Influence of peer review medical audit on pathophysiological interpretation of nerve conduction studies in polyneuropathies

Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology
Hatice TankisiI S Schofield

Abstract

To evaluate the possible influence of peer review medical audit on experienced physicians' pathophysiological interpretation of nerve conduction studies in polyneuropathy patients. Since 1992, 7 European neurophysiologists have collected samples of their patient examinations for regular review where the physicians interpret each other's cases electronically and subsequently discuss them at regular workshop meetings (i.e. a form of medical audit). Two sets of 100 polyneuropathy examinations interpreted with an interval of 4-6 years were selected. The sets contained 1456 and 1719 nerve conduction studies, each given a pathophysiological test conclusion by each individual physician. Inter-physician agreement on interpretation of demyelination and axonal loss of the nerve, as well as neuropathic and unspecific findings, was estimated using kappa statistics. Increased agreement from set 1 to set 2 was found on interpretation of demyelination of the nerve (set 1: kappa=0.22; set 2: kappa=0.45), and of neuropathic (set 1: kappa=0.46; set 2: kappa=0.64) and unspecific findings (set 1: kappa=0.35; set 2: kappa=0.54). No changes were found on interpretation of axonal loss (set 1: kappa=0.26; set 2: kappa=0.31) and normal findings (set 1 ...Continue Reading

Citations

Jun 28, 2011·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Kirsten PugdahlIan S Schofield
Aug 3, 2010·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Anders Fuglsang-Frederiksen, Kirsten Pugdahl
May 24, 2005·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Hatice TankisiUNKNOWN Esteem Project
Aug 12, 2010·Amyotrophic Lateral Sclerosis : Official Publication of the World Federation of Neurology Research Group on Motor Neuron Diseases·Kirsten PugdahlIan S Schofield
Nov 6, 2020·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Hatice Tankisi
Nov 6, 2020·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Hatice TankisiAnders Fuglsang-Frederiksen

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