Your browser doesn't support javascript.
loading
Second Opinions for Diagnoses of Psychotic Disorders: Delivering Stage-Specific Recommendations.
Lim, Carol; Donovan, Abigail L; Freudenreich, Sophie; Cather, Corinne; Maclaurin, Sarah; Freudenreich, Oliver.
Afiliação
  • Lim C; Department of Psychiatry, Massachusetts General Hospital, Boston (all authors); Harvard Medical School, Boston (Lim, Donovan, Cather, O. Freudenreich); Tufts University, Medford, Massachusetts (S. Freudenreich); North Suffolk Community Services, Boston (Maclaurin).
  • Donovan AL; Department of Psychiatry, Massachusetts General Hospital, Boston (all authors); Harvard Medical School, Boston (Lim, Donovan, Cather, O. Freudenreich); Tufts University, Medford, Massachusetts (S. Freudenreich); North Suffolk Community Services, Boston (Maclaurin).
  • Freudenreich S; Department of Psychiatry, Massachusetts General Hospital, Boston (all authors); Harvard Medical School, Boston (Lim, Donovan, Cather, O. Freudenreich); Tufts University, Medford, Massachusetts (S. Freudenreich); North Suffolk Community Services, Boston (Maclaurin).
  • Cather C; Department of Psychiatry, Massachusetts General Hospital, Boston (all authors); Harvard Medical School, Boston (Lim, Donovan, Cather, O. Freudenreich); Tufts University, Medford, Massachusetts (S. Freudenreich); North Suffolk Community Services, Boston (Maclaurin).
  • Maclaurin S; Department of Psychiatry, Massachusetts General Hospital, Boston (all authors); Harvard Medical School, Boston (Lim, Donovan, Cather, O. Freudenreich); Tufts University, Medford, Massachusetts (S. Freudenreich); North Suffolk Community Services, Boston (Maclaurin).
  • Freudenreich O; Department of Psychiatry, Massachusetts General Hospital, Boston (all authors); Harvard Medical School, Boston (Lim, Donovan, Cather, O. Freudenreich); Tufts University, Medford, Massachusetts (S. Freudenreich); North Suffolk Community Services, Boston (Maclaurin).
Psychiatr Serv ; : appips20230623, 2024 Jun 28.
Article em En | MEDLINE | ID: mdl-38938091
ABSTRACT

OBJECTIVE:

The impact of obtaining second-opinion consultations on diagnoses of schizophrenia spectrum disorders was evaluated.

METHODS:

A retrospective chart review was conducted for 177 patients referred to a psychosis consultation service at an academic medical center from January 1, 2017, to October 1, 2023; these consultations aimed to clarify a diagnosis of psychosis. Diagnoses made before and after consultations were compared, and treatment recommendations resulting from the consultation visit were summarized.

RESULTS:

Among patients without a preconsultation diagnosis of schizophrenia, 28% (N=28 of 100) received a postconsultation diagnosis of schizophrenia. Among 62 patients with a postconsultation diagnosis of treatment-resistant schizophrenia (TRS), 56% (N=35) received this diagnosis only after consultation. Nearly all of these patients were advised to begin taking clozapine, and electroconvulsive therapy was less commonly recommended.

CONCLUSIONS:

Expert consultation facilitates timely identification and optimal treatment of schizophrenia and its more severe subtype, TRS.
Palavras-chave
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article