction with pediatric patients (0 to 17 years). Material and methods: An extensive search of bibliographic material in Google Academic, Medigraphic, Physiotherapy Evidence Database (PEDro), Pubmed, was conducted between July 6 and October 30, 2020, with the limits: studies in pediatric patients, written in Spanish and English, which were of the type: systematic reviews, controlled and randomized studies, and practice guidelines. Results: Of the 1860 studies analyzed, only 45 could be added for this research since they met the inclusion criteria. The initial hypothesis could be tested: physical agents are effective in the treatment of pediatric patients, however it is considered that more research is needed in this area.

show abstract

Revisión sistemática del uso de agentes físicos de pacientes pediátricos basado en la evidencia científica

Jaime-Estrada

¹

,

Sasia-Zayas

²

2020

JNT

0

View full text Add to dashboard Cite

Physical agents are a form of energy that have the ability to interfere with matter, and are used in the process of rehabilitation, among them we can find the use of water, heat, cold, sound, electrical currents, and electromagnetic radiation. The main objective of this study is to analyze if is beneficial the use of physical agents in the intervention and interaction with pediatric patients (0 to 17 years). Material and methods: An extensive search of bibliographic material in Google Academic, Medigraphic, Physiotherapy Evidence Database (PEDro), Pubmed, was conducted between July 6 and October 30, 2020, with the limits: studies in pediatric patients, written in Spanish and English, which were of the type: systematic reviews, controlled and randomized studies, and practice guidelines. Results: Of the 1860 studies analyzed, only 45 could be added for this research since they met the inclusion criteria. The initial hypothesis could be tested: physical agents are effective in the treatment of pediatric patients, however it is considered that more research is needed in this area.

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Diez años de experiencia con el estimulador del nervio vago en una población pediátrica

Cited by 3 publications

References 0 publications

Health Technology Assessment Report on Vagus Nerve Stimulation in Drug-Resistant Epilepsy

Health Technology Assessment Report on Vagus Nerve Stimulation in Drug-Resistant Epilepsy

Revisión sistemática del uso de agentes físicos de pacientes pediátricos basado en la evidencia científica

Revisión sistemática del uso de agentes físicos de pacientes pediátricos basado en la evidencia científica

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