Breaking News
August 18, 2018 - Theravance Biopharma Reports Positive Top-Line Four-Week Data from Phase 2 Trial of TD-9855 for the Treatment of Symptomatic Neurogenic Orthostatic Hypotension
August 18, 2018 - Animations prove effective in accurately measuring pain
August 18, 2018 - Three faculty members appointed to endowed positions | News Center
August 18, 2018 - New technique detects, measures, analyzes unevenly charged biomolecules
August 18, 2018 - Brief exposures to stressors can be beneficial to cells, shows study
August 18, 2018 - UTHealth-led survey shows much work remains to increase safety of e-health records
August 18, 2018 - Researchers use super-resolution microscope to unravel secrets of deadly Nipah virus
August 18, 2018 - Scientists identify pathways that reveal insights into mechanism of lung cancer etiology
August 18, 2018 - FDA approves marketing of brainsway deep transcranial magnetic stimulation system for OCD
August 17, 2018 - OUHSC gets $20 million grant to advance research and patient care for Oklahomans
August 17, 2018 - Sperm morphology differs depending on qualities of male bird
August 17, 2018 - Texas A&M researchers develop clay-based platform to grow blood vessels
August 17, 2018 - FDA Approves Expanded Indication for Orkambi (lumacaftor/ivacaftor) in Children Ages 2-5 Years
August 17, 2018 - Caring for Concussions | NIH News in Health
August 17, 2018 - Team explores diabetes drug’s ability to treat RSV infection
August 17, 2018 - New imaging technique can spot tuberculosis infection in an hour | News Center
August 17, 2018 - PolyU researchers design new self-fitting scaffold to induce bone regeneration
August 17, 2018 - CartiHeal and LSU Health successfully enroll first two patients in Agili-C IDE pivotal study
August 17, 2018 - Less-invasive options are slowing disease progression in glaucoma patients
August 17, 2018 - Researchers discover new promising target point for cancer and diabetes therapies
August 17, 2018 - Podcast: KHN’s ‘What the Health?’ See you in court!
August 17, 2018 - New mobile phone application enables early detection of cerebral ictus
August 17, 2018 - UK’s leading sight loss charity invites applications from brightest minds in ophthalmic research
August 17, 2018 - Researchers produce artificial placenta model that closely resembles natural organ
August 17, 2018 - FDA Alert: Temporary Total Artificial Heart Companion 2 Driver System by SynCardia Systems: Letter to Health Care Providers
August 17, 2018 - Researchers discover why sepsis from a staph infection causes organ failure
August 17, 2018 - Revealed: The molecular mechanism underlying hypertrophic cardiomyopathy | News Center
August 17, 2018 - New modeling studies highlight urgent need for effective drug policy reforms to prevent HIV
August 17, 2018 - Research explores relationship between personal history of infectious fever and cancer risk
August 17, 2018 - Study finds rise in cases of progressive massive fibrosis among U.S. coal miners
August 17, 2018 - NEDBELS project examines impact of neurodiversity concept on legal systems
August 17, 2018 - Seeking solutions to treat scleroderma
August 17, 2018 - Statins may improve conditions of people with rare lung disease
August 17, 2018 - Study finds why some people with brain markers of Alzheimer’s never develop dementia
August 17, 2018 - Life Biosciences contributes $100,000 to fund its biomedical innovation course on aging
August 17, 2018 - Researchers develop a set of health outcome measures for children with complex medical situations
August 17, 2018 - Many Americans Not Being Assessed for Depression
August 17, 2018 - Scientists report setbacks in quest for AIDS cure
August 17, 2018 - Christopher Gardner busts myths about milk | News Center
August 17, 2018 - Bacterial activity in child’s mouth may serve as biomarkers for autism spectrum disorder
August 17, 2018 - Scripps Research scientists uncover new approach for treating thrombocytopenia
August 17, 2018 - Mathematical model shows the influence of human behavior on spread of infectious diseases
August 17, 2018 - Valley Hospital achieves Magnet recognition for fourth consecutive time
August 17, 2018 - Researchers describe link between poor oocyte development and oxidative stress in obese mice
August 17, 2018 - Hospitals battle for control over fast-growing heart-valve procedure
August 17, 2018 - AHA: Home-Delivered Meals Keep Heart Failure Patients Out of Hospital
August 17, 2018 - In Southern Mozambique, only half of people diagnosed with HIV enroll in medical care
August 17, 2018 - Researchers discuss techniques to help combat growing epidemic of obesity
August 17, 2018 - Researchers develop novel statistical method to evaluate gene-to-gene interactions linked with cancer
August 17, 2018 - Island Fertility joins Stony Brook Community Medical to provide comprehensive fertility care
August 17, 2018 - Study shows link between thinning of the retina and early sign of Parkinson’s disease
August 17, 2018 - Digital birth control app gets FDA nod
August 17, 2018 - FDA grants approval for first generic version of epinephrine auto-injector
August 17, 2018 - Federal advisory group publishes recommendations on prevention of acute, chronic pain
August 17, 2018 - 3D-printed human body parts to be used as teaching aids for surgical training
August 17, 2018 - U.S. murder, suicide rates climbing again
August 17, 2018 - This is your brain on… roller coasters?
August 17, 2018 - Report discusses whether all newborns should undergo genetic sequencing
August 17, 2018 - UCR receives 2018 Inspiring Programs in STEM Award from INSIGHT Into Diversity magazine
August 17, 2018 - Researchers publish new paper on developing vaccine candidates for Helminthic parasites
August 17, 2018 - Researchers develop new method to diagnose broad range of cancers using malaria protein
August 17, 2018 - Female mosquitoes quickly evolve selective mating behavior when faced with threats
August 17, 2018 - FDA Grants Breakthrough Therapy Designation to Daiichi Sankyo’s FLT3 Inhibitor Quizartinib for Relapsed/Refractory FLT3-ITD AML
August 17, 2018 - Resistance training and exercise motivation go hand-in-hand
August 17, 2018 - A lesson for future doctors: Listen to and learn from your patients
August 17, 2018 - NUS study discovers a bidirectional regulator and shines light on A-to-I RNA editing in cancer cells
August 17, 2018 - Research shows link between high blood levels of omega-3s and better brain function in children
August 17, 2018 - Researchers propose new theory for how rare gene mutations cause Alzheimer’s disease
August 17, 2018 - New project to combat DMD-related fibrosis receives major funding boost
August 17, 2018 - Digital psychiatric therapy can ‘rewire’ the brain in children with ADHD, study shows
August 17, 2018 - Psychologist to assess how the brain maintains precise short-term and long-term memories
August 17, 2018 - Eating white button mushrooms could improve regulation of glucose in the liver
August 17, 2018 - Scientists identify mutational signatures in ovarian cancer
August 17, 2018 - Sun Pharma receives U.S. FDA approval for CEQUA to treat patients with dry eye disease
August 17, 2018 - Teva Announces Updated Indication and Vial Presentation for Granix (tbo-filgrastim) Injection in United States
August 17, 2018 - Study shows DNA methylation related to liver disease among obese patients
August 17, 2018 - Life on the border: Back at Stanford, ready to pitch in
August 17, 2018 - New device for accurately placing hemodialysis catheters on kidney patients
August 17, 2018 - New strategy accelerates, automates process of prototype molecule optimization
August 17, 2018 - Study finds role of autoimmunity in development of COPD
Study proves usefulness of EDX testing in diagnosis, management of neuromuscular disorders

