However, these limitations are unlikely to affect the general conclusions, and the study constitutes an alarming wake-up call to remind us that we need to do more to increase the number of epilepsy surgeries and decrease the general burden of the disease. One possible intervention is to organize a robust campaign of physician and patient education that instills useful messages about the safety and efficacy of epilepsy surgery and urges patients to seek referral to an epilepsy center for an epileptologist's opinion if seizures are not controlled after a year of care by the primary provider or neurologist.
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