title: Epilepsy surgery: patient-perceived long-term costs and benefits.
abstract: OBJECTIVE
  The goal of this study was to assess the patient-perceived costs and benefits associated with the longer-term outcomes of epilepsy surgery in patients who underwent anterior temporal lobectomy or selective amygdalohippocampectomy.
  
  
  METHODS
  Surgery patients who were assessed in 1997 were reassessed in 2003. Demographic, clinical, and psychosocial details were collected using a validated self-completion questionnaire. Data were collected from 67 patients who had undergone surgery.
  
  
  RESULTS
  Forty-five percent were seizure-free. There were significant differences (P<0.001) between the seizure-free (SF) and continuous seizure (CS) groups with respect to anxiety, depression, impact of epilepsy, self-esteem, mastery, stigma, affect balance, self-reported health, and quality of life. More SF patients were also employed and driving (P<0.001). Despite these differences there were no differences for regret over surgery but there were differences for satisfaction and success ratings.
  
  
  CONCLUSIONS
  Patients who were not SF, in the longer term, had little regret undergoing surgery but were less likely to be satisfied and had a poorer psychosocial profile.
authors.affiliation: University Department of Neurosciences, The Centre for Research and Education, Lower Lane, Fazakerley, Liverpool L9 7LJ, UK.
authors.forename: Katie
authors.initials: K
authors.lastname: Reid
authors.forename: Andrea
authors.initials: A
authors.lastname: Herbert
authors.forename: Gus A
authors.initials: GA
authors.lastname: Baker
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety; D001294:Attitude to Health; D016009:Chi-Square Distribution; D003362:Cost-Benefit Analysis; D003710:Demography; D003863:Depression; D004827:Epilepsy / Q000191:economics / Q000523:psychology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000191:economics*; D010361:Patients / Q000523:psychology*; D010465:Perception; D010549:Personal Satisfaction; D011446:Prospective Studies; D011581:Psychological Tests; D011788:Quality of Life; D012640:Seizures / Q000523:psychology / Q000601:surgery; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D016896:Treatment Outcome