诊断错误与神经眼科学。
Diagnostic error and neuro-ophthalmology.
机构信息
Department of Ophthalmology.
Department of Neurology.
出版信息
Curr Opin Neurol. 2019 Feb;32(1):62-67. doi: 10.1097/WCO.0000000000000635.
PURPOSE OF REVIEW
This review summarizes the recent literature on diagnostic error relevant to the practice of neuro-ophthalmology, and evaluates the potential for increased access to neuro-ophthalmology to decrease rates of diagnostic error, thereby reducing medical harm and spending on unnecessary tests and treatments.
RECENT FINDINGS
Despite medical advances, current research continues to show alarmingly high rates of diagnostic error. Research into diagnostic error shows that many of these errors can be traced to cognitive errors. Recent studies on diagnostic problems relevant to neuro-ophthalmology, including studies of misdiagnosis of posterior communicating artery aneurysms, idiopathic intracranial hypertension, optic neuritis, and optic nerve sheath meningiomas, have identified major causes of diagnostic error in these conditions.
SUMMARY
Studies on diagnostic error in neuro-ophthalmologic conditions show that prior to evaluation by a neuro-ophthalmologist, patients may undergo unnecessary tests and treatments that are costly and potentially harmful. Further research on diagnostic error will inform better utilization of neuro-ophthalmologists as a resource to decrease diagnostic error.
目的综述
本文综述了神经眼科学实践中与诊断错误相关的最新文献，并评估了增加神经眼科就诊机会是否可能降低诊断错误率，从而减少医疗伤害和不必要的检查和治疗费用。
最新发现
尽管医学取得了进步，但目前的研究仍显示出惊人的高诊断错误率。对诊断错误的研究表明，许多此类错误可以追溯到认知错误。最近对神经眼科相关诊断问题的研究，包括对后交通动脉瘤、特发性颅内高压、视神经炎和视神经鞘脑膜瘤误诊的研究，确定了这些疾病中诊断错误的主要原因。
总结
神经眼科疾病的诊断错误研究表明，在神经眼科医生评估之前，患者可能会接受不必要的检查和治疗，这些检查和治疗既昂贵又有潜在危害。进一步研究诊断错误将有助于更好地利用神经眼科医生作为资源来降低诊断错误率。
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