Comment évaluer un diagnostic médical ?

Utiliser des antécédents médicaux, examens physiques et tests diagnostiques.

Quels outils aident à la prise de décision diagnostique ?

Les algorithmes, les guides cliniques et les outils d'aide à la décision.

Quelle est l'importance des tests de laboratoire ?

Ils fournissent des données objectives pour confirmer ou infirmer un diagnostic.

Comment gérer l'incertitude dans le diagnostic ?

Considérer des diagnostics différentiels et impliquer le patient dans la décision.

Quel rôle joue l'expérience du médecin dans le diagnostic ?

L'expérience aide à reconnaître des schémas et à évaluer rapidement les options.

Comment prioriser les symptômes du patient ?

Évaluer la gravité, la durée et l'impact sur la qualité de vie du patient.

Quels symptômes nécessitent une attention immédiate ?

Les symptômes graves comme la douleur thoracique ou la difficulté respiratoire.

Comment les symptômes influencent-ils la décision thérapeutique ?

Ils orientent le choix du traitement en fonction de leur nature et de leur gravité.

Quelle est l'importance de l'historique des symptômes ?

Il aide à établir un diagnostic précis et à choisir le traitement approprié.

Comment évaluer l'évolution des symptômes ?

Suivre les changements dans le temps et leur réponse aux traitements administrés.

Comment intégrer la prévention dans la prise de décision ?

Évaluer les risques et recommander des mesures préventives adaptées au patient.

Quels sont les principaux types de prévention ?

Prévention primaire, secondaire et tertiaire, chacune ciblant différents stades.

Comment évaluer l'adhésion aux mesures préventives ?

Utiliser des questionnaires et des suivis réguliers pour mesurer l'engagement.

Quel rôle joue l'éducation du patient en prévention ?

Elle augmente la sensibilisation et encourage des comportements sains.

Comment évaluer l'impact des interventions préventives ?

Analyser les données de santé et les résultats cliniques sur le long terme.

Comment choisir un traitement approprié ?

Évaluer l'efficacité, les effets secondaires et les préférences du patient.

Quel rôle joue le consentement éclairé ?

Il assure que le patient comprend les options et les risques avant de décider.

Comment évaluer l'efficacité d'un traitement ?

Surveiller les résultats cliniques et les effets secondaires au fil du temps.

Quels facteurs influencent le choix du traitement ?

Les comorbidités, les préférences du patient et les lignes directrices cliniques.

Comment gérer les échecs de traitement ?

Réévaluer le diagnostic et envisager des alternatives thérapeutiques.

Comment anticiper les complications d'un traitement ?

Évaluer les risques associés et surveiller les signes précoces de complications.

Quels sont les signes de complications à surveiller ?

Les symptômes inhabituels, l'aggravation de l'état et les effets secondaires.

Comment gérer les complications post-traitement ?

Établir un plan de suivi et ajuster le traitement en fonction des complications.

Quel est l'impact des complications sur la prise de décision ?

Elles peuvent nécessiter des ajustements dans le traitement et la gestion du patient.

Comment évaluer le risque de complications ?

Utiliser des outils d'évaluation des risques et des antécédents médicaux.

Comment identifier les facteurs de risque d'une maladie ?

Analyser les antécédents familiaux, le mode de vie et les conditions médicales.

Quel rôle jouent les facteurs de risque dans la prévention ?

Ils aident à cibler les interventions préventives pour les populations à risque.

Comment évaluer l'impact des facteurs de risque ?

Utiliser des études épidémiologiques et des données cliniques pour quantifier l'impact.

Quels sont les facteurs de risque modifiables ?

Le tabagisme, l'alimentation, l'activité physique et la consommation d'alcool.

Comment intégrer les facteurs de risque dans la prise de décision ?

Évaluer les risques individuels et discuter des options de gestion avec le patient.

Prise de décision - Informations médicales vérifiées

Psychometric evaluation of the WHODAS 2.0 and prevalence of disability in a Swedish general population.

