More MS news articles for April 2002

Descriptive study of first visits in a multiple sclerosis specialised unit

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11940405&dopt=Abstract

Neurologia 2002 Apr;17(4):179-82
Sastre-Garriga J, Rio J, Nos C, Galan I, Tintore M, Montalban X.
Unidad de Neuroinmunologia Clinica. Hospital Vall d'Hebron. Barcelona. Spain.

Background:

The need for optimal care has led to implementation of multiple sclerosis care units, specialised in diagnosis and follow-up of multiple sclerosis patients. Since information on multiple sclerosis prognosis is crucial, accurate diagnosis is one of their major roles.

Method:

Prospective analysis of first visits during a year (origin and diagnosis) at the Unidad de Neuroinmunologia Clinica of Hospital Vall d'Hebron.

Results:

A total of 437 first visits were analysed; a moderate agreement (kappa = 0.468) between referral diagnoses and diagnosis at follow-up was obtained; agreement was very good (kappa = 0.844) between diagnosis at first visit and diagnosis at follow-up. In the subgroup of 200 patients with a demyelinating disease on follow-up after one year, 37.6% of referrals came from other non-specialised centers and 40.6% from our own center.

Conclusion:

Specialised care units enhance diagnostic precision; direct influence zone and non-specialised centers referrals are their more important sources of patients.