title: How can paediatric epilepsy services best be delivered in secondary care?
abstract: OBJECTIVE
  To produce practical evidence-based guidelines for the management of paediatric epilepsy in secondary care settings.
  
  
  METHODS
  Question-specific systematic literature review and local service audit.
  
  
  METHODS
  Grade of recommendation for specific management issues.
  
  
  RESULTS
  There is little good quality research to support many existing epilepsy guidelines for secondary care.
  
  
  CONCLUSIONS
  Practical guidelines for the provision of children's epilepsy services can be evidence influenced but until more relevant research is undertaken, not evidence based.
authors.affiliation: York District Hospital, Wigginton Road, York YO31 8HE, UK. Robert.A.Smith@york.nhs.uk
authors.forename: R A
authors.initials: RA
authors.lastname: Smith
authors.forename: R
authors.initials: R
authors.lastname: Phillips
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care; D004827:Epilepsy / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D007223:Infant; D008485:Medical Audit; D009482:Neurophysiology; D009726:Nurses; D010043:Outcome and Process Assessment, Health Care; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D011787:Quality of Health Care; D012196:Review Literature as Topic; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants