Can medical audit change electromyographic practice?
Identifieur interne : 004C19 ( Main/Merge ); précédent : 004C18; suivant : 004C20Can medical audit change electromyographic practice?
Auteurs : N. B Finnerup [Danemark] ; B. Johnsen [Danemark] ; A. Fuglsang-Frederiksen [Danemark] ; M. De Carvalho [Portugal] ; P. Fawcett [Royaume-Uni] ; R. Liguori [Italie] ; W. Nix [Allemagne] ; I. Schofield [Royaume-Uni] ; A. Vila [France]Source :
- Electroencephalography and Clinical Neurophysiology/ Electromyography and Motor Control [ 0924-980X ] ; 1998.
Abstract
Considerable variation in EMG practice has been described previously. Since 1992, 7 clinical neurophysiologists from 6 European countries prospectively collected electromyographic (EMG) examinations. The aim of this study was to examine whether several years of mutual influence among physicians using medical audit resulted in a more uniform EMG practice. We studied whether there was a change in the number of examinations per patient and the techniques used from the first 12 to the last 12 EMG examinations on patients with polyneuropathy. For F-wave studies and motor nerve studies, there was a clear change towards a more uniform practice. For sensory nerve conduction studies and muscle studies, there were only minor changes. With regard to examination techniques, there was a reduction in the use of more time-consuming examination techniques (near-nerve sensory studies and quantitative muscle studies). It seems possible to change the EMG practice of individual physicians by international collaboration and medical audit. However, until now most changes have been minor and large differences in European EMG practices persist. The diversity of practices suggests a need for studies on the optimal application of existing examination techniques.
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DOI: 10.1016/S0924-980X(98)00051-4
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B" last="Finnerup">N. B Finnerup</name><affiliation wicri:level="1"><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Clinical Neurophysiology, University of Copenhagen, Gentofte Hospital, DK-2900 Hellerup</wicri:regionArea><wicri:noRegion>DK-2900 Hellerup</wicri:noRegion></affiliation></author><author><name sortKey="Johnsen, B" sort="Johnsen, B" uniqKey="Johnsen B" first="B" last="Johnsen">B. Johnsen</name><affiliation wicri:level="1"><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Clinical Neurophysiology, University of Copenhagen, Gentofte Hospital, DK-2900 Hellerup</wicri:regionArea><wicri:noRegion>DK-2900 Hellerup</wicri:noRegion></affiliation></author><author><name sortKey="Fuglsang Frederiksen, A" sort="Fuglsang Frederiksen, A" uniqKey="Fuglsang Frederiksen A" first="A" last="Fuglsang-Frederiksen">A. Fuglsang-Frederiksen</name><affiliation wicri:level="1"><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Clinical Neurophysiology, University of Copenhagen, Gentofte Hospital, DK-2900 Hellerup</wicri:regionArea><wicri:noRegion>DK-2900 Hellerup</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Danemark</country></affiliation></author><author><name sortKey="De Carvalho, M" sort="De Carvalho, M" uniqKey="De Carvalho M" first="M" last="De Carvalho">M. De Carvalho</name><affiliation wicri:level="1"><country xml:lang="fr">Portugal</country><wicri:regionArea>Department of Neurology, Hospital de Santa Maria, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Fawcett, P" sort="Fawcett, P" uniqKey="Fawcett P" first="P" last="Fawcett">P. Fawcett</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Clinical Neurophysiology, Newcastle General Hospital, Newcastle upon Tyne</wicri:regionArea><wicri:noRegion>Newcastle upon Tyne</wicri:noRegion></affiliation></author><author><name sortKey="Liguori, R" sort="Liguori, R" uniqKey="Liguori R" first="R" last="Liguori">R. Liguori</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Neurology, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Nix, W" sort="Nix, W" uniqKey="Nix W" first="W" last="Nix">W. Nix</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Clinics, Mainz</wicri:regionArea><placeName><region type="land" nuts="2">Rhénanie-Palatinat</region><settlement type="city">Mayence</settlement></placeName></affiliation></author><author><name sortKey="Schofield, I" sort="Schofield, I" uniqKey="Schofield I" first="I" last="Schofield">I. Schofield</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Clinical Neurophysiology, Newcastle General Hospital, Newcastle upon Tyne</wicri:regionArea><wicri:noRegion>Newcastle upon Tyne</wicri:noRegion></affiliation></author><author><name sortKey="Vila, A" sort="Vila, A" uniqKey="Vila A" first="A" last="Vila">A. Vila</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Laboratory of Electromyography, University of Grenoble, Centre Hospitalier Universitaire, Grenoble</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Electroencephalography and Clinical Neurophysiology/ Electromyography and Motor Control</title><title level="j" type="abbrev">EEM</title><idno type="ISSN">0924-980X</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1998">1998</date><biblScope unit="volume">109</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="496">496</biblScope><biblScope unit="page" to="501">501</biblScope></imprint><idno type="ISSN">0924-980X</idno></series><idno type="istex">7889CE8B6E64FB2094C02692214241893D4D9836</idno><idno type="DOI">10.1016/S0924-980X(98)00051-4</idno><idno type="PII">S0924-980X(98)00051-4</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0924-980X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Considerable variation in EMG practice has been described previously. Since 1992, 7 clinical neurophysiologists from 6 European countries prospectively collected electromyographic (EMG) examinations. The aim of this study was to examine whether several years of mutual influence among physicians using medical audit resulted in a more uniform EMG practice. We studied whether there was a change in the number of examinations per patient and the techniques used from the first 12 to the last 12 EMG examinations on patients with polyneuropathy. For F-wave studies and motor nerve studies, there was a clear change towards a more uniform practice. For sensory nerve conduction studies and muscle studies, there were only minor changes. With regard to examination techniques, there was a reduction in the use of more time-consuming examination techniques (near-nerve sensory studies and quantitative muscle studies). It seems possible to change the EMG practice of individual physicians by international collaboration and medical audit. However, until now most changes have been minor and large differences in European EMG practices persist. The diversity of practices suggests a need for studies on the optimal application of existing examination techniques.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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