Review Article

Bridging the Gap between Evidence and Practice for Adults with Medically Refractory Temporal Lobe Epilepsy: Is a Change in Funding Policy Needed to Stimulate a Shift in Practice?

Table 2

Specific components of health economic evaluation conducted in selected studies.

First authorType of economic evaluationOutcome measurePerspectiveModeling Time horizon (years)Discounting (rates in %)

Wiebe [18]Intent-to-treat, CEA Seizure freedom rate overallProviderDecision analysis modelingLifetime (35 years)5

King [19]Intent-to-treat, CUAQALYSocietalMarkov state transition modelLifetime 5

Langfitt [20]CUAQALYProvider Decision analysis modelingLifetime5

Picot [23]CEA alongside clinical study (280 patients total)Seizure-freedom rate at 1 yearSocietalMonte Carlo simulation based on Markov transition modelLifetime3

Although referred to as a CEA, this was technically a CUA.