Exploring determinants of time to school re-entry after pediatric epilepsy surgery

After epilepsy surgery, it varies when children re-enter school. The aim of this study was to identify determinants for this variation. Parents of 21 school-attending children participated in semi-structured interviews during their child’s hospitalization for epilepsy surgery and one year afterward...

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Main Authors: Evangeline A. Huis in 't Veld, Olga Braams, Willem M. Otte, Peter van Rijen, Kees P.J. Braun, Renske Schappin
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Epilepsy & Behavior Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589986425000310
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author Evangeline A. Huis in 't Veld
Olga Braams
Willem M. Otte
Peter van Rijen
Kees P.J. Braun
Renske Schappin
author_facet Evangeline A. Huis in 't Veld
Olga Braams
Willem M. Otte
Peter van Rijen
Kees P.J. Braun
Renske Schappin
author_sort Evangeline A. Huis in 't Veld
collection DOAJ
description After epilepsy surgery, it varies when children re-enter school. The aim of this study was to identify determinants for this variation. Parents of 21 school-attending children participated in semi-structured interviews during their child’s hospitalization for epilepsy surgery and one year afterward (based on the standard neuropsychological post-surgical follow-up). The mean time to school re-entry was 10.7 weeks (SD = 6.3). One child did not attend school after one year, whilst the fastest child resumed school 2 weeks after surgery. We performed univariable linear regression models with bootstrapped R2 for all variables deemed theoretically or clinically relevant to school re-entry. We found that temporal surgery was significantly related to shorter time to school re-entry; and that longer hospitalization, and presurgical outpatient educational counseling were significantly related to longer time to school re-entry. In multivariable linear regression, these variables together predicted 57% of variance (bootstrapped) in time to school re-entry. In conclusion, our findings indicate that school re-entry varies considerably among children but can partly be explained by surgery related variables and the presence of counseling. Given the importance of school in children’s daily lives, we argue that school attendance should be stimulated by increasing professionals’ awareness of children’s school re-entry process.
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spelling doaj-art-8a4926442d15443db36e7c6ce82ce8412025-08-20T03:12:57ZengElsevierEpilepsy & Behavior Reports2589-98642025-06-013010077110.1016/j.ebr.2025.100771Exploring determinants of time to school re-entry after pediatric epilepsy surgeryEvangeline A. Huis in 't Veld0Olga Braams1Willem M. Otte2Peter van Rijen3Kees P.J. Braun4Renske Schappin5Department of Pediatric Psychology and Social Work, University Medical Center Utrecht, the Netherlands; Corresponding author.Department of Pediatric Psychology and Social Work, University Medical Center Utrecht, the NetherlandsDepartment of Child Neurology, University Medical Center Utrecht, the NetherlandsDepartment of Neurosurgery, University Medical Center Utrecht, the NetherlandsDepartment of Child Neurology, University Medical Center Utrecht, Member of ERN EpiCARE, the NetherlandsDepartment of Surgery, University Medical Center Utrecht, the NetherlandsAfter epilepsy surgery, it varies when children re-enter school. The aim of this study was to identify determinants for this variation. Parents of 21 school-attending children participated in semi-structured interviews during their child’s hospitalization for epilepsy surgery and one year afterward (based on the standard neuropsychological post-surgical follow-up). The mean time to school re-entry was 10.7 weeks (SD = 6.3). One child did not attend school after one year, whilst the fastest child resumed school 2 weeks after surgery. We performed univariable linear regression models with bootstrapped R2 for all variables deemed theoretically or clinically relevant to school re-entry. We found that temporal surgery was significantly related to shorter time to school re-entry; and that longer hospitalization, and presurgical outpatient educational counseling were significantly related to longer time to school re-entry. In multivariable linear regression, these variables together predicted 57% of variance (bootstrapped) in time to school re-entry. In conclusion, our findings indicate that school re-entry varies considerably among children but can partly be explained by surgery related variables and the presence of counseling. Given the importance of school in children’s daily lives, we argue that school attendance should be stimulated by increasing professionals’ awareness of children’s school re-entry process.http://www.sciencedirect.com/science/article/pii/S2589986425000310EducationChildInterviewCounselingDuration of hospitalization
spellingShingle Evangeline A. Huis in 't Veld
Olga Braams
Willem M. Otte
Peter van Rijen
Kees P.J. Braun
Renske Schappin
Exploring determinants of time to school re-entry after pediatric epilepsy surgery
Epilepsy & Behavior Reports
Education
Child
Interview
Counseling
Duration of hospitalization
title Exploring determinants of time to school re-entry after pediatric epilepsy surgery
title_full Exploring determinants of time to school re-entry after pediatric epilepsy surgery
title_fullStr Exploring determinants of time to school re-entry after pediatric epilepsy surgery
title_full_unstemmed Exploring determinants of time to school re-entry after pediatric epilepsy surgery
title_short Exploring determinants of time to school re-entry after pediatric epilepsy surgery
title_sort exploring determinants of time to school re entry after pediatric epilepsy surgery
topic Education
Child
Interview
Counseling
Duration of hospitalization
url http://www.sciencedirect.com/science/article/pii/S2589986425000310
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