Scoping Review of Multidisciplinary Care in Tourette Syndrome.

Tourette syndrome multidisciplinary care scoping review

Journal

Movement disorders clinical practice
ISSN: 2330-1619
Titre abrégé: Mov Disord Clin Pract
Pays: United States
ID NLM: 101630279

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 05 07 2022
revised: 03 02 2023
accepted: 05 03 2023
pmc-release: 06 04 2024
medline: 19 6 2023
pubmed: 19 6 2023
entrez: 19 6 2023
Statut: epublish

Résumé

To review current multidisciplinary care practices in patients with Tourette syndrome (TS). Individuals with TS can have multiple symptoms and comorbidities and require treatment to encompass all of their needs. A multidisciplinary research or care model approaches the situation/problem from all sides and uses multiple perspectives. A database search of Medline (using Pubmed), PsychINFO, and Scopus was performed using keywords related to multidisciplinary care and TS. The authors then screened the results for relevant information using a standardized extraction form to collect data. Next, relevant codes from text analysis were extracted with a final list agreed on with author consensus. Finally, we inferred common themes. The search revealed 2304 citations, and 87 were selected for full-text analysis. One additional article was identified by manual search. Thirty-one citations were deemed relevant. Multidisciplinary team members typically included a psychiatrist or child psychiatrist, a neurologist or child neurologist, and a psychologist or therapist at the core. Four primary benefits were associated with multidisciplinary care: establishing the diagnosis, managing the complexity of TS and its associated comorbidities, averting complications, and evaluating advanced therapies. Limitations include possible poor team dynamics and rigidity in the approach leading to an algorithmic treatment plan. A multidisciplinary care model for TS is the preferred model advocated by patients, physicians, and organizations. This scoping review reveals that the impetus for multidisciplinary care rests on four primary benefits, but there is a lack of empirical evidence for defining and evaluating its use.

Sections du résumé

Objective UNASSIGNED
To review current multidisciplinary care practices in patients with Tourette syndrome (TS).
Background UNASSIGNED
Individuals with TS can have multiple symptoms and comorbidities and require treatment to encompass all of their needs. A multidisciplinary research or care model approaches the situation/problem from all sides and uses multiple perspectives.
Methods UNASSIGNED
A database search of Medline (using Pubmed), PsychINFO, and Scopus was performed using keywords related to multidisciplinary care and TS. The authors then screened the results for relevant information using a standardized extraction form to collect data. Next, relevant codes from text analysis were extracted with a final list agreed on with author consensus. Finally, we inferred common themes.
Results UNASSIGNED
The search revealed 2304 citations, and 87 were selected for full-text analysis. One additional article was identified by manual search. Thirty-one citations were deemed relevant. Multidisciplinary team members typically included a psychiatrist or child psychiatrist, a neurologist or child neurologist, and a psychologist or therapist at the core. Four primary benefits were associated with multidisciplinary care: establishing the diagnosis, managing the complexity of TS and its associated comorbidities, averting complications, and evaluating advanced therapies. Limitations include possible poor team dynamics and rigidity in the approach leading to an algorithmic treatment plan.
Conclusions UNASSIGNED
A multidisciplinary care model for TS is the preferred model advocated by patients, physicians, and organizations. This scoping review reveals that the impetus for multidisciplinary care rests on four primary benefits, but there is a lack of empirical evidence for defining and evaluating its use.

Identifiants

pubmed: 37332642
doi: 10.1002/mdc3.13731
pii: MDC313731
pmc: PMC10272911
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

868-877

Informations de copyright

© 2023 International Parkinson and Movement Disorder Society.

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Auteurs

Samantha Willford (S)

Department of Neurology UMass Chan Medical School Worcester Massachusetts USA.

Wissam Deeb (W)

Department of Neurology UMass Chan Medical School Worcester Massachusetts USA.
Department of Neurology UMass Memorial Medical Center Worcester Massachusetts USA.

Classifications MeSH