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EEG in fitness to drive evaluations in people with epilepsy - Considerable variations across Europe
R. Markhus, O. Henning, E. Molteberg, H. Hećimović, A. Ujvari, E. Hirsch, S. Rheims, R. Surges, K. Malmgren, S. Rüegg, A. Gil-Nagel, R. Roivainen, F. Picard, B. Steinhoff, P. Marusic, B. Mostacci, VK. Kimiskidis, I. Mindruta, C. Jagella, R....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články
- MeSH
- dospělí MeSH
- elektroencefalografie MeSH
- epilepsie epidemiologie MeSH
- lékařská praxe - způsoby provádění statistika a číselné údaje MeSH
- lidé středního věku MeSH
- lidé MeSH
- neurologové statistika a číselné údaje MeSH
- postoj zdravotnického personálu * MeSH
- posuzování pracovní neschopnosti * MeSH
- průzkumy a dotazníky MeSH
- řízení motorových vozidel zákonodárství a právo statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
PURPOSE: Epilepsy patients consider driving issues to be one of their most serious concerns. Ideally, decisions regarding fitness to drive should be based upon thorough evaluations by specialists in epilepsy care. In 2009, an EU directive was published aiming to harmonize evaluation practices within European countries, but, despite these recommendations, whether all epileptologists use the same criteria is unclear. We therefore conducted this study to investigate routine practices on how epileptologists at European epilepsy centers evaluate fitness to drive. METHODS: A questionnaire was sent to 63 contact persons identified through the European Epi-Care and the E-pilepsy network. The questionnaire addressed how fitness-to-drive evaluations were conducted, the involvement of different professionals, the use and interpretation of EEG, and opinions on existing regulations and guidelines. RESULTS: The questionnaire was completed by 35 participants (56 % response rate). Results showed considerable variation regarding test routines and the emphasis placed on the occurrence and extent of epileptiform discharges revealed by EEG. 82 % of the responders agreed that there was a need for more research on how to better evaluate fitness-to-drive in people with epilepsy, and 89 % agreed that regulations on fitness to drive evaluations should be internationally coordinated. CONCLUSION: Our survey showed considerable variations among European epileptologists regarding use of EEG and how findings of EEG pathology should be assessed in fitness-to-drive evaluations. There is a clear need for more research on this issue and international guidelines on how such evaluations should be carried out would be of value.
Department of Epileptology University Hospital Bonn Germany
Department of Neurology Epilepsy Program Hospital Ruber Internacional Madrid Spain
Department of Neurology University Hospital Basel Switzerland
Department of Neurology Yale University School of Medicine New Haven USA
Division of Clinical Neuroscience National Centre for Epilepsy Oslo University Hospital Norway
Epilepsiezentrum Kork Kork Germany
Epilepsy Center Medical Center University of Freiburg Freiburg Germany
Helsinki University Hospital Neurocenter Epilepsia Helsinki Finland
IRCCS Institute of Neurological Sciences of Bologna Bologna Italy
Juhász Pál Epilepsy Centrum National Institute of Clinical Neuroscience Budapest Hungary
Neuro Center University North Zagreb Croatia
Neurocentre Bellevue Zurich Switzerland
Neurology Department University Hospital Strasbourg France
RehaClinic Kilchberg ZH Kilchberg Switzerland
Citace poskytuje Crossref.org
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