Awareness and Knowledge of the Clinical Practice Guideline on Parkinson's Disease among German Neurologists
Awareness and Knowledge of the Clinical Practice Guideline on Parkinson's Disease among German Neurologists
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DOI：
10.1159/000197106
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发表时间：
2009-01-01
影响因子：
2.4
通讯作者：
Oertel, Wolfgang H.
中科院分区：
文献类型：
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作者：
Eggert, Karla;Larisch, Astrid;Oertel, Wolfgang H.
背景/目的：随着帕金森综合征（PS）诊断和治疗选择的增加，帕金森病及相关疾病的循证医学临床实践指南已经出版。本研究评估的认识和知识的德国实践指南帕金森病的神经科医生。方法：2005年在德国对181名私人执业的神经科医生进行了一项基于横断面调查的研究。结果：53.1%（n = 95）的参与者表示了解该指南。低水平的知识报告的诊断和治疗策略的运动和非运动并发症（包括抑郁症和痴呆症），并在诊断功能的非典型PS。了解该指南的神经科医生对特发性脑梗死的不同临床特征有更好的了解。（94.7 vs. 84.3%; p = 0.023）与非特发性（88.3 vs. 77.1%; p = 0.048）一般PS，特别是多系统萎缩（54.3 vs. 36.1%; p = 0.016）以及关于白天嗜睡增加的特征（95.7 vs. 86.7%; p = 0.032）。结论：日常医疗实践中对指南的认识和了解仍然有限。为更好地实施，未来的干预措施必须包括适合于改变行为模式的战略。版权所有（C）2009 S. Karger AG，巴塞尔
Background/Aims: With increasing diagnostic and therapeutic options of Parkinsonian syndromes (PS), evidence-based medicine clinical practice guidelines for Parkinson's disease and related disorders have been published. This study evaluates the awareness and the knowledge of the German practice guideline for Parkinson's disease among neurologists. Methods: The cross-sectional questionnaire-based study was conducted in 2005 in Germany on a survey of 181 neurologists in private practice. Results: 53.1% (n = 95) of the participants specified to be aware of the guideline. A low level of knowledge was reported in diagnostic and therapeutic strategies for motor and nonmotor complications (including depression and dementia), and in the diagnostic features of atypical PS. Neurologists who were aware of the guideline had a significantly better knowledge of the different clinical features of idiopathic (94.7 vs. 84.3%; p = 0.023) versus nonidiopathic (88.3 vs. 77.1%; p = 0.048) PS in general, and specifically of multiple system atrophy (54.3 vs. 36.1%; p = 0.016) as well as of characteristics concerning increased daytime sleepiness (95.7 vs. 86.7%; p = 0.032). Conclusion: The awareness and the knowledge of the guideline in everyday medical practice are still limited. Future interventions for a better implementation must include strategies which are suitable to modify behavior patterns. Copyright (C) 2009 S. Karger AG, Basel