Who is referred to neurology clinics?—The diagnoses made in 3781 new patients
| Autor: | Richard J Coleman, Roger Smyth, Jonathan Cavanagh, Gordon D Murray, Jon Stone, Carina Hibberd, Alan Carson, Richard C. Roberts, Anthony J. Pelosi, R Goldbeck, Jane Walker, Charles P Warlow, Roger E Cull, Keith Matthews, Michael Sharpe, Roderick Duncan |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Movement disorders Neurology Headache Disorders Disease State Medicine Cohort Studies Epilepsy Sex Factors medicine Functional neurological symptom disorder Humans Outpatient clinic Prospective Studies Medical diagnosis Referral and Consultation Aged Neurologic Examination Geography business.industry Mental Disorders Patient Selection Age Factors General Medicine Middle Aged medicine.disease Scotland Physical therapy Female Surgery Neurology (clinical) Nervous System Diseases medicine.symptom business Cohort study |
| Zdroj: | Clinical Neurology and Neurosurgery. 112:747-751 |
| ISSN: | 0303-8467 |
| DOI: | 10.1016/j.clineuro.2010.05.011 |
| Popis: | Objective Information on the nature and relative frequency of diagnoses made in referrals to neurology outpatient clinics is an important guide to priorities in services, teaching and research. Previous studies of this topic have been limited by being of only single centres or lacking in detail. We aimed to describe the neurological diagnoses made in a large series of referrals to neurology outpatient clinics. Method Newly referred outpatients attending neurology clinics in all the NHS neurological centres in Scotland, UK were recruited over a period of 15 months. The assessing neurologists recorded the initial diagnosis they made. An additional rating of the degree to which the neurologist considered the patient's symptoms to be explained by disease was used to categorise those diagnoses that simply described a symptom such as ‘fatigue’. Results Three thousand seven hundred and eighty-one patients participated (91% of those eligible). The commonest categories of diagnosis made were: headache (19%), functional and psychological symptoms (16%), epilepsy (14%), peripheral nerve disorders (11%), miscellaneous neurological disorders (10%), demyelination (7%), spinal disorders (6%), Parkinson's disease/movement disorders (6%), and syncope (4%). Detailed breakdowns of each category are provided. Conclusions Headache, functional/psychological disorders and epilepsy are the most common diagnoses in new patient referral to neurological services. This information should be used to shape priorities for services, teaching and research. |
| Databáze: | OpenAIRE |
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