Epilepsy

Optics

Internal medicine

Psychiatry

Socioeconomic status

Medicine

Emergency medicine

Psychological intervention

Cohort

Retrospective cohort study

Cohort study

Population

Incidence (geometry)

Environmental health

Physics

Pediatrics

JAMA Neurology

<h3>Importance</h3> Patients with epilepsy are at an elevated risk of premature mortality. Interventions to reduce this risk are crucial. <h3>Objective</h3> To determine if the level of care (non-neurologist, neurologist, or comprehensive epilepsy program) is negatively associated with the risk of premature mortality. <h3>Design, Setting, and Participants</h3> In this retrospective open cohort study, all adult patients 18 years or older who met the administrative case definition for incident epilepsy in linked databases (Alberta Health Services administrative health data and the Comprehensive Calgary Epilepsy Programme Registry [CEP]) inclusive of the years 2002 to 2016 were followed up until death or loss to follow-up. The final analyses were performed on May 1, 2019. <h3>Exposures</h3> Evaluation by a non-neurologist, neurologist, or epileptologist. <h3>Main Outcomes and Measures</h3> The outcome was all-cause mortality. We used extended Cox models treating exposure to a neurologist or the CEP as time-varyi...

Association of Levels of Specialized Care With Risk of Premature Mortality in Patients With Epilepsy