Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital

Epilepsy is more common in childhood than in adulthood, and it may have destructive cognitive and social effects. In paediatrics, epilepsy is usually drug resistant because the developmental progressions underlying epilepsy build on signalling elements and cascades that are distinctive to the develo...

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Main Author: M. Salih, Muhannad R
Format: Thesis
Language:English
Published: 2012
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Online Access:http://eprints.usm.my/45668/1/MUHANNAD%20R.%20M.%20SALIH_HJ.pdf
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spelling my-usm-ep.456682019-10-16T01:18:34Z Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital 2012-01 M. Salih, Muhannad R RS200-201 Pharmaceutical dosage forms Epilepsy is more common in childhood than in adulthood, and it may have destructive cognitive and social effects. In paediatrics, epilepsy is usually drug resistant because the developmental progressions underlying epilepsy build on signalling elements and cascades that are distinctive to the development of the brain. Thus, epilepsy in children is a particular dilemma that cannot be treated as a subset of adult epilepsy. Numerous issues greatly affect the causation, management and outcome of epilepsy in Asia, including psychosocial, cultural, economic, political, and organisational factors. The general objective of this study was to evaluate the management of paediatric patients with structural-metabolic epilepsy. This included both clinical and economical standpoints in the Out-patient Paediatric Neurology Clinic at Hospital Pulau Pinang, Malaysia. In the first part of this retrospective longitudinal study, an observational clinical evaluation was conducted. The recruited children were followed up for one year after the first visit. The required data were extracted from the medical records. In the second part, an annual prevalence-based economic study was conducted. The total costs of epilepsy management were estimated from the provider (i.e., hospital) perspective, using a bottom-up, microcosting analysis. Medical chart/billing data (i.e., case reports) obtained from the hospital (i.e., provider) were collected to estimate the resources used. In addition, cost-effectiveness analysis was performed to assess the use of therapeutic drug monitoring, and new antiepileptic drugs as add-on therapies in the management of paediatric patients with structural-metabolic epilepsy. 2012-01 Thesis http://eprints.usm.my/45668/ http://eprints.usm.my/45668/1/MUHANNAD%20R.%20M.%20SALIH_HJ.pdf application/pdf en public phd doctoral Universiti Sains Malaysia Pusat Pengajian Sains Farmasi
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic RS200-201 Pharmaceutical dosage forms
spellingShingle RS200-201 Pharmaceutical dosage forms
M. Salih, Muhannad R
Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital
description Epilepsy is more common in childhood than in adulthood, and it may have destructive cognitive and social effects. In paediatrics, epilepsy is usually drug resistant because the developmental progressions underlying epilepsy build on signalling elements and cascades that are distinctive to the development of the brain. Thus, epilepsy in children is a particular dilemma that cannot be treated as a subset of adult epilepsy. Numerous issues greatly affect the causation, management and outcome of epilepsy in Asia, including psychosocial, cultural, economic, political, and organisational factors. The general objective of this study was to evaluate the management of paediatric patients with structural-metabolic epilepsy. This included both clinical and economical standpoints in the Out-patient Paediatric Neurology Clinic at Hospital Pulau Pinang, Malaysia. In the first part of this retrospective longitudinal study, an observational clinical evaluation was conducted. The recruited children were followed up for one year after the first visit. The required data were extracted from the medical records. In the second part, an annual prevalence-based economic study was conducted. The total costs of epilepsy management were estimated from the provider (i.e., hospital) perspective, using a bottom-up, microcosting analysis. Medical chart/billing data (i.e., case reports) obtained from the hospital (i.e., provider) were collected to estimate the resources used. In addition, cost-effectiveness analysis was performed to assess the use of therapeutic drug monitoring, and new antiepileptic drugs as add-on therapies in the management of paediatric patients with structural-metabolic epilepsy.
format Thesis
qualification_name Doctor of Philosophy (PhD.)
qualification_level Doctorate
author M. Salih, Muhannad R
author_facet M. Salih, Muhannad R
author_sort M. Salih, Muhannad R
title Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital
title_short Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital
title_full Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital
title_fullStr Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital
title_full_unstemmed Pharmacotherapy Outcomes And Cost Evaluation Of Paediatric Epilepsy In Penang Hospital
title_sort pharmacotherapy outcomes and cost evaluation of paediatric epilepsy in penang hospital
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Farmasi
publishDate 2012
url http://eprints.usm.my/45668/1/MUHANNAD%20R.%20M.%20SALIH_HJ.pdf
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