Author:
Ghadiri Fereshteh,Ebadi Zahra,Asadollahzadeh Elnaz,AliSahraian Mohammad,Azimi Amirreza,Navardi Samira,Heidari Hora,Abna Zohreh,Aboutorabi Marzieh,Adibi Iman,Baghbanian Seyed Mohammad,Paybast Sepideh,Poursadeghfard Maryam,Hosseini Samaneh,Shahmohammadi Sareh,Ghaffari Mehran,Ghalyanchi-Langroodi Hamidreza,Ghiasian Masoud,Kamali Hoda,Kouchaki Ebrahim,Mahrabi Farzad,Mohammadianinejad Ehsan,Nahayati Mohammad Ali,Moghadasi Abdorreza Naser
Abstract
Background: Data on perioperative risk stratification in patients with multiple sclerosis (MS) are limited. In this regard, the present study was conducted to investigate Iranian specialists’ approach to surgical counseling for patients with MS (PwMS).
Methods: 21 MS specialists were asked about 11 case scenarios with different MS disease statuses, disease-modifying therapies (DMTs), and urgency of the operation. The reasons for refusing surgery or factors that have to be considered before surgery were studied.
Results: Overall, Fleiss Kappa was estimated to be 0.091 [95% confidence interval (CI): 0.090-0.093, P < 0.001] indicating a very poor level of agreement among responders.
Conclusion: PwMS face surgery for various reasons. Risk assessment of surgery, the effect of various drugs such as anesthetics and DMT on patients, as well as many other aspects of MS are issues challenging the practitioners. Clarifying the various dimensions of these issues requires further research.
Subject
Neurology (clinical),Neurology