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L'utilité d'une seule question simple dans l'évaluation des patients atteints de myasthénie grave.

Posté : 19 juin 2017 10:31
par Pboulanger
:hi:

Lu sur https://www.ncbi.nlm.nih.gov/pubmed/28590545


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The utility of a single simple question in the evaluation of patients with myasthenia gravis.
Abraham A1, Breiner A1, Barnett C1, Katzberg HD1, Bril V1.
Muscle Nerve. 2017 Jun 7. doi: 10.1002/mus.25720.


Abstract


  • INTRODUCTION:
    Assessing myasthenia gravis (MG) can be challenging, and multiple scales are available to evaluate disease severity. We evaluated the utility of a single simple question, namely "what percentage of normal do you feel regarding your MG, 0-100% normal", as part of the MG evaluation.
  • METHODS:
    A retrospective chart review of patients attending the neuromuscular clinic from 01/2014 to 12/2015 was performed. Responses were correlated with symptoms and signs, QMGS (quantitative myasthenia gravis score), MGII (myasthenia gravis impairment index), and MG-QOL15 (myasthenia gravis quality of life).
  • RESULTS:
    The total cohort included 169 patients. The percentage of normal correlated strongly with limb muscle weakness and MG scales, moderately with bulbar and respiratory symptoms, and weakly with ocular manifestations.
  • DISCUSSION:
    The question "what percentage of normal do you feel regarding your MG", is a feasible and valid question, and can be incorporated easily into routine clinical evaluation.