Most Scottish neurologists do not apply the 2010 McDonald criteria when diagnosing multiple sclerosis

Lumley, Ruby; Davenport, Richard; Williams, Ann B.

doi:10.4997/jrcpe.2015.106

Cited by 7 publications

(10 citation statements)

References 10 publications

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“…This may be due to the confusion of GNs regarding the clinical relevance of RIS. A study on Scottish neurologists reported similar findings (7). In this study performed by Lumley et al Turkish neurologists, another explanation might be that physicians may be erroneously associating MRI findings with clinical findings in their patients.…”

Section: Discussionsupporting

confidence: 69%

Differences Between General Neurologists and Multiple Sclerosis Specialists in the Management of Multiple Sclerosis Patients: A National Survey

Kürtüncü

Tuncer

Uygunoğlu

et al. 2017

Arch Neuropsychiatr

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Section: Discussionsupporting

confidence: 69%

Differences Between General Neurologists and Multiple Sclerosis Specialists in the Management of Multiple Sclerosis Patients: A National Survey

Kürtüncü

Tuncer

Uygunoğlu

et al. 2017

Arch Neuropsychiatr

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“…In the United Kingdom, surveying neurologists has suggested frequent misunderstanding surrounding the application of prior McDonald criteria. 15,16 The status quo of manuscript publication and dissemination through professional meetings, continuing medical education (CME) courses, and reference cards with abridged reproduction of the criteria, although important, may be inadequate to achieve necessary educational goals. Novel educational approaches are needed to address knowledge gaps.…”

Section: Discussionmentioning

confidence: 99%

“…Previous surveys of neurologists in the United Kingdom suggested lack of enthusiasm for, and frequent misunderstanding of, both the 2005 and 2010 McDonald criteria. 15,16…”

Section: Introductionmentioning

confidence: 99%

Challenges in multiple sclerosis diagnosis: Misunderstanding and misapplication of the McDonald criteria

et al. 2020

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Objective: To assess comprehension and application of the McDonald criteria. Background: Studies suggest that knowledge gaps for specific core elements of the McDonald criteria may contribute to multiple sclerosis (MS) misdiagnosis. Methods: Neurology residents (NR) and multiple sclerosis specialists (MSS) in North America completed a web-based survey. Results: A total of 160 participants were included: 72 NR and 88 MSS. Syndromes incorrectly identified as typical of MS included: complete transverse myelopathy (35% NR and 15% MSS), intractable vomiting/nausea/hiccoughs (20% NR and 5% MSS), and bilateral optic neuritis/unilateral optic neuritis with poor visual recovery (17% NR and 10% MSS). Periventricular magnetic resonance imaging (MRI) lesions were correctly identified by 39% NR and 52% MSS, and juxtacortical lesions were correctly identified by 28% NR and 53% MSS. The correct definition of “periventricular” was chosen by 38% NR and 61% MSS, and that of “juxtacortical” was chosen by 19% NR and 54% MSS. Regions incorrectly identified for MRI dissemination in space fulfillment included the optic nerve (31% NR and 26% MSS) and the subcortical white matter (11% NR and 18% MSS). The majority of participants assessed previous non-specific neurological symptoms without objective evidence of a central nervous system (CNS) lesion as sufficient for clinical dissemination in time. Conclusion: The McDonald criteria are often misunderstood and misapplied. Concerted educational efforts may prevent MS misdiagnosis.

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“…Surveys of neurologists in the United Kingdom concerning 2005 and 2010 MC suggested difficulty with comprehension and application, and a low level of adoption in practice. 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Multiple sclerosis diagnosis: Knowledge gaps and opportunities for educational intervention in neurologists in the United States

et al. 2021

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Background: Few studies have addressed the results of educational efforts concerning proper use of McDonald criteria (MC) revisions outside multiple sclerosis (MS) subspecialty centers. Neurology residents and MS subspecialist neurologists demonstrated knowledge gaps for core elements of the MC in a recent prior study. Objective: To assess comprehension and application of MC core elements by non-MS specialist neurologists in the United States who routinely diagnose MS. Methods: Through a cross-sectional study design, a previously developed survey instrument was distributed online. Results: A total of 222 neurologists completed the study survey. Syndromes atypical for MS were frequently incorrectly considered “typical” MS presentations. Fourteen percent correctly identified definitions of both “periventricular” and “juxtacortical” lesions and 2% correctly applied these terms to 9/9 images. Twenty-four percent correctly identified all four central nervous system (CNS) regions for satisfaction of magnetic resonance imaging (MRI) dissemination in space. In two presented cases, 61% and 71% correctly identified dissemination in time (DIT) was not fulfilled, and 85% and 86% subsequently accepted nonspecific historical symptoms without objective evidence for DIT fulfillment. Conclusion: The high rate of knowledge deficiencies and application errors of core elements of the MC demonstrated by participants in this study raise pressing questions concerning adequacy of dissemination and educational efforts upon publication of revisions to MC.

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Most Scottish neurologists do not apply the 2010 McDonald criteria when diagnosing multiple sclerosis

Cited by 7 publications

References 10 publications

Differences Between General Neurologists and Multiple Sclerosis Specialists in the Management of Multiple Sclerosis Patients: A National Survey

Differences Between General Neurologists and Multiple Sclerosis Specialists in the Management of Multiple Sclerosis Patients: A National Survey

Challenges in multiple sclerosis diagnosis: Misunderstanding and misapplication of the McDonald criteria

Multiple sclerosis diagnosis: Knowledge gaps and opportunities for educational intervention in neurologists in the United States

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