Normal pressure hydrocephalus does not matter: an Italian perspective.

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Journal of neurosurgical sciences Pub Date : 2024-07-09 DOI:10.23736/S0390-5616.24.06257-X
Graziano Taddei, Giuseppe Demichele, Marco Failla Mulone, Mariasole Gagliano, Alessandro Pesce, Silvia Ciarlo, Edvige Iaboni, Angelo Pompucci, Gianpaolo Petrella
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Abstract

Background: Normal pressure hydrocephalus (NPH) is a reversible condition characterized by gait disturbance, dementia, and urinary incontinence. Despite being underdiagnosed, surgical treatment can significantly improve symptoms. Previous studies have shown a lack of awareness of NPH among physicians, prompting further investigation into its recognition.

Methods: A survey was conducted among Italian physicians to assess their awareness of NPH. A 9-point questionnaire was anonymously distributed online to physicians registered with Medical Boards in Italy. Data analysis focused on responses related to NPH knowledge and exposure.

Results: Out of 103 Medical Boards invited, 42 participated, potentially reaching 145,788 physicians. Analysis of 547 valid responses revealed varying levels of awareness across specialties. Neurologists showed higher awareness, but overall exposure to NPH cases in clinical practice was limited.

Conclusions: The survey highlighted a lack of interest and awareness of NPH among Italian physicians. Recommendations were made to enhance recognition, especially among Family Practitioners and Neurologists. Continuous education efforts are crucial to improve early diagnosis and management of NPH. Efforts by medical boards and specialty societies are needed to increase awareness and ensure timely intervention for NPH patients.

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正常压力脑积水并不重要:意大利人的观点。
背景:正常压力脑积水(NPH)是一种以步态障碍、痴呆和尿失禁为特征的可逆性疾病。尽管诊断率低,但手术治疗可显著改善症状。先前的研究表明,医生对 NPH 缺乏认识,这促使他们进一步调查对 NPH 的认识:方法:对意大利医生进行了一项调查,以评估他们对 NPH 的认识。向在意大利医学委员会注册的医生匿名在线发放了一份 9 点问卷。数据分析侧重于与 NPH 知识和接触相关的回答:结果:在受邀的 103 个医疗委员会中,有 42 个参加了调查,可能接触到 145788 名医生。对 547 份有效回复的分析表明,各专科对 NPH 的认知程度各不相同。神经科医生的认知度较高,但在临床实践中接触 NPH 病例的总体机会有限:调查显示,意大利医生对 NPH 缺乏兴趣和认识。建议提高认知度,尤其是家庭医生和神经科医生的认知度。持续的教育工作对于改善 NPH 的早期诊断和管理至关重要。医学委员会和专科协会需要努力提高对 NPH 的认识,确保对 NPH 患者进行及时干预。
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来源期刊
Journal of neurosurgical sciences
Journal of neurosurgical sciences CLINICAL NEUROLOGY-SURGERY
CiteScore
3.00
自引率
5.30%
发文量
202
审稿时长
>12 weeks
期刊介绍: The Journal of Neurosurgical Sciences publishes scientific papers on neurosurgery and related subjects (electroencephalography, neurophysiology, neurochemistry, neuropathology, stereotaxy, neuroanatomy, neuroradiology, etc.). Manuscripts may be submitted in the form of ditorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.
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