We read with interest Bleasel’s recent editorial response [
] to our paper on shared decision-making in epilepsy neurosurgery [
[2]
]. We agree with Bleasel’s implication that our proposed method is complementary –
it cannot and should not wholly replace existing approaches to pre-surgical counseling
for persons with epilepsy. We also agree with Bleasel’s conclusion that “pre-surgical
counseling should incorporate and balance patient-centered and clinician-centered
outcomes.” In fact, we devoted the initial paragraph and figure of our paper to introducing
and elaborating the principles of shared decision-making and how these could be used
to both enhance the autonomy of patients and drive practice innovations to improve
the quality of life of persons with epilepsy. However, we disagree with Bleasel’s
mischaracterization of supposed limitations of our approach as these were derived
from conflating characteristics of the method itself with features of the hypothetical
case example selected to illustrate one application of the method.To read this article in full you will need to make a payment
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References
- Pre-surgical counseling.Epilepsy Behav. 2023; 140109137
- A procedure for predicting, illustrating, communicating, and optimizing patient-centered outcomes of epilepsy surgery using nomograms and Bayes’ theorem.Epilepsy Behav. 2023; 140109088
- Indications and expectations for neuropsychological assessment in epilepsy surgery in children and adults: Report of the ILAE Neuropsychology Task Force Diagnostic Methods Commission: 2017–2021 Neuropsychological assessment in epilepsy surgery.Epileptic Disord. 2019; 21: 221-234
- Improving Seizure Outcomes after Epilepsy Surgery: Time to Break the “Find and Cut” Mold: Epilepsy Surgery Outcomes.Epilepsy Curr. 2015; 15: 189-191
Article info
Publication history
Published online: April 01, 2023
Accepted:
March 8,
2023
Received in revised form:
March 6,
2023
Received:
March 3,
2023
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
