title: Postal follow up of patients with epilepsy.
abstract: BACKGROUND
  Epilepsy services in India are mostly located in urban areas and are often overcrowded. It is difficult, therefore, to organize long term management programmes. We report our experience at a tertiary referral centre on follow up of patients with epilepsy through regular postal review.
  
  
  METHODS
  One hundred consecutive patients with epilepsy (63 men, 37 women, mean age 17 years) who had only seizures were followed up by post using a questionnaire, instead of reviewing them in a clinic. The safety, utility and efficiency of this system were evaluated.
  
  
  RESULTS
  Sixty patients had generalized seizures, 30 had complex partial seizures and 10 had other types of seizures. The indication for shifting to postal review was good control of seizures in 87 cases and economic reasons in the remaining. Postal review constituted 60% of the total follow up period in 55 cases. Sixty-six patients could be maintained on postal review which was suspended or discontinued in 34 patients. Of these 34, 16 were returned to it after being seen in the clinic on a further occasion. Poor control of seizures, fresh medical or social problems, lack of confidence or a combination of these were the reasons for discontinuing the postal review. The economic benefit to a patient by way of savings in travel, incidental expenses and lost wages was estimated to be Rs 750 per annum. The work load in the epilepsy clinic was decreased by 40%. No serious medical problems or mortality were reported in the study population.
  
  
  CONCLUSIONS
  Systematic postal review is a cost-effective alternative to clinic review in the long term follow up of a certain group of patients with epilepsy.
authors.affiliation: Department of Neurology, Sree Chitra Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
authors.forename: S V
authors.initials: SV
authors.lastname: Thomas
authors.forename: P K
authors.initials: PK
authors.lastname: Mohan
authors.forename: A
authors.initials: A
authors.lastname: Alexander
authors.forename: P K
authors.initials: PK
authors.lastname: Menon
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000191:economics / Q000379:methods*; D000368:Aged; D002648:Child; D002675:Child, Preschool; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D003663:Decision Trees; D004827:Epilepsy / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011177:Postal Service; D012017:Referral and Consultation; D011795:Surveys and Questionnaires