Abstract:
OBJECTIVE:To describe the clinical characteristics of encounters with patients misdiagnosed with multiple sclerosis (MS). METHODS:A cross-sectional Internet-based physician survey of MS specialists was performed. RESULTS:The response rate for the survey was 50.4%. Of those who responded, the majority (95%) reported having evaluated 1 or more patients who had been diagnosed with MS, but who they strongly felt did not have MS, within the last year. The majority of respondents (>90%) also reported the use of disease-modifying therapy in a proportion of these patients. Most respondents (94%) found clinical encounters with these patients equally or more challenging than giving a new diagnosis of MS. Fourteen percent of respondents reported that they did not always inform such patients of their opinion that they did not have MS. CONCLUSIONS:The misdiagnosis of MS is common and has significant consequences for patient care and health care system costs. Caring for a patient with a misdiagnosis of MS is challenging, and at times honest disclosure of a misdiagnosis represents an important ethical concern for neurologists. More data are needed on this patient population to improve diagnostic acumen and the care of these patients.
journal_name
Neurologyjournal_title
Neurologyauthors
Solomon AJ,Klein EP,Bourdette Ddoi
10.1212/WNL.0b013e318259e1b2subject
Has Abstractpub_date
2012-06-12 00:00:00pages
1986-91issue
24eissn
0028-3878issn
1526-632Xpii
WNL.0b013e318259e1b2journal_volume
78pub_type
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