Silent refractoriness in epilepsy care: cross-sectoral analysis of prescribing patterns, referrals and workforce capacity in Saxony - Takeaways - MDSpire

Unrecognized Challenges in Epilepsy Management: A Cross-Sector Analysis of Prescription Trends, Referral Practices, and Workforce Availability in Saxony

  • By

  • Thomas Mayer

  • Johannes Lemke

  • Felix Von Podewils

  • Brigitte Scheid

  • Torsten Kraya

  • Susanne Hallmeyer-Elgner

  • Joseph Classen

  • Karel Kostev

  • Sonya C. Faber

  • Adam Strzelczyk

  • July 21, 2026

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  • 1

    Epilepsy care in Saxony relies on a delegated outpatient model, with neurologists and general practitioners managing long-term treatment.

  • 2

    Approximately 36% of epilepsy patients in Saxony meet criteria for drug resistance, yet few access specialized care.

  • 3

    Levetiracetam is the preferred medication across sectors, with significant regional variations in prescribing patterns.

  • 4

    Referral practices in Saxony are inconsistent, leading to minimal connectivity to specialized epilepsy centers.

  • 5

    The study highlights the need for standardized referral criteria and improved cross-sectoral networks in epilepsy care.

Original Source(s)

Silent refractoriness in epilepsy care: cross-sectoral analysis of prescribing patterns, referrals and workforce capacity in Saxony

  • by Thomas Mayer, Johannes Lemke, Felix Von Podewils, Brigitte Scheid, Torsten Kraya, Susanne Hallmeyer-Elgner, Joseph Classen, Karel Kostev, Sonya C. Faber, Adam Strzelczyk

  • July 21, 2026

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