Quality improvement in neurology: Essential Tremor Quality Measurement Set.
نویسندگان
چکیده
Essential tremor (ET) is one of the most common movement disorders in the world, with prevalence rates in the general population ranging from 0.4% to 4.6%. The incidence of ET increases with age, with the average age at onset in mid-to-late 40s. ET is estimated to affect as many as 7 to 10 million Americans. Clinically, ET is characterized by bilateral, symmetric, postural tremor in hands and forearms, with or without kinetic tremor, in the absence of abnormal posturing or task specificity. ET can also affect lower extremities, head, and voice. Symptoms may be barely noticeable, or severe and disabling. Although tremor may affect quality of life, particularly in eating, drinking, and writing, only a proportion of patients with tremor seek medical attention. Lack of awareness and stereotypes about tremor may contribute to tremor being untreated. In addition, ET may be difficult to distinguish from other tremor syndromes, potentially leading to inaccurate diagnosis or delay in treatment. The American Academy of Neurology (AAN) noted that opportunities exist to improve the clinical care provided to patients with ET given its high worldwide prevalence. The AAN seated a multidisciplinary work group to evaluate evidence and identify areas where quality improvement efforts could be focused and harmonized to meet patient and provider needs. The work group was tasked with identifying potential metrics or quality measures that would be meaningful in driving quality improvement efforts for general neurologists, movement disorder specialists, and care teams.
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عنوان ژورنال:
- Neurology
دوره 89 12 شماره
صفحات -
تاریخ انتشار 2017