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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Who is referred to neurology clinics? - The diagnoses made in 3781 new patients
Authors: Stone, Jon C
Carson, Alan J
Duncan, Roderick D D
Roberts, Richard C
Warlow, Charles P
Hibberd, Carina
Coleman, Richard J
Cull, Roger E
Murray, Gordon
Pelosi, Anthony J
Cavanagh, Jonathan T O
Matthews, Keith B
Goldbeck, Rainer
Smyth, Roger
Walker, Jane K
Sharpe, Michael C
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Keywords: Neurology
Issue Date: Nov-2010
Publisher: Elsevier
Citation: Stone JC, Carson AJ, Duncan RDD, Roberts RC, Warlow CP, Hibberd C, Coleman RJ, Cull RE, Murray G, Pelosi AJ, Cavanagh JTO, Matthews KB, Goldbeck R, Smyth R, Walker JK & Sharpe MC (2010) Who is referred to neurology clinics? - The diagnoses made in 3781 new patients, Clinical Neurology and Neurosurgery, 112 (9), pp. 747-751.
Abstract: Objective: Information on the nature and relative frequency of diagnoses made in referrals to neurology outpatient clinics is an important guide to priorities in services, teaching and research. Previous studies of this topic have been limited by being of only single centres or lacking in detail. We aimed to describe the neurological diagnoses made in a large series of referrals to neurology outpatient clinics. Method: Newly referred outpatients attending neurology clinics in all the NHS neurological centres in Scotland. UK were recruited over a period of 15 months. The assessing neurologists recorded the initial diagnosis they made. An additional rating of the degree to which the neurologist considered the patient's symptoms to be explained by disease was used to categorise those diagnoses that simply described a symptom such as 'fatigue'. Results: Three thousand seven hundred and eighty-one patients participated (91% of those eligible). The commonest categories of diagnosis made were: headache (19%), functional and psychological symptoms (16%), epilepsy (14%), peripheral nerve disorders (11%), miscellaneous neurological disorders (10%). demyelination (7%), spinal disorders (6%), Parkinson's disease/movement disorders (6%), and syncope (4%). Detailed breakdowns of each category are provided. Conclusions: Headache, functional/psychological disorders and epilepsy are the most common diagnoses in new patient referral to neurological services. This information should be used to shape priorities for services, teaching and research.
Type: Journal Article
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Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Edinburgh
University of Edinburgh
Southern General Hospital
University of Dundee
University of Edinburgh
NMAHP Research
Aberdeen Royal Infirmary
University of Edinburgh
University of Edinburgh
Hairmyres Hospital, East Kilbride
University of Glasgow
University of Dundee
Aberdeen Royal Infirmary
University of Edinburgh
University of Edinburgh
University of Edinburgh

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