The diagnosis of chronic inflammatory demyelinating polyneuropathy: a Delphi-method approach.

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State: Public
Version: Final published version
Serval ID
serval:BIB_E37C61455136
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The diagnosis of chronic inflammatory demyelinating polyneuropathy: a Delphi-method approach.
Journal
Journal of Neurology
Author(s)
Créange A., Careyron A.
Working group(s)
French CIDP study group
Contributor(s)
Antoine JC., Arne Bes MC. , Attarian S., Bouche P., Bouhour F., Camdessanche JP., Careyron A., Créange A., De Sèze J., Delmont E., Echaniz Laguna YA. , Franques J., Gallard J., Guéguen A., Kuntzer T., Lacour A., Lagrange E., Lefaucheur JP., Léger JM., Lozeron P., Magot A., Magy L., Maisonobe T., Malapert D., Nicolas G., Ochsner F., Pouget J., Schmidt E., Taithe F., Vallat JM., Vial C., Viala K., Adams D.
ISSN
1432-1459 (Electronic)
ISSN-L
0340-5354
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
260
Number
12
Pages
3015-3022
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish. T. Kuntzer fait partie de French CIDP study group
Abstract
The diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) is based on a set of clinical and neurophysiological parameters. However, in clinical practice, CIDP remains difficult to diagnose in atypical cases. In the present study, 32 experts from 22 centers (the French CIDP study group) were asked individually to score four typical, and seven atypical, CIDP observations (TOs and AOs, respectively) reported by other physicians, according to the Delphi method. The diagnoses of CIDP were confirmed by the group in 96.9 % of the TO and 60.1 % of the AO (p < 0.0001). There was a positive correlation between the consensus of CIDP diagnosis and the demyelinating features (r = 0.82, p < 0.004). The European CIDP classification was used in 28.3 % of the TOs and 18.2 % of the AOs (p < 0.002). The French CIDP study group diagnostic strategy was used in 90 % of the TOs and 61 % of the AOs (p < 0.0001). In 3 % of the TOs and 21.6 % of the AOs, the experts had difficulty determining a final diagnosis due to a lack of information. This study shows that a set of criteria and a diagnostic strategy are not sufficient to reach a consensus for the diagnosis of atypical CIDP in clinical practice.
Pubmed
Web of science
Create date
30/07/2014 13:42
Last modification date
20/08/2019 17:07
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