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 |
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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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