Iranian specialists' approach to surgery in patients with multiple sclerosis
Copyright © 2023 Iranian Neurological Association, and Tehran University of Medical Sciences Published by Tehran University of Medical Sciences..
Background: Data on perioperative risk stratification in patients with multiple sclerosis (MS) are limited. In this regard, the present study was conducted to investigate Iranian specialists' approach to surgical counseling for patients with MS (PwMS). Methods: 21 MS specialists were asked about 11 case scenarios with different MS disease statuses, disease-modifying therapies (DMTs), and urgency of the operation. The reasons for refusing surgery or factors that have to be considered before surgery were studied. Results: Overall, Fleiss Kappa was estimated to be 0.091 [95% confidence interval (CI): 0.090-0.093, P < 0.001] indicating a very poor level of agreement among responders. Conclusion: PwMS face surgery for various reasons. Risk assessment of surgery, the effect of various drugs such as anesthetics and DMT on patients, as well as many other aspects of MS are issues challenging the practitioners. Clarifying the various dimensions of these issues requires further research.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
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| Enthalten in: |
Current journal of neurology - 22(2023), 2 vom: 04. Apr., Seite 96-102 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ghadiri, Fereshteh [VerfasserIn] |
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| Links: |
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| Themen: |
Infections |
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| Anmerkungen: |
Date Revised 29.11.2023 published: Print Citation Status PubMed-not-MEDLINE |
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| doi: |
10.18502/cjn.v22i2.13336 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM365025658 |
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| 245 | 1 | 0 | |a Iranian specialists' approach to surgery in patients with multiple sclerosis |
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| 520 | |a Copyright © 2023 Iranian Neurological Association, and Tehran University of Medical Sciences Published by Tehran University of Medical Sciences. | ||
| 520 | |a Background: Data on perioperative risk stratification in patients with multiple sclerosis (MS) are limited. In this regard, the present study was conducted to investigate Iranian specialists' approach to surgical counseling for patients with MS (PwMS). Methods: 21 MS specialists were asked about 11 case scenarios with different MS disease statuses, disease-modifying therapies (DMTs), and urgency of the operation. The reasons for refusing surgery or factors that have to be considered before surgery were studied. Results: Overall, Fleiss Kappa was estimated to be 0.091 [95% confidence interval (CI): 0.090-0.093, P < 0.001] indicating a very poor level of agreement among responders. Conclusion: PwMS face surgery for various reasons. Risk assessment of surgery, the effect of various drugs such as anesthetics and DMT on patients, as well as many other aspects of MS are issues challenging the practitioners. Clarifying the various dimensions of these issues requires further research | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Infections | |
| 650 | 4 | |a Multiple Sclerosis | |
| 650 | 4 | |a Postoperative Complications | |
| 650 | 4 | |a Surgery | |
| 700 | 1 | |a Ebadi, Zahra |e verfasserin |4 aut | |
| 700 | 1 | |a Asadollahzadeh, Elnaz |e verfasserin |4 aut | |
| 700 | 1 | |a Sahraian, Mohammad Ali |e verfasserin |4 aut | |
| 700 | 1 | |a Azimi, Amirreza |e verfasserin |4 aut | |
| 700 | 1 | |a Navardi, Samira |e verfasserin |4 aut | |
| 700 | 1 | |a Heidari, Hora |e verfasserin |4 aut | |
| 700 | 1 | |a Abna, Zohreh |e verfasserin |4 aut | |
| 700 | 1 | |a Aboutorabi, Marzieh |e verfasserin |4 aut | |
| 700 | 1 | |a Adibi, Iman |e verfasserin |4 aut | |
| 700 | 1 | |a Baghbanian, Seyed Mohammad |e verfasserin |4 aut | |
| 700 | 1 | |a Paybast, Sepideh |e verfasserin |4 aut | |
| 700 | 1 | |a Poursadeghfard, Maryam |e verfasserin |4 aut | |
| 700 | 1 | |a Hosseini, Samaneh |e verfasserin |4 aut | |
| 700 | 1 | |a Shahmohammadi, Sareh |e verfasserin |4 aut | |
| 700 | 1 | |a Ghaffari, Mehran |e verfasserin |4 aut | |
| 700 | 1 | |a Ghalyanchi-Langroodi, Hamidreza |e verfasserin |4 aut | |
| 700 | 1 | |a Ghiasian, Masoud |e verfasserin |4 aut | |
| 700 | 1 | |a Kamali, Hoda |e verfasserin |4 aut | |
| 700 | 1 | |a Kouchaki, Ebrahim |e verfasserin |4 aut | |
| 700 | 1 | |a Mahrabi, Farzad |e verfasserin |4 aut | |
| 700 | 1 | |a Mohammadianinejad, Ehsan |e verfasserin |4 aut | |
| 700 | 1 | |a Nahayati, Mohammad Ali |e verfasserin |4 aut | |
| 700 | 1 | |a Moghadasi, Abdorreza Naser |e verfasserin |4 aut | |
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