Capturing cases of distal symmetric polyneuropathy in a community

被引：6

作者：

Callaghan, Brian ^{[1
]}

Kerber, Kevin ^{[1
]}

Longoria, Ruth ^{[1
]}

Feldman, Eva ^{[1
]}

Lisabeth, Lynda ^{[2
]}

机构：

[1] Univ Michigan, Dept Neurol, Ann Arbor, MI 48104 USA

[2] Univ Michigan, Dept Epidemiol, Ann Arbor, MI 48104 USA

来源：

MUSCLE & NERVE | 2012年 / 46卷 / 06期

关键词：

diagnostic testing; health policy and practice; health services research; neuroepidemiology; neuropathy; ELECTRODIAGNOSTIC-MEDICINE; AMERICAN-ASSOCIATION; PHYSICAL-MEDICINE; NEUROLOGY; ACADEMY;

D O I：

10.1002/mus.23449

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: Little is known about what constitutes appropriate diagnostic testing in patients with distal symmetric polyneuropathy (DSP). Methods: Utilizing 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). Results: The 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. Conclusions: Many 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 49: 943-947, 2012

引用

页码：943 / 947

页数：5