Needs of Epilepsy Care from Inter-hospital Network System of Epilepsy: Sample Survey of the Epilepsy Clinic in Kyoto University Hospital

  • Tanioka Kosuke
    Department of Neurology, Kyoto University Graduate School of Medicine
  • Hitomi Takefumi
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Clinical Laboratory, Kyoto University Graduate School of Medicine
  • Sato Kazuaki
    Department of Neurology, Kyoto University Graduate School of Medicine
  • Neshige Shuichiro
    Department of Neurology, Kyoto University Graduate School of Medicine
  • Tsukada Takeshi
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Neurosurgery, Kanazawa Neurosurgical Hospital
  • Fujii Daiki
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Neurology, Kurashiki Central Hospital
  • Inoue Takeshi
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Neurology and Pediatric Neurology, Osaka City General Hospital
  • Yoshimura Hajime
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Neurology, Kobe City Medical Center General Hospital
  • Kobayashi Katsuya
    Department of Neurology, Kyoto University Graduate School of Medicine
  • Shimotake Akihiro
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
  • Matsumoto Riki
    Department of Neurology, Kyoto University Graduate School of Medicine Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
  • Takahashi Ryosuke
    Department of Neurology, Kyoto University Graduate School of Medicine
  • Ikeda Akio
    Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine

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Other Title
  • てんかん病診連携システムから見えるてんかん診療のニーズ~大学病院てんかん専門外来でのサンプル調査~

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Abstract

<p>To clarify the current situation of regional epilepsy care and its dissociation from the regional cooperative model for comprehensive epilepsy care, we retrospectively investigated the consecutive sample survey of epilepsy clinic of 1 certified epileptologist at Kyoto university hospital by means of inter-hospital network system from April 2013 to March 2016. Total 313 patients were introduced and the diagnoses were as follows; partial epilepsy: 115, generalized epilepsy: 67, isolated seizure: 53, psychogenic non epileptic seizure: 17, syncope: 34 etc. Referring purposes were different between epileptologists and non-epileptologists. The main referring purposes from epileptologists were related to surgical treatment, whereas those from non-epileptologists were related to diagnosis, medication and driving license and so on. As for transition, there were few consultations from pediatric neurologists. Based on these findings, it is necessary to prepare document and medical guidance in daily life for patients with epilepsy according to the referring purposes. Additionally, it is also important to provide information and educational opportunity of comprehensive epilepsy care for non-epileptologists in collaboration with other departments and conferences in order to promote transition in the future.</p>

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