Requests for electromyography in Rome: A critical evaluation

Roberto Di Fabio, Claudio Castagnoli, Andrea Madrigale, Massimo Barrella, Mariano Serrao, Francesco Pierelli

Research output: Contribution to journalArticlepeer-review

Abstract

To date, there exist no data reporting the level of suitability of requests for electromyography examinations (EMGs) in Rome. The records of 1,220 consecutive patients (age: 57.6±15.0 years; 400 M, 820 F) in two neurophysiology laboratories were collected and analyzed. In total, 1,317 EMGs were requested, mainly by general practitioners (GPs) (57%) and orthopedic specialists (18%). The most common diagnoses were L4- L5 radiculopathy (22%) and carpal tunnel syndrome (21%); 332 examinations (25%) were normal. 68% of requests were not accompanied by any specific query. The concordance between initial hypothesis/final post-EMG diagnosis was low (0.05). In 17% of cases, the EMG was deemed diagnostically useless by the neurophysiologist, which seems to indicate potentially suboptimal prescription of EMGs.

Original languageEnglish
Pages (from-to)281-284
Number of pages4
JournalFunctional Neurology
Volume28
Issue number4
Publication statusPublished - 2014

Keywords

  • Diagnostic ability
  • Electromyography
  • Requests
  • Rome

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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