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In October 2022, the first evidence-based practice guideline for genetic testing for unexplained epilepsies was published (J Genet Coun 2022), recommending genetic testing for all individuals with unexplained epilepsy, selected, ordered, and interpreted by a qualified healthcare provider (HCP) in the setting of appropriate genetic counselling. Concurrently, McKnight and colleagues sought to answer whether receiving such a genetic diagnosis is associated with a change in clinical management of epilepsy and subsequent outcomes. They asked 1567 HCPs who received diagnostic genetic results from a multigene panel over a 4-year period to complete a single online case report form that included clinical information, management changes as a result o…