Capturing cases of distal symmetric polyneuropathy in a community.
Capturing cases of distal symmetric polyneuropathy in a community.
复制标题
捕获社区中远端对称性多发性神经病的病例。
DOI：
10.1002/mus.23449
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发表时间：
2012
期刊：
影响因子：
3.4
通讯作者：
Lisabeth,Lynda
中科院分区：
文献类型：
--
作者：
Callaghan,Brian;Kerber,Kevin;Longoria,Ruth;Feldman,Eva;Lisabeth,Lynda
前言关于远端对称性多发性神经病(DSP)患者的合适诊断测试的构成因素知之甚少。方法利用ICD-9筛查方法和病历摘要，我们确定了德克萨斯州努塞斯县社区神经科诊所中的DSP新病例数量。然后我们比较了两种病例捕获方法(ICD-9和全病例回顾筛查)。结果ICD-9病例捕获方法在3个月的时间内识别了52例病例。与病例捕获方法相比，ICD-9方法确定了全病例审查方法确定的17例病例中的16例(94%)。与全病例回顾相比，ICD-9方法需要筛查的图表减少84%。ICD-9筛查技术与医学摘要相结合是识别该社区新的DSP病例的有效方法。这些发现对于未来对DSP患者的流行病学调查至关重要。肌肉神经，2012
IntroductionLittle is known about what constitutes appropriate diagnostic testing in patients with distal symmetric polyneuropathy (DSP).MethodsUtilizing an ICD‐9 screening method and medical record abstraction, we determined the number of new cases of DSP within community neurology practices in Nueces County, Texas. We then compared 2 case capture methods (ICD‐9 vs. all‐case review screening).ResultsThe ICD‐9 case capture method identified 52 cases over a 3‐month period. Comparing case capture methods, the ICD‐9 method identified 16 of 17 cases identified by the all‐case review method (94%). The ICD‐9 method required screening of 84% fewer charts compared with the all‐case review.ConclusionsMany new cases of DSP occur each month within Nueces County. The ICD‐9 screening technique combined with medical abstraction is an efficient method to identify new DSP cases in this community. These findings are critical for future epidemiological investigations into patients with DSP. Muscle Nerve, 2012