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Prescription patterns of antiepileptic drugs for adult patients with newly diagnosed focal epilepsy from 2006 to 2017 in Japan

Chen, Siming 京都大学 DOI:10.14989/doctor.k24881

2023.09.25

概要

wide variety of antiepileptic drugs (AEDs) as well as surgery. However,
since surgical interventions are mainly reserved for patients with
drug-resistant epilepsy, the first line treatments focus on AED adminis­
tration (Das et al., 2012).
Multiple factors are taken into account when AEDs are considered for
epilepsy treatment. It is necessary to select AEDs based on both the type
of seizure experienced and the nature of diagnosed epilepsy (French and
Gazzola, 2013). ...

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5. Conclusions

Our study demonstrated changes in prescription patterns of AEDs for

the treatment of adult patients with newly diagnosed focal epilepsy in

Japan, found a trend of increased reliance on new AEDs between 2006

and 2017 and a consistently high physician adherence to the Guideline

of Epilepsy Treatment 2010 from 2010 to 2017. Furthermore, our study

also showed that health facilities with 0–19 beds (clinics) were less in­

clined to prescribe new AEDs and adhere to established guidelines.

Funding

This study was supported by the Department of Pharmacoepidemi­

ology, Kyoto University; Department of Epilepsy, Movement Disorders,

and Physiology, Kyoto University [15H05874]; the Japan Society for the

Promotion of Science (JSPS) [19H03574]; and the Project Promoting

Clinical Trials for Development of New Drugs (grant number:

19lk0201061h0004) from the Japan Agency for Medical Research and

Development (AMED).

Declaration of competing interest

None of the authors have any competing interests to declare.

Acknowledgement

This study is based on data from the JMDC. The interpretation and

conclusions contained herein do not represent those of the JMDC.

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