Reply to “Therapeutic management of people with epilepsy in low- and middle-income countries”

Jérémy Jost (1, 2) , Pierre-Marie Preux (3, 1, 4)

1 NET - Neuroépidémiologie Tropicale
2 Service de Pharmacie Centrale [CHU Limoges]
3 SIME - Service de l'Information Médicale et de l'Évaluation [CHU Limoges]
4 Laboratoire de Biostatistique et d'Informatique Médicale

To the Editor We thank Job and Wiwanitkit [1] for their interest in our paper [2]. Indeed, we proposed, at the end of this review, to standardize the evaluation practices of management programs because our review showed that the methodology was very variable and impaired the comparisons. This will consist in using valid designs of evaluation, similar indicators, etc., in order to adequately compare the studies and the programs in their outcomes and to combine the different studies in meta-analyses. In fact, we did not propose to standardize the management itself, and we agree with Job and Wiwanitkit that this could be a big problem in practice and has to be concordant with social conditions. However, as researchers in public health, we have to try to fix general guidelines that could improve conditions of people with epilepsy in all deprived settings. The standardization of the evaluation would help in this purpose.

Domaines: Santé publique et épidémiologie

Jérémy Jost, Pierre-Marie Preux. Reply to “Therapeutic management of people with epilepsy in low- and middle-income countries”. Epilepsy & Behavior, 2018, 83, pp.243. ⟨10.1016/j.yebeh.2018.02.012⟩. ⟨hal-01745272⟩