05 04 2023

DOI: 10.1186/s41687-023-00580-0 PMID: 37020121

The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a generic questionnaire that captures health and disability-related functioning information corresponding to six major life... A cross-sectional survey was performed. Internal consistency reliability was assessed with Cronbach's alpha. The construct validity was evaluated with item-total correlation, Pearson's correlation bet... Three thousand four hundred and eighty two adults aged 19-103 years (response rate 43%) participated. Significantly higher degrees of disability were reported by the oldest age group (≥ 80 years), adu... The psychometric properties of the self-administered Swedish 36-item version of the WHODAS 2.0 are comparable to those of other language versions of the instrument. Data of the prevalence of disabilit...

Adult Humans Psychometrics Reproducibility of Results Cross-Sectional Studies +5 autres

Health disparities associated with access to disability evaluations for toddlers in Early Head Start.

02 2023

DOI: 10.1111/jir.13003 PMID: 36575049

The aim of this investigation was to examine developmental, sociodemographic and familial factors associated with parent reported access to an evaluation in an Early Head Start sample. Children with d... This study (n = 191) examined how developmental, sociodemographic and parent factors at age 2 were associated with parent reporting the child being evaluated by age 3. Two logistic regression analyses... The first model found that children in the monitoring zone of developmental risk were more likely to be evaluated per parent report if they were born preterm, male, with increased behaviour problems, ... This study highlights barriers associated with access to developmental and disability evaluations for children in at-risk families. Health disparities are negatively associated with children's access ...

Infant, Newborn Humans Male Female Child, Preschool +5 autres

Multidimensional Disability Evaluation and Confirmatory Analysis of Older Adults in a Home-Based Community in China.

2022

DOI: 10.3389/fpubh.2022.899303 PMID: 35801251

A robust multi-dimensional disability assessment standard was constructed to consider physical condition, care resources, and social interaction that might lead to disability, to provide a basis for a...

Aged China Disability Evaluation Disabled Persons Female +3 autres

Evaluation of Disability Progression in Multiple Sclerosis via Magnetic-Resonance-Based Deep Learning Techniques.

13 Sep 2022

DOI: 10.3390/ijms231810651 PMID: 36142563

Short-term disability progression was predicted from a baseline evaluation in patients with multiple sclerosis (MS) using their three-dimensional T1-weighted (3DT1) magnetic resonance images (MRI). On...

Brain Deep Learning Disability Evaluation Disease Progression Humans +2 autres

Health professionals' experiences with the PEDI-UG: What do Ugandan occupational therapists say about the utility and value of the Pediatric Evaluation of Disability Inventory (PEDI-UG) for children with disabilities?

05 2023

DOI: 10.1111/cch.13071 PMID: 36251008

The Uganda version of Pediatric Evaluation of Disability Inventory (PEDI-UG) was culturally adapted and validated from the PEDI-US, a tool used to evaluate the functional capability of children with o... A qualitative research design was chosen to explore the participants' viewpoints concerning the utility and value of the PEDI-UG for children with disabilities. Purposive sampling was used to recruit ... Several challenges concerning the contextual use of PEDI-UG were reported. For example, PEDI-UG being culturally adapted in two languages (English and Luganda) makes it difficult for health profession... The findings of this study suggest that health professionals are challenged with the use of the PEDI-UG assessment in diverse cultural contexts and/or languages. These challenges are important conside...

Child Humans Disabled Children Uganda Occupational Therapists +3 autres

Confirmed disability progression as a marker of permanent disability in multiple sclerosis.

08 2022

DOI: 10.1111/ene.15406 PMID: 35582938

The prevention of disability over the long term is the main treatment goal in multiple sclerosis (MS); however, randomized clinical trials evaluate only short-term treatment effects on disability. Thi... In total, 14,802 6-month confirmed disability progression events were identified in 8741 patients from the global MSBase registry. For each 6-month confirmed progression event (13,321 in the developme... The score was based on age, sex, MS phenotype, relapse activity, disability score and its change from baseline, number of affected functional system domains and worsening in six of the domains. In the... Clinicodemographic characteristics of 6-month confirmed disability progression events identify those at high risk of sustained long-term disability. This knowledge will allow future trials to better a...

