Employability in people with epilepsy: A systematic review

Wo, Monica Chen Mun; Lim, Kheng Seang; Choo, Wan Yuen; Tan, Chong Tin

doi:10.1016/j.eplepsyres.2015.06.016

Cited by 24 publications

(21 citation statements)

References 87 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Heterogeneity of results emerged here as a problem with interpretation of data, as the percentage of employed patients ranged between 28 and 82%. Other reviews facing the same problem, for example, Wo et al [47] did not perform meta-analysis and decided to report trends between variables, such as the inverse trend between clinical severity and employment rates, or differences by countries or year in which the study was carried out. In our case, choosing to highlight the heterogeneity of results by a meta-analysis was a way to focus the attention of researchers on employment in MG patients.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Employment in Myasthenia Gravis: A Systematic Literature Review and Meta-Analysis

et al. 2020

View full text Add to dashboard Cite

Introduction: Myasthenia gravis (MG) is an autoimmune disease whose period of typical onset is around 20–40 years (i.e., early onset), thus in the peak of working age, or around 60–80 years (i.e., late onset). However, the information on work-related issues and employment status are sparse and not systematically reported. Therefore, we performed a systematic literature review with meta-analysis to address the employment status of MG patients. Methods: We searched for papers reporting employment status on participants with MG published between January 2000 and May 2019. Information on employment was extracted. Random-effects models were used to produce meta-analytic estimates for the proportion of employed patients. Results: In total, 1,045 records were retrieved, of which 19 fitted the inclusion criteria. In total, 3,600 participants (average age 47.5, range 35–60) were included in the studies and 1,579 of them were employed. The proportion of employed patients varied from 28 to 82%, with an extreme heterogeneity between studies. Overall, the pooled proportion of workers was 50% (95% CI 41–60%). Subgroup analyses suggested a possible, although not significant, higher proportion of workers among women, younger participants, those with a higher level of education, shorter MG duration, and less frequently thymectomized, whereas a lower proportion was observed among those with generalized, bulbar, and respiratory symptoms. Conclusions: The results of our meta-analysis show that the percentage of employment is considerably low if we take into account that the mean age of MG patients involved in the included studies was around 48 years, thus in peak of working life. Therefore, it is important to understand what kind of influence MG exerts on work dynamics.

show abstract

Section: Discussion/conclusionmentioning

confidence: 99%

Employment in Myasthenia Gravis: A Systematic Literature Review and Meta-Analysis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…These figures are consistent with those from previous studies. 1,4 The most common reasons perceived by the patients for not having college education were financial reasons, inability to study, and fear of having a seizure at school. In a previous qualitative interview and focus group study involving teachers, parents, and young PWE, 7 behavioral problems and learning difficulties (consistent with "inability to study" in the current work) were cited as the main barriers to education for young PWE.…”

Section: Discussionmentioning

confidence: 99%

“…Many factors may negatively affect the employability of PWE, including clinical (e.g., uncontrolled seizures and fear of having a seizure), psychological (e.g., stigma), socioeconomic (e.g., lower educational level), and political (e.g., driving restrictions) factors. 4 One study of all adult patients with epilepsy in the Swedish patient register in 2000 to 2015 (n = 126,406) and controls (n = 379,131) matched for age, gender, and place of birth, showed that while low educational attainment was associated with low levels of income and inversely associated with employment in both PWE and controls, these associations were much more noticeable in PWE than controls. 12 One study showed that higher education level, higher self-determination, lower family overprotection, and generalized epilepsy were significant predictors for higher employability in PWE.…”

Section: Discussionmentioning

confidence: 99%

“…This observation has been reproduced in other studies. 3 Many studies have investigated marriage, educational achievement, and employment in PWE, 4,5 but few have scrutinized the patients' perceptions of the challenges they face with regards their daily lives. In the current study, we surveyed PWE with uncontrolled seizures on the challenges which they have had in their lives with respect to educational achievement, employment, and marriage.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Education, Marriage, and Employment in People with Epilepsy: The Barriers that Patients Perceive

Asadi‐Pooya

Homayoun

Keshavarz

2020

International Journal of Epilepsy

View full text Add to dashboard Cite

Purpose We surveyed people with epilepsy (PWE) and uncontrolled seizures on the challenges which they have had in their lives with respect to educational achievement, employment, and marriage. We tried to scrutinize their reasons and perceptions for their social underachievement and difficulties. Methods Adult patients above 25 years of age, with epileptic seizures for more than 5 years, who were investigated at Shiraz Comprehensive Epilepsy Center, from January until March 2019, were studied. We prepared a questionnaire for our study and asked whether they have any college education? If they have ever married? And, if they are employed? Results Seventy patients enrolled in our study. Age of the patients was 33 ± 6 years (range: 26–59 years) and their age at onset of epilepsy was 14 ± 9 years (range: 0–35 years). Forty-four patients (63%) never received any college education; 30 patients (43%) were single; and finally, 37 patients (53%) were unemployed. The most common reasons perceived by the patients for these life challenges were functional disability (e.g., inability to study or to work), social discrimination and stigmatization, and uncontrolled seizures and the associated consequences (i.e., fear of having seizures). Conclusion Many PWE (both men and women) and uncontrolled seizures suffer from social underachievement and challenges in their daily lives. Various strategies may help PWE to overcome these challenges.

show abstract

“…A frequência e o tipo de crises, a idade, o número de drogas antiepilépticas (DAEs), os distúrbios psiquiátricos e as disfunções cognitivas podem contribuir negativamente para a qualidade de vida Leidy et al, 2001;Boylan et al, 2004;Garcia et al, 2015). Somado a isso, os pacientes com epilepsia têm menor chance de realização educacional (Aldenkamp et al, 2005) e profissional (Wo et al, 2015).…”

Section: Epilepsia: Aspectos Geraisunclassified

Impacto da cirurgia de epilepsia no desempenho cognitivo de pacientes com esclerose mesial temporal unilateral

Filho¹,

Castro²

View full text Add to dashboard Cite

Employability in people with epilepsy: A systematic review

Cited by 24 publications

References 87 publications

Employment in Myasthenia Gravis: A Systematic Literature Review and Meta-Analysis

Employment in Myasthenia Gravis: A Systematic Literature Review and Meta-Analysis

Education, Marriage, and Employment in People with Epilepsy: The Barriers that Patients Perceive

Impacto da cirurgia de epilepsia no desempenho cognitivo de pacientes com esclerose mesial temporal unilateral

Contact Info

Product

Resources

About