Fereshteh Ghadiri, Zahra Ebadi, Elnaz Asadollahzadeh, Mohammad Ali Sahraian, Amirreza Azimi, Samira Navardi, Hora Heidari, Zohreh Abna, Marzieh Aboutorabi, Iman Adibi, Seyed Mohammad Baghbanian, Sepideh Paybast, Maryam Poursadeghfard, Samaneh Hosseini, Sareh Shahmohammadi, Mehran Ghaffari, Hamidreza Ghalyanchi-Langroodi, Masoud Ghiasian, Hoda Kamali, Ebrahim Kouchaki, Farzad Mahrabi, Ehsan Mohammadianinejad, Mohammad Ali Nahayati, Abdorreza Naser Moghadasi
{"title":"Iranian specialists' approach to surgery in patients with multiple sclerosis.","authors":"Fereshteh Ghadiri, Zahra Ebadi, Elnaz Asadollahzadeh, Mohammad Ali Sahraian, Amirreza Azimi, Samira Navardi, Hora Heidari, Zohreh Abna, Marzieh Aboutorabi, Iman Adibi, Seyed Mohammad Baghbanian, Sepideh Paybast, Maryam Poursadeghfard, Samaneh Hosseini, Sareh Shahmohammadi, Mehran Ghaffari, Hamidreza Ghalyanchi-Langroodi, Masoud Ghiasian, Hoda Kamali, Ebrahim Kouchaki, Farzad Mahrabi, Ehsan Mohammadianinejad, Mohammad Ali Nahayati, Abdorreza Naser Moghadasi","doi":"10.18502/cjn.v22i2.13336","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> 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). <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> 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.</p>","PeriodicalId":40077,"journal":{"name":"Current Journal of Neurology","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460921/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Journal of Neurology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18502/cjn.v22i2.13336","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
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Abstract
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.
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