Pregled bibliografske jedinice broj: 684213
Delay in the diagnosis of multiple sclerosis in Croatia.
Delay in the diagnosis of multiple sclerosis in Croatia. // Clinical neurology and neurosurgery (International ed.), 115 (2013), 1; 70-72 (podatak o recenziji nije dostupan, članak, ostalo)
CROSBI ID: 684213 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Delay in the diagnosis of multiple sclerosis in Croatia.
Autori
Adamec, Ivan ; Barun, Barbara ; Gabelic, Tereza ; Zadro, Ivana ; Habek, Mario
Izvornik
Clinical neurology and neurosurgery (International ed.) (0929-1717) 115
(2013), 1;
70-72
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo
Ključne riječi
MS; delay in diagnosis
Sažetak
BACKGROUND: The National Institute for Health and Clinical Excellence (NICE) guidelines for multiple sclerosis (MS) recommend the time from initial presentation to first neurological evaluation to be no longer than 6 weeks, and a further 6 weeks until any necessary investigations are completed. The aim of this study was to evaluate how many patients with MS are diagnosed within the NICE timelines in two settings specific for Croatia. PATIENTS AND METHODS: All patients with the final diagnosis of clinically isolated syndrome (CIS) or MS in a 6 months period were retrospectively reviewed. We calculated time from first symptom to first neurological evaluation, time from first symptom to MRI scan, time from first neurological evaluation to MRI scan, time from first neurological evaluation to lumbar puncture (LP), time from first symptom to diagnosis and time from first neurological evaluation to diagnosis. We also calculated the percentage of patients fulfilling the NICE timelines. RESULTS: This study showed that only 61.5% of MS patients in Croatia see neurologist within 6 weeks of first symptoms, and 64.1% are diagnosed within next 6 weeks. However, 80% and 100% of patients presented to the emergency room of our hospital (where a visit to a MS clinic can be automatically made) met the NICE guidelines for time from first symptom to first neurological evaluation and time from first neurological evaluation to diagnosis, respectively. CONCLUSION: A specifically designed demyelinating disease diagnostic clinic offers a better service than other existing models in the diagnosis and management of MS patients.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Projekti:
108-0131484-0032 - Sustav poremećaja kortikalnih funkcija u neurološkim bolestima (Klepac, Nataša, MZOS ) ( CroRIS)
Ustanove:
Medicinski fakultet, Zagreb
