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Table 1 Summary of the eligibility criteria for both SLRs

From: The burden of mitochondrial disease with associated seizures: systematic literature reviews of health-related quality of life, utilities, costs and healthcare resource use data

Criterion

Inclusion criteria

Exclusion criteria

Population

Studies of patients with mitochondrial disease with associated seizures were eligible. Studies reporting data for caregivers of these patients were also eligible

Specifically, patients with the following mitochondrial diseases were eligible for inclusion in the SLR:

 Leigh’s syndrome

 POLG1 mutation related disorders:

  AHS

  MCHS

  MEMSA

  SCAE

  PEO

  MIRAS

  SANDO

  arPEO (includingC10orf2/Twinkle)

  adPEO

 MELAS

 MERRF

 RARS2 mutation related disorders:

  Pontocerebellar hypoplasia type 6

 PDHC deficiency

Studies with mixed populations (> 75% included in the list above) were also eligible

In the original SLRs, the terminology used to describe the population was ‘mitochondrial disease with epilepsy’; however, for the update SLRs this was changed to ‘mitochondrial disease with associated seizures’. Although there was a change in terminology, the eligible patient population and study selection were consistent

Animal/in vitro studies

Patients with other conditions

Patients with mitochondrial diseases who did not have epilepsy

Interventions

No restrictions

 

Comparators

No restrictions

 

Outcomes

HRQoL and utilities SLR

Studies reporting data from HRQoL tools were eligible for inclusion, including:

 Adult's Attitudes to Children with Epilepsy: Visual Analogue Scale

 DISABKIDS (Epilepsy Module)

 ELDQOL

 ECQ

 EFA

 GEOS-YP

 HARCES

 CHEQOL-25

 Modified Impact of Epilepsy Schedule

 ICI

 IPES

 ICND

 NeuroQol

 Newcastle Mitochondrial Disease Questionnaire

 PedsQL

 PedsQL Epilepsy Module

 PESQ

 PROMIS Paediatric/Parent Proxy Profile:

  PROMIS Paediatric/Parent Proxy Profile 25

  PROMIS Paediatric/Parent Proxy Profile 37

  PROMIS Paediatric/Parent Proxy Profile 49

 QOLCE:

  QOLCE 16

  QOLCE 55

  G-QOLCE

 QOLIE:

  QOLIE 31

  QOLIE 89

 QOLIE-AD-48

 QOLPES

 SF-36

Studies reporting data from the following health state utility tools were eligible for inclusion:

 AQoL-6D for adolescents

 AQoL for adults:

  AQoL-4D

  AQoL-6D

  AQoL-8D

 CHU9D

 EQ-5D

 EQ-5D-Y:

  EQ-5D-Y Proxy Version 1

  EQ-5D-Y Proxy Version 2

  EQ-5D-Y Interviewer Administered Proxy Version 1

  EQ-5D-Y Interviewer Administered Proxy Version 2

 HUI

 HUI2

 HUI3

 SF-6D

 15D

 16D

 17D

 AHUM

 HSCS-PS

 QWB

Costs and healthcare resource use SLR

Studies reporting data on the following types of costs and healthcare resource utilisation were eligible for inclusion:

 Direct monetary costs associated with mitochondrial disease with associated seizures specifically:

  Direct medical costs

  Direct non-medical costs

 Indirect monetary costs, including on caregivers, specifically:

  Impact on work or education

  Days lost, e.g. work or education

 Resource use:

  Any non-monetary resource use data

Economic evaluation outcomes, e.g. QALYs / ICERs, were ineligible

Study designs and categories of articles

No restrictions on study design providing eligible outcomes were reported

Categories of articles excluded:

 Opinion pieces

 Letters

 Editorials

 Systematic reviews

Systematic reviews published since 2016 were used for reference checking only

Studies published as abstracts or conference presentations were not eligible for inclusion

Limits

Limit to English language only

Non-English language articles

  1. 15D 15-dimensional, 16D 16-dimensional, 17D 17-dimensional, adPEO Autosomal dominant PEO, AHS Alpers–Huttenlocher syndrome, AHUM Adolescent Health Utility Measure, arPEO Autosomal recessive PEO, AQoL Assessment of Quality of Life, CHEQOL-25 Health-Related Quality of Life Measure for Children with Epilepsy, CHU9D Child Health Utility instrument, ECQ Epilepsy and Children Questionnaire, EFA Epilepsy Foundations of America Concerns Index, ELDQOL Epilepsy and Learning Disability Quality of Life, EQ-5D EuroQol 5 dimensions, EQ-5D-Y EuroQol 5 dimensions (youth), GEOS-YP Glasgow Epilepsy Outcome Scale, G-QOLCE Global Quality of Life in Childhood Epilepsy, HARCES The Hague Restrictions in Childhood Epilepsy Scale, HSCS-PS Health Status Classification System-Preschool, HUI Health Utilities Index, ICER Incremental cost-effectiveness ratio, ICI Impact of Childhood Illness Scale, ICND Impact of Childhood Neurologic Disability, IPES Impact of Paediatric Epilepsy Scale, MCHS Childhood myocerebrohepatopathy spectrum, MELAS Mitochondrial encephalopathy, lactic acidosis, and stroke-like episode, MEMSA Myoclonic epilepsy myopathy sensory ataxia, MERRF Myoclonus epilepsy with ragged-red fibers, MIRAS Mitochondrial recessive ataxia syndrome, NeuroQol Neurology Quality of Life Measurement System, PDHC Pyruvate dehydrogenase complex, PedsQL Paediatric Quality of Life Inventory, PEO Progressive external ophthalmoplegia, PESQ Perceptual Evaluation of Speech Quality, POLG Polymerase gamma, PROMIS Patient-Reported Outcomes Measurement Information System, QALY Quality adjusted life year, QOLCE Quality of Life in Childhood Epilepsy, QOLIE-AD-48 Quality of Life in Epilepsy Inventory for Adolescents, QOLIE Quality of Life in Epilepsy Inventory, QOLPES Quality of Life in Paediatric Epilepsy, QWB Quality of Well-Being Scale, RARS2 Arginyl-tRNA synthetase 2, SANDO Sensory ataxia neuropathy dysarthria and ophthalmoplegia, SCAE Spinocerebellar ataxia with epilepsy, SF-36 36-Item Short Form Survey, SF-6D Short Form-6 dimensions, SLR Systematic literature review