| Management of acute optic neuritis: a survey of neurologists and ophthalmologists in Australia and New Zealand. | |
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MedLine Citation:
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PMID: 18976922 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Recent studies suggest that evidence-based medicine is not well translated into everyday practice. Studies of optic neuritis (ON) have generated clear treatment guidelines. Therefore, a survey was mailed to all Australian and New Zealand neurologists and ophthalmologists to evaluate the impact of recent studies on clinical practice. The response rate was 38.9%. Neurologists were more likely to use high dose corticosteroids and disease modifying agents (DMAs), and were more likely to be aware of relevant literature concerning DMAs. Both groups contained a significant minority of practitioners who would use corticosteroids for reasons not substantiated by available evidence. We conclude that most practitioners manage optic neuritis according to existing evidence and guidelines, but many do not. It is essential to instigate high-quality training programs to keep practitioners up-to-date, thereby optimising patient care and justifying the time and expense of large-scale clinical trials. |
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Authors:
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Christian J Lueck; Helen V Danesh-Meyer; Faith J Margrie; Carolyn Drews-Botsch; Olivier Calvetti; Nancy J Newman; Valérie Biousse |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2008-10-30 |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 15 ISSN: 0967-5868 ISO Abbreviation: J Clin Neurosci Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-10 Completed Date: 2009-04-09 Revised Date: 2011-03-01 |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 1340-5 Citation Subset: IM |
Affiliation:
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Department of Neurology, The Canberra Hospital, Australian National University Medical School, Woden ACT 2606, Australia. christian.lueck@act.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
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therapeutic use Antirheumatic Agents / therapeutic use Australia / epidemiology Female Health Surveys* Humans Male Neurology / methods, statistics & numerical data* New Zealand / epidemiology Ophthalmology / methods, statistics & numerical data* Optic Neuritis / epidemiology*, therapy* Physician's Practice Patterns / classification, statistics & numerical data* Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
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P30 EY006360-25/EY/NEI NIH HHS; P30-EY06360/EY/NEI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones; 0/Antirheumatic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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