Factors influencing the costs of epilepsy in adults with an intellectual disability

Mark Pennington (Lead / Corresponding author), Elizabeth Prince, Naomi Bateman, Joanne Gray, Tim J. Croudace, Marcus Redley, Nicholas Wood, Howard Ring

    Research output: Contribution to journalArticlepeer-review

    14 Citations (Scopus)


    Purpose: Despite the common occurrence of intellectual disability (ID) in people with epilepsy, most studies of the cost of epilepsy have focussed primarily or exclusively on people without ID. This paper estimates the costs of supporting people with epilepsy and ID.
    Methods: Prospective resource use and outcome data were collected on 91 participants from the east of England for seven months. Multivariate analysis was used to investigate the relationship between costs and patient and healthcare provider characteristics.
    Results: Mean health care costs relating to epilepsy or ID were £2800 (3500 Euros, 5200 USD) p.a. Modelling suggests costs are lower for patients with more severe ID (p = 0.014); and higher for patients managed by a consultant neurologist (p = 0.037).
    Discussion: Our findings support limited evidence from the literature of increased epilepsy costs in people with ID. Patterns of expenditure suggest clinical variation in the treatment of epilepsy according to the severity of ID, particularly in the absence of management by a consultant neurologist.
    Original languageEnglish
    Pages (from-to)205-210
    Number of pages6
    Issue number3
    Publication statusPublished - Apr 2012


    • Clinical Neurology
    • Neurology


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