Influence of medical audit on electrodiagnostic evaluation of polyneuropathy. A multicentre study

Autor: Peter R.W. Fawcett, Anders Fuglsang-Frederiksen, Birger Johnsen, W. Nix, Hatice Tankisi, Mette Lena Olsen, Kirsten Pugdahl, Mamede de Carvalho, Ian S. Schofield, Rocco Liguori, Annick Labarre-Vila
Přispěvatelé: Department of Clinical Neurophysiology, Aarhus University Hospital, Department of Neurology, Hospital de Santa Maria, Newcastle General Hospital, Département de neurologie, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble, Department of Neurological Sciences, Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), University Clinics Mainz, Department of Clinical Epidemiology [Aarhus], Roux-Buisson, Nathalie, Pugdahl K., Tankisi H., Fuglsang-Frederiksen A., Johnsen B., de Carvalho M., Fawcett P.R., Labarre-Vila A., Liguori R., Nix W., Olsen M.L., Schofield I.S.
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Male
Electrodiagnostic medicine
International Cooperation
Medical audit
Neural Conduction
Motor nerve
MESH: Medical Audit
F wave
0302 clinical medicine
MESH: Neural Conduction
Medicine
030212 general & internal medicine
MESH: Muscle
Skeletal
MESH: Polyneuropathies
medicine.diagnostic_test
Electrodiagnosis
Clinical routine
Sensory Systems
3. Good health
Neurology
Evaluation Studies as Topic
MESH: Evaluation Studies as Topic
Female
[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
Multicenter database
Polyneuropathy
medicine.medical_specialty
Consensus
Process improvement
03 medical and health sciences
Polyneuropathies
Physiology (medical)
MESH: Analysis of Variance
Humans
[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
MESH: Consensus
Muscle
Skeletal
Analysis of Variance
MESH: Humans
business.industry
MESH: Electrodiagnosis
medicine.disease
MESH: Male
MESH: International Cooperation
Physical therapy
Neurology (clinical)
business
MESH: Female
030217 neurology & neurosurgery
Zdroj: Pugdahl, K, Tankisi, H, Fuglsang-Frederiksen, A, Johnsen, B, de Carvalho, M, Fawcett, P RW, Labarre-Vila, A, Liguori, R, Nix, W, Olsen, M L & Schofield, I S 2005, ' Influence of medical audit on electrodiagnostic evaluation of polyneuropathy. A multicentre study. ', Clinical Neurophysiology, vol. 116, pp. 49-55 .
Clinical Neurophysiology
Clinical Neurophysiology, Elsevier, 2005, 116 (1), pp.49-55. ⟨10.1016/j.clinph.2004.07.026⟩
Pugdahl, K, Tankisi, H, Fuglsang-Frederiksen, A, Johnsen, B, de Carvalho, M, Fawcett, P R, Labarre-Vila, A, Liguori, R, Nix, W, Olsen, M L & Schofield, I S 2004, ' Influence of medical audit on electrodiagnostic evaluation of polyneuropathy. A multicentre study ', Clin Neurophysiol, vol. 116, pp. 49-55 .
ISSN: 1388-2457
Popis: International audience; OBJECTIVE: Since 1992, 7 European neurophysiologists have participated in the ESTEEM project concerned with improvements in electrodiagnostic medicine. This study assesses whether the collaboration that includes peer review medical audit has influenced the involved physicians' electrodiagnostic criteria for polyneuropathy (PNP) diagnosing and classification. METHODS: Two sets of each physician's PNP examinations performed early and late in the study were examined for changes in (1) number of studies with abnormal electrophysiological findings required for diagnosing PNP, and (2) agreement between the classifications given by the individual physicians and the peer review group. RESULTS: The average number of abnormal motor nerve segments per patient increased from 4.6 to 6.4 during the study. Although most individual changes were minor, the second set of examinations showed an increased homogeneity among the physicians in the number of abnormal motor nerve segments and abnormal F wave studies, and a tendency towards increased homogeneity in the number of abnormal sensory nerve segments. There was also an increased agreement on pathophysiological PNP classification in the second set of examinations compared to the first set. CONCLUSIONS: The participation in the ESTEEM project seems to have impacted the physicians' clinical routine, possibly as they have accustomed themselves to apply criteria more strictly. SIGNIFICANCE: This study support that international collaboration is a useful step towards improvements in electrodiagnostic medicine.
Databáze: OpenAIRE
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