My doctor knew nothing about botox or spasticity, my botox sessions were set up by my OT. Physician experience should make no difference in treatment results, they should all be following exact protocols. Excuses like, 'All strokes are different, all stroke recoveries are different' should be challenged and demand to know why they subscribe to such bullshit.
Patient registry of spasticity care world: Data analysis based on physician experience
Journal of Physical Medicine and Rehabilitation
, Volume 96(12)
, Pgs. 881-888.
NARIC Accession Number: J77565. What's this?
ISSN: 0894-9115.
Author(s): Esquenazi, Alberto; Lee, Stella; Mayer, Nathaniel; Garreta, Roser; Patel, Atul; Elovic, Elie; Koelbel, Stephen; Francisco, Gerard; Reuter, Iris.
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study examined “real-world” treatment
patterns of physicians with different levels of experience with using
botulinum toxin type A in patients with stroke and traumatic brain
injury (TBI). A prospective, multicenter, international observational
registry design was used. The primary purpose for this registry was to
describe treatment patterns and clinical presentation from a global
perspective on the basis of clinical experience. Ashworth Scale (AS)
scores, presence of pain, and patient-reported satisfaction after
treatment were stratified on the basis of reported physicians' clinical
experiences to determine treatment effect. Six hundred twenty-seven
participants with stroke and 132 participants with TBI were assessed and
treated by 17 more-experienced physicians and 12 less-experienced
physicians. Due to the limited usage of abobotulinumtoxinA Dysport and
incobotulinumtoxinA Xeomin, data were reported on onabotulinumtoxinA
BOTOX only. Based on physician experience, onabotulinumtoxinA doses
were statistically different with larger mean doses injected by
more-experienced physicians in the upper limb and the lower limb.
Treated deformities significantly differed for both upper limb and lower
limb. More-experienced physicians showed a larger mean change in AS
scores from baseline for the equinovarus/equinus foot and stiff knee.
Less-experienced physicians showed a larger mean change in AS scores
from baseline for the adducted thigh. Less-experienced physicians had
statistically significant larger change in hand pain scores for clenched
fist deformity treatment at follow-up compared with more-experienced
physicians. Physician experience demonstrated a significant difference
on patients reported satisfaction toward their secondary goal with
higher scores for more-experienced physicians.
Descriptor Terms: BRAIN INJURIES, CLINICAL
MANAGEMENT, DRUGS, INTERNATIONAL REHABILITATION, MEDICAL TREATMENT,
MUSCULAR IMPAIRMENTS, PHARMACOLOGY, PHYSICIANS, SPASTICITY, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Esquenazi, Alberto, Lee, Stella,
Mayer, Nathaniel, Garreta, Roser, Patel, Atul, Elovic, Elie, Koelbel,
Stephen, Francisco, Gerard, Reuter, Iris. (2017). Patient registry of spasticity care world: Data analysis based on physician experience.
American Journal of Physical Medicine and Rehabilitation
, 96(12), Pgs. 881-888. Retrieved 2/21/2018, from REHABDATA database.
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