Publications by authors named "N Jette"
Importance: Several psychiatric disorders have been found to occur more frequently in persons with epilepsy (PWE) than in persons without epilepsy.
Objective: To summarize the prevalence of 20 psychiatric disorders in PWE compared with persons without epilepsy.
Data Sources: The search included records from inception to February 2024 in Ovid, MEDLINE, Embase, and PsycINFO.
Article Synopsis
- The study investigates how using small datasets to select an optimal cutoff score for the Patient Health Questionnaire-9 (PHQ-9) can lead to inaccurate results.
- Researchers evaluated whether data-driven methods for cutoff selection resulted in scores that were significantly different from the true population optimal score and if these methods produced biased accuracy estimates.
- Findings showed that many small studies frequently failed to identify the correct optimal cutoff score, particularly in smaller samples, leading to an overestimation of test sensitivity.
Objective: This study was undertaken to determine whether admission to dedicated seizure monitoring units (SMUs) result in reduced health care use (HCU).
Methods: This was a retrospective open cohort study covering the years 2010-2018 of patients residing in Alberta, Canada, who were referred to the Calgary Comprehensive Epilepsy Program and admitted to a level 4 SMU. Patients were required to have ≥3 years pre- and postadmission follow-up.
Objective: Epilepsy is primarily treated with antiseizure medications (ASMs). The recommendations for first ASM in newly diagnosed epilepsy are inconsistently followed, and we sought to examine whether nonrecommended first ASM was associated with acute care utilization.
Methods: We conducted a retrospective cohort study of adults (≥18 years old) with newly diagnosed epilepsy (identified using validated epilepsy/convulsion International Classification of Diseases, Clinical Modification codes) in 2015-2019, sampled from Marketscan's Commercial and Medicare Databases.
Article Synopsis
- - The International League Against Epilepsy's (ILAE) Task Force created recommendations for diagnosing and treating anxiety and depression in kids with epilepsy after reviewing studies on screening measures and treatment effectiveness.
- - Key recommendations for diagnosis include universal screening, closer monitoring for high-risk children, and using multiple sources to assess symptoms while emphasizing the importance of recognizing symptoms for better treatment outcomes.
- - For treatment, individualized plans are advised, with monitoring for mild cases and referrals for more severe conditions, alongside the development of clinical care pathways and age-appropriate psychosocial interventions.