Lowerison MW, Josephson CB, Jetté N, et al. - In this retrospective open cohort study, experts explored if the level of care (non-neurologist, neurologist, or comprehensive epilepsy program) is negatively correlated with the risk of premature mortality. All adult patients 18 years of age or older who met the definition of an administrative case for incident epilepsy in linked databases (Alberta Health Services administrative health data and the Comprehensive Calgary Epilepsy Programme Registry [CEP]) from 2002 to 2016 were followed up until death or loss of follow-up. A total of 23,653 incident cases were identified. Investigators found that the standardized mortality rate was 7.2% for the entire cohort, for those receiving nonspecialist care it was 9.4%, and for those seen by a neurologist it was 5.6%, and for those seen in the CEP it was 2.8%. Specialist care is associated with incremental decreases in premature mortality risk. The biggest advantage was given to those who referred to a comprehensive epilepsy program.