TY - JOUR

T1 - Seizure Control in Glioma Related Epilepsy: Proposal of a Qualitative Attribute Selection for a Discrete Choice Experiment into Patient Priorities for Treatment Goals

AU - Clynch, A.

AU - Elliott, M.

AU - Holmes, Emily

AU - Marson, T.

AU - Jenkinson, M.D.

PY - 2022/9/6

Y1 - 2022/9/6

N2 - IntroductionSeizures occur in ∼50% of high-grade glioma and >80% of low-grade glioma patients. Recurrent seizures affect >50% of low-grade gliomas. Both seizures and anti-epileptic drugs (AEDs) can impact health-related quality of life (HrQOL). Little is known about the patient preferences that feed into prescribing decisions in glioma-related seizures.AimTo explore key outcomes patients value in the treatment of glioma related epilepsy. To select attributes for a future Discrete Choice Experiment (DCE) that analyses the attributes traded by patients in decision making.MethodAttribute lists will be formulated in 3 stages: (1) systematic review of glioma and epilepsy literature; (2) clinician review to highlight missing outcomes and (3) patient focus groups. There will be ∼6 focus groups on total: 4 initial concept development focus groups and 2 detailed focus groups analysing the phrasing of attributes. Patients’ recruitment starts in November 2021.ResultsFocus group transcripts will be analysed using qualitative analysis methods of thematic analysis and case deviant analysis to identify common themes and how they relate to population variables. If thematic analysis suggests a high level of heterogeneity between group sessions additional focus groups may be required. A ranked list of variables will be generated based on factors including tumour grade, primary vs recurrent tumour, seizure type and time since diagnosis.ConclusionThere is limited research examining outcomes patients value throughout their own treatment. This study will allow clinicians to gain a much-needed insight into patient priorities during the management of glioma-related seizures.

AB - IntroductionSeizures occur in ∼50% of high-grade glioma and >80% of low-grade glioma patients. Recurrent seizures affect >50% of low-grade gliomas. Both seizures and anti-epileptic drugs (AEDs) can impact health-related quality of life (HrQOL). Little is known about the patient preferences that feed into prescribing decisions in glioma-related seizures.AimTo explore key outcomes patients value in the treatment of glioma related epilepsy. To select attributes for a future Discrete Choice Experiment (DCE) that analyses the attributes traded by patients in decision making.MethodAttribute lists will be formulated in 3 stages: (1) systematic review of glioma and epilepsy literature; (2) clinician review to highlight missing outcomes and (3) patient focus groups. There will be ∼6 focus groups on total: 4 initial concept development focus groups and 2 detailed focus groups analysing the phrasing of attributes. Patients’ recruitment starts in November 2021.ResultsFocus group transcripts will be analysed using qualitative analysis methods of thematic analysis and case deviant analysis to identify common themes and how they relate to population variables. If thematic analysis suggests a high level of heterogeneity between group sessions additional focus groups may be required. A ranked list of variables will be generated based on factors including tumour grade, primary vs recurrent tumour, seizure type and time since diagnosis.ConclusionThere is limited research examining outcomes patients value throughout their own treatment. This study will allow clinicians to gain a much-needed insight into patient priorities during the management of glioma-related seizures.

U2 - 10.1093/bjs/znac269.274

DO - 10.1093/bjs/znac269.274

M3 - Article

VL - 109

JO - British Journal of Surgery

JF - British Journal of Surgery

IS - Supplement_6

ER -