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A Delphi consensus to identify the key screening tests/questions for a digital neurological examination for epidemiological research.
Ferreira, Vasco Ribeiro; Brayne, Carol; Ragonese, Paolo; Ketzoian, Carlos; Piccioli, Marta; Tinti, Lorenzo; Casali, Carlo; di Lorenzo, Cherubino; Ramos, Claudia; Azevedo, João; Gomes, Adriana; Stewart, Roderick; Haas, Hein; Hoppenbrouwer, Stan; Metting, Esther; Gallo, Valentina.
Afiliación
  • Ferreira VR; Department of Sustainable Health, University of Groningen, Campus Fryslân, Wirdumerdijk 34, 8911 CE, Leeuwarden, The Netherlands. v.ribeiro.ferreira@rug.nl.
  • Brayne C; Cambridge Public Health, University of Cambridge, Cambridge, United Kingdom.
  • Ragonese P; Department of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University of Palermo, Palermo, Italy.
  • Ketzoian C; Institute of Neurology, School of Medicine, Neuroepidemiology Section, University of the Republic, Montevideo, Uruguay.
  • Piccioli M; UOC of Neurology, PO San Filippo Neri, ASL Roma 1, Rome, Italy.
  • Tinti L; Laboratory of Neurology, Mario Negri Institute for Pharmacological Research (IRCCS), Milan, Italy.
  • Casali C; Department of Medico-Surgical Sciences and Biotechnologies (SBMC), University Rome Sapienza, Rome, Italy.
  • di Lorenzo C; Department of Medico-Surgical Sciences and Biotechnologies (SBMC), University Rome Sapienza, Rome, Italy.
  • Ramos C; Grupo de Neurociencias de Antioquia (GNA), Faculty of Medicine, University of Antioquia, Medellín, Colombia.
  • Azevedo J; Grupo de Neuropsicología y Conducta (GRUNECO), Faculty of Medicine, University of Antioquia, Medellín, Colombia.
  • Gomes A; Agrupamento de Centros de Saúde de Gaia, Unidade de Saúde Familiar Nova Salus, Vila Nova de Gaia, Portugal.
  • Stewart R; Hospital de Braga, EPE, Braga, Portugal.
  • Haas H; Parkinson's UK, London, United Kingdom.
  • Hoppenbrouwer S; Parkinson Vereniging, Bunnik, The Netherlands.
  • Metting E; Parkinson Vereniging, Bunnik, The Netherlands.
  • Gallo V; University Medical Center Groningen, Groningen, The Netherlands.
J Neurol ; 271(5): 2694-2703, 2024 May.
Article en En | MEDLINE | ID: mdl-38378908
ABSTRACT

BACKGROUND:

Most neurological diseases have no curative treatment; therefore, focusing on prevention is key. Continuous research to uncover the protective and risk factors associated with different neurological diseases is crucial to successfully inform prevention strategies. eHealth has been showing promising advantages in healthcare and public health and may therefore be relevant to facilitate epidemiological studies.

OBJECTIVE:

In this study, we performed a Delphi consensus exercise to identify the key screening tests to inform the development of a digital neurological examination tool for epidemiological research.

METHODS:

Twelve panellists (six experts in neurological examination, five experts in data collection-two were also experts in the neurological examination, and three experts in participant experience) of different nationalities joined the Delphi exercise. Experts in the neurological examination provided a selection of items that allow ruling out neurological impairment and can be performed by trained health workers. The items were then rated by them and other experts in terms of their feasibility and acceptability.

RESULTS:

Ten tests and seven anamnestic questions were included in the final set of screening items for the digital neurological examination. Three tests and five anamnestic questions were excluded from the final selection due to their low ratings on feasibility.

CONCLUSION:

This work identifies the key feasible and acceptable screening tests and anamnestic questions to build an electronic tool for performing the neurological examination, in the absence of a neurologist.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Técnica Delphi / Consenso / Enfermedades del Sistema Nervioso / Examen Neurológico Límite: Female / Humans Idioma: En Revista: J Neurol Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Técnica Delphi / Consenso / Enfermedades del Sistema Nervioso / Examen Neurológico Límite: Female / Humans Idioma: En Revista: J Neurol Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Alemania