Epilepsy surgery rates over time, and correlation between hospital volume and surgical outcomes

Takeaway

  • Lobectomies/amygdalohippocampectomies (L/A) for epilepsy are decreasing despite guideline recommendations; low-volume (LV) surgical centers are associated with increased complication and transfer rates, and Level 4 and non-Level 4 Centers produce comparable outcomes.

Why this matters

    National guidelines support surgery for drug-resistant epilepsy; yet, it is thought that surgery is still underutilized in this population. Understanding these trends will aid in educational efforts and potentially improve patient outcomes.