Применение критериев McDonald немецкими неврологами указывает на необходимость дальнейшей подготовки.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
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Heinemann Johannes, Yankov Dimitar, Solomon Andrew J, Rauer Sebastian, Wiendl Heinz, Dersch Rick
Аннотация
Оригинал публикации
McDonald criteria application by German neurologists suggests a need for further training.
BACKGROUND: McDonald criteria (MC) are a globally accepted standard for the diagnosis of multiple sclerosis (MS). Misdiagnosis of MS is a common problem that has significant clinical consequences for patients. Misapplication of MC is a potential source of MS misdiagnosis. Recent research has identified elements of the criteria that are frequently misunderstood by neurologists in the US.
AIM: To assess application of MC by German neurologists.
METHODS: A previously developed survey instrument was modified and distributed to neurology residents and specialists (general neurology, not MS-subspecialists).
RESULTS: 68 neurologists (42 neurology residents (NR) and 26 neurology specialists (NS) completed the survey. We found frequent misapplication of MC. Symptoms atypical for MS were mistaken as typical by 31 % of participants. Understanding of MRI dissemination in space criteria was poor. Periventricular and juxtacortical lesions were incorrectly identified by 46 % and 55 %, respectively. Most participants accepted purely anamnestic reports of previous neurological symptoms without objective clinical evidence as sufficient to prove dissemination in time.
CONCLUSIONS: Training and continuing education on MS diagnostic criteria needs to be improved, especially concurrent with dissemination of future iterations of MC.