Study proves usefulness of EDX testing in diagnosis, management of neuromuscular disorders

image_pdfDownload PDFimage_print

Each and every day, doctors diagnose patients with various diseases and disorders based on physical examinations, laboratory reports, and/or test results. But, what if the doctor doesn’t complete all of the necessary testing? What if the doctor is a general practitioner who doesn’t specialize in that particular area of medicine? As a patient, do you trust the initial diagnosis? Furthermore, would you want to ensure all appropriate testing was completed by a doctor properly trained in that specialty?

A recent article in Muscle & Nerve – “The Usefulness of Electrodiagnostic Studies in the Diagnosis and Management of Neuromuscular Disorders” – by Heather Lindstrom, MD, and Nigel L. Ashworth, MB.ChB., MSc, delves into this discussion. The purpose of their study was to “evaluate the usefulness of electrodiagnostic (EDX) studies in terms of the patient’s diagnosis and subsequent management, and to identify patient groups where EDX is particularly useful.”

There are two types of studies used in EDX medicine: nerve conduction studies and needle electromyography (EMG). As this Muscle & Nerve article states, “Electrodiagnostic (EDX) studies are commonly used in the evaluation of patients with neuromuscular disorders and can help confirm the clinical diagnosis, assess localization and severity of disease, and provide information to guide subsequent evaluation and treatment.”

In order to determine the usefulness of EDX studies, the authors reviewed the records of 1,414 consecutive new patients referred to a single hospital’s EDX laboratory during one calendar year (January 1 to December 31, 2015). EDX studies were performed on each patient and their records were analyzed to determine if the EDX studies changed the patient’s diagnosis and/or management plan.

“In this extensive review, electrodiagnostic studies led to a change in diagnosis in more than half the patients in this study, and led to a change in management plan in more than 60%. In nearly half (46.5%), the studies confirmed the suspected diagnosis,” said Zachary Simmons, MD, Editor-in-Chief, Muscle & Nerve. “It’s important to note that the results in this study were obtained by properly trained and certified physicians in an accredited laboratory. Specifically, the electrodiagnostic physicians in this study were certified by the American Board of Electrodiagnostic Medicine (ABEM) or the Canadian Society of Clinical Neurophysiologists (CSCN), and the electrodiagnostic laboratory was accredited by the College of Physicians and Surgeons of Alberta.”

Shirlyn A. Adkins, JD, Executive Director of the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM), says this article is an important read for physicians, particularly those who specialize in neuromuscular and electrodiagnostic medicine, as it can help them educate referral sources about the importance of sending patients in for EDX testing.

“Unfortunately, we do hear stories about patients undergoing surgery without ever having an EDX study. Or, we hear that the patient had an EDX study performed on them by an untrained physician or perhaps the patient only received the nerve conduction study portion of the test and never had a needle EMG. This Muscle & Nerve article illustrates the importance of ensuring full EDX testing is completed by a trained professional,” noted Adkins. “Ideally, we recommend that patients be referred to physicians certified by ABEM or in an AANEM accredited laboratory.”

Adkins continued by saying that the AANEM’s mission and its members are dedicated to improving the quality of patient care and advancing the science of neuromuscular diseases and electrodiagnostic medicine.

“The results of this study are remarkable. It’s hard to argue with the data – EDX studies changed the diagnosis for more than half the patients and the management plan changed for more than 60%. This goes to show that the work being done every day by the physicians and allied health professional members of the AANEM is having a major impact on patient care,” Adkins said.

The overall conclusion by Heather Lindstrom, MD, and Nigel L. Ashworth, MB.ChB., MSc, the authors of the study, is that “a medical test that changes the diagnosis or management 50% or more of the time is highly effective.” Dr. Simmons agrees. “This is important evidence that electrodiagnostic studies are of value in patient care.”​

Source:

https://www.aanem.org/News-Express/Advocacy/Recent-Study-Proves-Value-and-Importance-of-Electr

Tagged with:

About author

Related Articles