Optimizing referral of patients with neuromuscular disorders to allied health care.
Eur J Neurol
; 16(5): 562-8, 2009 May.
Article
em En
| MEDLINE
| ID: mdl-19405198
ABSTRACT
BACKGROUND AND PURPOSE:
To report the predictive validity of the perceived limitations in activities and need questionnaire (PLAN-Q), a screening instrument to support neurologists to select patients with neuromuscular disorders (NMD) for referral for a one-off consultation by occupational therapist (OT), physical therapist (PT) and speech therapist (ST).METHODS:
In a cross-sectional validation study, 102 patients with various NMD participated. Patients received a one-off consultation by an expert OT, PT and ST and filled out the PLAN-Q. Therapists rated the appropriateness of the one-off consultations based on need, available treatment and patient's motivation. Receiver Operation Characteristic analysis and multivariate logistic regression analysis were used to obtain a PLAN-Q based prediction model for the appropriateness of the one-off consultations.RESULTS:
Probability for a one-off OT consultation increased from 64% to 78% (95% CI 69-85%). Prior test probability for a one-off ST consultation increased from 44% to 61% (95% CI 48-73%). Prior test probability for one-off PT consultation could not be increased.CONCLUSION:
Screening patients with NMD using the PLAN-Q may assist neurologists in selecting the appropriate patients for a one-off consultation by OT and ST. Unlike our expectations the screening did not guide referral for a one-off consultation by PT.
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Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
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Ocupações Relacionadas com Saúde
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Doenças Neuromusculares
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur J Neurol
Assunto da revista:
NEUROLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Holanda