一般神经科医生和专家之间的手术看法:一项调查
Zulfi Haneef1, Kamakshi Patel2, Angela Nguyen3
1Epilepsy Centers of Excellence, Veteran's Health Administration, USA; Department of Neurology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA; Neurology Care Line, Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030, USA.
神经病学家对手术的积极观点不断演变,病学家和一般神经病学家在药物耐药性 (DRE) 的转诊实践中比差异更有相似之处. 患者的偏好仍然是手术干预的关键障碍.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 手术干预是一种安全有效的治疗药物耐药性 (DRE).
- 从历史上看,神经病学家在将患者转诊手术评估时表现出不情愿.
- 了解当前的转诊实践和看法对于改善患者获得高级治疗的机会至关重要.
研究的目的:
- 评估一般神经病学家和专家关于专业护理和手术的观点和转诊过程.
- 确定一般神经病学家和病学家对手术转诊的观点的相似之处和差异.
主要方法:
- 一项14项调查分发给国家卫生系统内的神经病学家.
- 通过REDCap收集了回复,并进行了定性分析.
- 一般神经病学家和发病学家之间的差异被用千二测试来评估.
主要成果:
- 收到100份答复 (67名一般神经病学家,33名发病学家).
- 两组都支持DRE的手术和神经调节,优先考虑发作频率而不是持续时间.
- 一般神经病学家在考虑手术之前更可能需要更多失败的抗发作药物 (ASM),并将手术视为不那么安全/有效,与病学家相比.
结论:
- 神经科医生对手术的看法越来越积极,这表明了与以前的文献的转变.
- 一般神经病学家和发病学家之间的意见和转诊步骤的相似性令人鼓舞.
- 解决ASM处方标准中的剩余差异,并通过教育简化转诊程序,可以进一步优化对DRE患者的护理.
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