Referring Service Effect on Muscle Biopsy Diagnosis and Management in Myopathy
| Autor: | Kyle P Schmidt, Steven Tenny, Kenneth A. Follett |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Neurology Neurosurgery Specialty referring service therapeutic yield 03 medical and health sciences 0302 clinical medicine Rheumatology Pathology Result Internal medicine Biopsy medicine Myopathy Pathological Muscle biopsy medicine.diagnostic_test business.industry General Engineering therapeutically useful diagnostic yield 030220 oncology & carcinogenesis muscle biopsy medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.2800 |
| Popis: | Introduction Requests for muscle biopsy for evaluation of myopathy originate from a variety of different specialties. It is unknown whether the specialty of the referring service affects the likelihood of diagnostic biopsy or the therapeutic usefulness of a biopsy. Methods We reviewed 106 consecutive muscle biopsies requested by healthcare providers in neurology, rheumatology, family medicine, oncology, and gastroenterology. We tested for an association between referring service and whether the biopsy yielded a definitive pathology result or provided therapeutically useful results. Results Half of the biopsies (49%) returned definitive pathology and 88% of the biopsies provided information that contributed to therapeutic decisions. The diagnostic yield for muscle biopsies referred by different services was not statistically significant (p-value 0.1344) nor was the therapeutic yield statistically significant for muscle biopsies referred by different services (p-value 0.5525). Discussion The specialty of the service that requests a muscle biopsy does not influence the likelihood of obtaining a definitive pathological diagnosis or therapeutically useful information. Other factors may be more important in determining the likelihood of obtaining a clinically useful biopsy result. |
| Databáze: | OpenAIRE |
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