Cladribine Cohort Studies Disability Evaluation Disease Progression Female +5 autres

The impact of resilience on headache disability as measured by the Migraine Disability Assessment (MIDAS).

06 2023

DOI: 10.1111/head.14518 PMID: 37218745

Our objectives were to examine cross-sectional correlations of headache disability with measures of resilience, anxiety, and depression, and to determine if resilience modified the association between... Resilience is associated with quality of life and functioning among patients with chronic conditions. We investigated whether resilience strongly mitigates headache-related disability as measured by t... We prospectively recruited 160 patients with primary headache disorders seen in a tertiary headache medicine program between February 20, 2018 and August 2, 2019. Each participant completed the MIDAS,... The CDRS-25 score was negatively correlated with the total MIDAS (r = -0.21, p = 0.009), GAD-7 (r = -0.56, p < 0.001), and PHQ-9 scores (r = -0.34, p < 0.001). Well-being inversely correlated with dis... Traits associated with resilience decreased the odds of severe disability from headaches, whereas anxiety, depression, and headache frequency were strongly associated with higher disability from heada...

Humans Quality of Life Cross-Sectional Studies Surveys and Questionnaires Migraine Disorders +2 autres

Clinically meaningful change: evaluation of the Rasch-built Overall Amyotrophic Lateral Sclerosis Disability Scale (ROADS) and the ALSFRS-R.

05 2023

DOI: 10.1080/21678421.2022.2153607 PMID: 36476010

To investigate clinically meaningful change for ROADS and ALSFRS-R using a patient-defined approach.... Data were reviewed from participants assessed at the Emory ALS Center from 2019-2022 with two assessments using both ROADS and ALSFRS-R and a completed patient-reported global impression of change sca... Data were included from 162 participants. For ROADS (total possible normed score = 146), MID = 5.81 and MDC = 2.83 points. For ALSFRS-R (total possible sum-score = 48), MID = 3.24 and MDC = 1.59 point... Changes that are on average less than 5.81 points (3.98%) on the normed ROADS score or less than 3.24 points (6.75%) on the ALSFRS-R sum-score may not be clinically meaningful according to a patient-d...

Humans Amyotrophic Lateral Sclerosis Surveys and Questionnaires Disabled Persons Disability Evaluation +1 autres

Community-based outpatient rehabilitation for the treatment of breast cancer-related upper extremity disability: an evaluation of practice-based evidence.

Nov 2022

DOI: 10.1007/s12282-022-01388-4 PMID: 35864325

To evaluate the impact and acceptability of outpatient physical or occupational therapy (PT/OT) for breast cancer survivors (BCS) with varying levels of upper extremity disability (UED).... We retrospectively extracted patient and therapy characteristics, UED measured by quick-disabilities of the arm, shoulder and hand (QuickDASH, 0-100 pts.), and patient-rated acceptability (1-item, 0-1... Patients (N = 417) were 59.89 ± 12.06 years old, 99% female, and attended approximately 10 PT/OT sessions (IQR = 6.0-16.0). Most had high baseline UED (62%), followed by moderate (25%) or low UED (13%... Outpatient cancer rehabilitation is associated with significant improvement in UED for BCS and was acceptable to patients regardless of UED severity at baseline....

Humans Female Middle Aged Aged Male +6 autres

Adaption and psychometric evaluation of the Hindi version of Neck Disability Index in the rural population of Northern India: A cross cultural study.

2023

DOI: 10.12688/f1000research.142451.2 PMID: 39282515

To ensure the validity and therapeutic utility of the Neck disability index (NDI) scale, translations, cultural adaptations and psychometric evidence is necessary. This study aimed to address the abse... Following guidelines provided by the American Association of Orthopedic Surgeons, the original English NDI scale was cross-culturally adapted into Hindi. The adaptation process included translations (... The NDI-Hi version exhibited favorable psychometric properties, including good test-retest reliability with an intra-class correlation coefficient (ICC) of 0.87. Internal consistency of the scale was ... The NDI-Hi demonstrated validity and reliability as an outcome tool for assessing neck disability. It can be effectively utilized in clinical practice and research settings involving Hindi-speaking in...

Humans Psychometrics India Male Female +8 autres

Prise de décision : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

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