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Advances in epilepsy in recent decades have allowed for improved
algorithms for diagnosis and a common understanding of terminology
with the development of the International Classifications of
Seizures and the Epilepsies. Nevertheless, no common system exists
for the estimation of epilepsy severity or its impact on quality of
life. Therefore, epileptologists lack the ability to make
quantitative assessments of individual patients for comparison of
care or for meta-analyses in clinical trials. This book on the
Quantitative Assessment of Epilepsy Care approaches this omission
by addressing the potential application of clinimetrics within the
framework of epilepsy treatment. Clinimetrics is a fast growing
discipline concerned with the quantification of clinical symptoms
with respect to decision making relating to diagnosis, treatment,
and prognosis. These methods allow for the development and
validation of clinical scoring systems. For example, the Glasgow
Coma Scale is widely used. As a chronic disorder, epilepsy would
benefit from clinimetric methodology to create uniformity and to
allow for comparisons among evaluations. In addition,
epileptologists have not yet developed assessments of health
related quality of life to define the overall condition of the
chronic epilepsy patient and various therapeutic endpoints. While
clini metric tools are essential for research, they will also be
useful in clinical practice for the care of individual patients by
documenting status and changes over time. This treatise will
provide critical analyses of whether existing rating scales and
techniques are valid to use, and which types of scales and
techniques require further development.
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