Abstract：
OBJECTIVE: In epilepsy, early diagnosis, accurate determination of epilepsy type, proper selection of antiseizure medication, and monitoring are all essential. However, despite recent therapeutic advances and conceptual reconsiderations in the classification and management of epilepsy, serious gaps are still encountered in day-to-day practice in Egypt as well as several other resource-limited countries. Premature mortality, poor quality of life, socio-economic burden, cognitive problems, poor treatment outcomes, and comorbidities are major challenges that require urgent actions to be implemented at all levels. In recognition of this, a group of Egyptian epilepsy experts met through a series of consecutive meetings to specify the main concepts concerning the diagnosis and management of epilepsy, with the ultimate goal of establishing a nationwide Egyptian consensus.
METHODS: The consensus was developed through a modified Delphi methodology. A thorough review of the most recent relevant literature and international guidelines was performed to evaluate their applicability to the Egyptian situation. Afterward, several remote and live rounds were scheduled to reach a final agreement for all listed statements.
RESULTS: Of 278 statements reviewed in the first round, 256 achieved ≥80% agreement. Live discussion and refinement of the 22 statements that did not reach consensus during the first round took place, followed by final live voting then consensus was achieved for all remaining statements.
CONCLUSIONS: With the implementation of these unified recommendations, we believe this will bring about substantial improvements in both the quality of care and treatment outcomes for persons with epilepsy in Egypt.
CONCLUSIONS: This work represents the efforts of a group of medical experts to reach an agreement on the best medical practice related to people with epilepsy based on previously published recommendations while taking into consideration applicable options in resource-limited countries. The publication of this document is expected to minimize many malpractice issues and pave the way for better healthcare services on both individual and governmental levels.
METHODS: The consensus was developed through a modified Delphi methodology. A thorough review of the most recent relevant literature and international guidelines was performed to evaluate their applicability to the Egyptian situation. Afterward, several remote and live rounds were scheduled to reach a final agreement for all listed statements.
RESULTS: Of 278 statements reviewed in the first round, 256 achieved ≥80% agreement. Live discussion and refinement of the 22 statements that did not reach consensus during the first round took place, followed by final live voting then consensus was achieved for all remaining statements.
CONCLUSIONS: With the implementation of these unified recommendations, we believe this will bring about substantial improvements in both the quality of care and treatment outcomes for persons with epilepsy in Egypt.
CONCLUSIONS: This work represents the efforts of a group of medical experts to reach an agreement on the best medical practice related to people with epilepsy based on previously published recommendations while taking into consideration applicable options in resource-limited countries. The publication of this document is expected to minimize many malpractice issues and pave the way for better healthcare services on both individual and governmental levels.
摘要：
目标：在癫痫中，早期诊断,准确确定癫痫类型，正确选择抗癫痫药物，监控都是必不可少的。然而,尽管最近在癫痫的分类和管理方面取得了治疗进展和概念上的重新考虑，埃及以及其他几个资源有限的国家在日常实践中仍然存在严重差距。过早死亡，生活质量差，社会经济负担,认知问题，不良的治疗结果，合并症是重大挑战，需要在各级采取紧急行动。认识到这一点，一组埃及癫痫专家通过一系列连续会议进行了会议，以确定有关癫痫诊断和治疗的主要概念，最终目标是建立全国性的埃及共识。
方法：共识是通过改进的Delphi方法形成的。对最新相关文献和国际准则进行了彻底审查，以评估其对埃及局势的适用性。之后,安排了几次远程和实时回合，以就所有列出的声明达成最终协议。
结果：在第一轮审查的278份声明中，256达到≥80%的一致性。对第一轮未达成共识的22项声明进行了现场讨论和完善，然后进行最后的现场投票，然后对所有剩余的声明达成共识。
结论：随着这些统一建议的实施，我们相信这将大大改善埃及癫痫患者的护理质量和治疗结果.
结论：这项工作代表了一组医学专家的努力，根据先前发表的建议，在考虑资源有限国家的适用方案的同时，就与癫痫患者相关的最佳医疗实践达成一致。预计该文件的发布将最大程度地减少许多渎职问题，并为个人和政府层面的更好的医疗服务铺平道路。
方法：共识是通过改进的Delphi方法形成的。对最新相关文献和国际准则进行了彻底审查，以评估其对埃及局势的适用性。之后,安排了几次远程和实时回合，以就所有列出的声明达成最终协议。
结果：在第一轮审查的278份声明中，256达到≥80%的一致性。对第一轮未达成共识的22项声明进行了现场讨论和完善，然后进行最后的现场投票，然后对所有剩余的声明达成共识。
结论：随着这些统一建议的实施，我们相信这将大大改善埃及癫痫患者的护理质量和治疗结果.
结论：这项工作代表了一组医学专家的努力，根据先前发表的建议，在考虑资源有限国家的适用方案的同时，就与癫痫患者相关的最佳医疗实践达成一致。预计该文件的发布将最大程度地减少许多渎职问题，并为个人和政府层面的更好的医疗服务铺平道路。
