Variation in the classification of polyneuropathies among European physicians.
Identifieur interne : 000617 ( PubMed/Corpus ); précédent : 000616; suivant : 000618Variation in the classification of polyneuropathies among European physicians.
Auteurs : H. Tankisi ; B. Johnsen ; A. Fuglsang-Frederiksen ; M. De Carvalho ; P R W. Fawcett ; A. Labarre-Vila ; R. Liguori ; W. Nix ; M. Olsen ; I. SchofieldSource :
- Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology [ 1388-2457 ] ; 2003.
English descriptors
- KwdEn :
- Consensus, Databases, Factual, Demyelinating Diseases (classification), Demyelinating Diseases (diagnosis), Electromyography (standards), Europe, Hereditary Sensory and Motor Neuropathy (classification), Hereditary Sensory and Motor Neuropathy (diagnosis), Humans, Neural Conduction, Neurology (standards), Neurology (statistics & numerical data), Observer Variation, Peer Review, Polyneuropathies (classification), Polyneuropathies (diagnosis), Sensation Disorders (classification), Sensation Disorders (diagnosis).
- MESH :
- geographic : Europe.
- classification : Demyelinating Diseases, Hereditary Sensory and Motor Neuropathy, Polyneuropathies, Sensation Disorders.
- diagnosis : Demyelinating Diseases, Hereditary Sensory and Motor Neuropathy, Polyneuropathies, Sensation Disorders.
- standards : Electromyography, Neurology.
- statistics & numerical data : Neurology.
- Consensus, Databases, Factual, Humans, Neural Conduction, Observer Variation, Peer Review.
Abstract
Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database.
PubMed: 12705430
Links to Exploration step
pubmed:12705430Le document en format XML
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<author><name sortKey="Tankisi, H" sort="Tankisi, H" uniqKey="Tankisi H" first="H" last="Tankisi">H. Tankisi</name>
<affiliation><nlm:affiliation>Department of Clinical Neurophysiology, Aarhus University Hospital, AKH. Nørrebrogade 44, 8000, Aarhus, Denmark.</nlm:affiliation>
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<author><name sortKey="Johnsen, B" sort="Johnsen, B" uniqKey="Johnsen B" first="B" last="Johnsen">B. Johnsen</name>
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<author><name sortKey="Fuglsang Frederiksen, A" sort="Fuglsang Frederiksen, A" uniqKey="Fuglsang Frederiksen A" first="A" last="Fuglsang-Frederiksen">A. Fuglsang-Frederiksen</name>
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<author><name sortKey="De Carvalho, M" sort="De Carvalho, M" uniqKey="De Carvalho M" first="M" last="De Carvalho">M. De Carvalho</name>
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<author><name sortKey="Labarre Vila, A" sort="Labarre Vila, A" uniqKey="Labarre Vila A" first="A" last="Labarre-Vila">A. Labarre-Vila</name>
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<author><name sortKey="Liguori, R" sort="Liguori, R" uniqKey="Liguori R" first="R" last="Liguori">R. Liguori</name>
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<author><name sortKey="Nix, W" sort="Nix, W" uniqKey="Nix W" first="W" last="Nix">W. Nix</name>
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<author><name sortKey="Olsen, M" sort="Olsen, M" uniqKey="Olsen M" first="M" last="Olsen">M. Olsen</name>
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<author><name sortKey="Schofield, I" sort="Schofield, I" uniqKey="Schofield I" first="I" last="Schofield">I. Schofield</name>
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<series><title level="j">Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</title>
<idno type="ISSN">1388-2457</idno>
<imprint><date when="2003" type="published">2003</date>
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<term>Databases, Factual</term>
<term>Demyelinating Diseases (classification)</term>
<term>Demyelinating Diseases (diagnosis)</term>
<term>Electromyography (standards)</term>
<term>Europe</term>
<term>Hereditary Sensory and Motor Neuropathy (classification)</term>
<term>Hereditary Sensory and Motor Neuropathy (diagnosis)</term>
<term>Humans</term>
<term>Neural Conduction</term>
<term>Neurology (standards)</term>
<term>Neurology (statistics & numerical data)</term>
<term>Observer Variation</term>
<term>Peer Review</term>
<term>Polyneuropathies (classification)</term>
<term>Polyneuropathies (diagnosis)</term>
<term>Sensation Disorders (classification)</term>
<term>Sensation Disorders (diagnosis)</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Demyelinating Diseases</term>
<term>Hereditary Sensory and Motor Neuropathy</term>
<term>Polyneuropathies</term>
<term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Demyelinating Diseases</term>
<term>Hereditary Sensory and Motor Neuropathy</term>
<term>Polyneuropathies</term>
<term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Electromyography</term>
<term>Neurology</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">12705430</PMID>
<DateCreated><Year>2003</Year>
<Month>04</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted><Year>2003</Year>
<Month>05</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised><Year>2009</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1388-2457</ISSN>
<JournalIssue CitedMedium="Print"><Volume>114</Volume>
<Issue>3</Issue>
<PubDate><Year>2003</Year>
<Month>Mar</Month>
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</JournalIssue>
<Title>Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</Title>
<ISOAbbreviation>Clin Neurophysiol</ISOAbbreviation>
</Journal>
<ArticleTitle>Variation in the classification of polyneuropathies among European physicians.</ArticleTitle>
<Pagination><MedlinePgn>496-503</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Considerable debate still exists regarding the classification of polyneuropathies (PNPs) into predominantly demyelinating, predominantly axonal loss, mixed or unclassified. This study was designed to determine the variation among physicians in the classification of PNPs by using the European Standardized Telematic tool to Evaluate Electromyography knowledge-based systems and Methods (ESTEEM) multicenter database.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Seven physicians from 6 laboratories in Europe sent a total of 156 prospectively collected cases of PNP with electromyography (EMG) data including diagnosis (examination diagnosis) to the database. Each physician interpreted the electrophysiological data from all cases (interpretation diagnosis) and a final diagnosis was given at the consensus meetings of the group (consensus diagnosis).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Comparison of each physician's examination diagnosis with his/her interpretation diagnosis, i.e. intra-physician variation, showed a change towards less classified PNPs (P < 0.05). Interpretation diagnoses showed large inter-physician variation in the classification of PNPs. The consensus group was more cautious than individual physicians in classifying PNPs as mixed and axonal. The probability of the consensus diagnosis increased with increasing number of abnormal motor and sensory segments tested.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Recognition of variation in classification of PNP as shown in this study and suggesting standards of good clinical practice developed by a consensus group may increase the quality of EMG practice.</AbstractText>
</Abstract>
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<ForeName>H</ForeName>
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<AffiliationInfo><Affiliation>Department of Clinical Neurophysiology, Aarhus University Hospital, AKH. Nørrebrogade 44, 8000, Aarhus, Denmark.</Affiliation>
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