印尼神经科医生对特发性炎性肌病的诊断和治疗的了解

IF 2.8 4区医学 Q2 CLINICAL NEUROLOGY

Neuromuscular Disorders Pub Date : 2025-09-01 DOI:10.1016/j.nmd.2025.105465

M. Abdan Syakuron , M. Hakim , A. Budikayanti , W. Wiratman , A Yanuar. Safri , N. Fadli , A Ridski. Harsono , F. Octaviana , L. Ari Indrawati

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引用次数: 0

摘要

特发性炎症性肌病（IIM）应以多学科的方式进行治疗，包括神经科医生。先前在Dr Cipto Mangunkusumo医院（CMH）进行的IIM研究显示，从专家到IIM诊断的中位延迟时间为7个月。我们的目的是通过匿名电子调查（32个问题）评估印尼神经科医生在六个领域（病因、分类、临床表现、辅助检查、管理和预后）的知识，这是由CMH神经肌肉疾病的医务人员开发的。参与本研究的受试者为198/2750名印度尼西亚神经学协会会员。被试的工作分布分为三个区域（86.3%的被试在印尼人口最密集的西部地区工作），知识题得分中位数为16(0-66)/100。多数受试者在病因学方面知识较好，但在其他领域尤其是分类方面知识较差。重叠肌炎和抗合成酶综合征（ASS）是已知最少的IIM谱（分别为22.2%和14.14%）。只有一半的受试者认识到颈部屈肌无力是IIM的症状。24.74%的受试者将上睑下垂误认为IIM征。虽然大多数受试者（74.7%）知道gottron丘疹，但只有8.6%的受试者知道所有皮肌炎皮肤病变。Aldolase仅在27.27%的受试者中被认为是IIM的一个支持数据。只有1.5%的受试者知道所有的MSA。此外，针对ASS的自身抗体是已知最少的MSA（9.09%）。关于使用类固醇保留剂的知识仍需改进。只有三分之一的受试者正确回答了恶性肿瘤的最高时间框架。只有3%的人正确回答了IIM的恶性危险因素。总体而言，IIM的病因学知识相对较好，但其他五个领域的知识有待提高。应通过继续医学教育提高管理IIM的能力。

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01PKnowledge of Indonesian neurologists in the diagnosis and management of patients with idiopathic inflammatory myopathy

Idiopathic inflammatory myopathies (IIM) should be managed in a multidisciplinary manner, including neurologists. Prior IIM study at Dr Cipto Mangunkusumo Hospital (CMH) showed 7 months as the median time delay from specialist to IIM diagnosis. We aimed to assess the knowledge of Indonesian neurologists using an anonymised e-survey (32 questions) in six domains (etiology, classification, clinical manifestation, supporting examination, management, and prognosis) which was developed by the medical staff of neuromuscular diseases of CMH. The number of subjects who participated in this study were 198/2750 members of the Indonesian Neurological Association members. The subjects' working distribution was divided into three regions (86,3% works in western part as the most densely populated area in Indonesia) The median of knowledge questions scores was 16(0-66)/100. Majority of subjects had good knowledge in the etiology aspect but quite poor in other domains especially classification. Overlap myositis and Antisynthetase syndrome (ASS) were the least known IIM spectrum (22.2 and 14.14%, respectively). Only half of subjects recognized neck flexor muscle weakness as a IIM symptom. Ptosis was misinterpreted as IIM sign in 24.74% subjects. Although most subjects (74.7%) recognized gottron papule, only 8.6% of subjects knew all dermatomyositis skin lesions. Aldolase was only recognized as one supporting data for IIM in 27.27% subjects. Only 1.5% of subjects knew all MSA. Furthermore, autoantibodies specific to ASS were the least known MSA (9.09%). Knowledge about the use of steroid-sparing agents still required improvement. Only one third of the subjects answered correctly about the highest time frame for malignancy. Only 3% answered malignancy's risk factor for IIM correctly. Overall, knowledge of the etiology of IIM was relatively good, but knowledge of the other five domains should be improved. Competency to manage IIM should be sharpened through continuing medical education.

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来源期刊

Neuromuscular Disorders 医学-临床神经学

CiteScore

4.60

自引率

3.60%

发文量

543

审稿时长

53 days

期刊介绍： This international, multidisciplinary journal covers all aspects of neuromuscular disorders in childhood and adult life (including the muscular dystrophies, spinal muscular atrophies, hereditary neuropathies, congenital myopathies, myasthenias, myotonic syndromes, metabolic myopathies and inflammatory myopathies). The Editors welcome original articles from all areas of the field: • Clinical aspects, such as new clinical entities, case studies of interest, treatment, management and rehabilitation (including biomechanics, orthotic design and surgery). • Basic scientific studies of relevance to the clinical syndromes, including advances in the fields of molecular biology and genetics. • Studies of animal models relevant to the human diseases. The journal is aimed at a wide range of clinicians, pathologists, associated paramedical professionals and clinical and basic scientists with an interest in the study of neuromuscular disorders.