The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder

Evidence-based clinical practice guidelines, based on systematic reviews of existing evidence, play an important role in improving and standardizing the quality of patient care in many medical and psychiatric disorders, and could play an important role in the diagnosis and treatment of functional se...

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Autores principales:	Benjamin Tolchin, Gaston Baslet, Alan Carson, Barbara A. Dworetzky, Laura H. Goldstein, W. Curt LaFrance, Steve Martino, David L. Perez, Markus Reuber, Jon Stone, Jerzy P. Szaflarski
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Guidelines Evidence-based medicine Functional neurological disorder Conversion disorder Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/2f63626b724245eda9c9c321eeeef35d
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spelling	oai:doaj.org-article:2f63626b724245eda9c9c321eeeef35d2021-11-24T04:33:48ZThe role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder2589-986410.1016/j.ebr.2021.100494https://doaj.org/article/2f63626b724245eda9c9c321eeeef35d2021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S258998642100068Xhttps://doaj.org/toc/2589-9864Evidence-based clinical practice guidelines, based on systematic reviews of existing evidence, play an important role in improving and standardizing the quality of patient care in many medical and psychiatric disorders, and could play an important role in the diagnosis and treatment of functional seizures and other functional neurological disorder (FND) subtypes. There are several reasons to think that evidence-based guidelines might be especially beneficial for the management of FND. In particular, the interdisciplinary and multidisciplinary teamwork necessary for the care of people with FND, the current lack of formal clinical training in FND, and the rapidly expanding body of evidence relating to FND all make guidelines based on systematic literature reviews especially valuable. In this perspective piece, we review clinical practice guidelines, their advantages and limitations, the reasons why evidence-based guidelines might be especially beneficial in the diagnosis and treatment of FND, and the steps that must be taken to create such guidelines for FND. We propose that professional organizations such as the American Academy of Neurology and the American Psychiatric Association undertake guideline development, ideally to create a co-authored or jointly endorsed set of guidelines that can set standards for interdisciplinary care for neurologists and mental health clinicians alike.Benjamin TolchinGaston BasletAlan CarsonBarbara A. DworetzkyLaura H. GoldsteinW. Curt LaFranceSteve MartinoDavid L. PerezMarkus ReuberJon StoneJerzy P. SzaflarskiElsevierarticleGuidelinesEvidence-based medicineFunctional neurological disorderConversion disorderNeurology. Diseases of the nervous systemRC346-429Neurophysiology and neuropsychologyQP351-495ENEpilepsy & Behavior Reports, Vol 16, Iss , Pp 100494- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Guidelines Evidence-based medicine Functional neurological disorder Conversion disorder Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495
spellingShingle	Guidelines Evidence-based medicine Functional neurological disorder Conversion disorder Neurology. Diseases of the nervous system RC346-429 Neurophysiology and neuropsychology QP351-495 Benjamin Tolchin Gaston Baslet Alan Carson Barbara A. Dworetzky Laura H. Goldstein W. Curt LaFrance Steve Martino David L. Perez Markus Reuber Jon Stone Jerzy P. Szaflarski The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
description	Evidence-based clinical practice guidelines, based on systematic reviews of existing evidence, play an important role in improving and standardizing the quality of patient care in many medical and psychiatric disorders, and could play an important role in the diagnosis and treatment of functional seizures and other functional neurological disorder (FND) subtypes. There are several reasons to think that evidence-based guidelines might be especially beneficial for the management of FND. In particular, the interdisciplinary and multidisciplinary teamwork necessary for the care of people with FND, the current lack of formal clinical training in FND, and the rapidly expanding body of evidence relating to FND all make guidelines based on systematic literature reviews especially valuable. In this perspective piece, we review clinical practice guidelines, their advantages and limitations, the reasons why evidence-based guidelines might be especially beneficial in the diagnosis and treatment of FND, and the steps that must be taken to create such guidelines for FND. We propose that professional organizations such as the American Academy of Neurology and the American Psychiatric Association undertake guideline development, ideally to create a co-authored or jointly endorsed set of guidelines that can set standards for interdisciplinary care for neurologists and mental health clinicians alike.
format	article
author	Benjamin Tolchin Gaston Baslet Alan Carson Barbara A. Dworetzky Laura H. Goldstein W. Curt LaFrance Steve Martino David L. Perez Markus Reuber Jon Stone Jerzy P. Szaflarski
author_facet	Benjamin Tolchin Gaston Baslet Alan Carson Barbara A. Dworetzky Laura H. Goldstein W. Curt LaFrance Steve Martino David L. Perez Markus Reuber Jon Stone Jerzy P. Szaflarski
author_sort	Benjamin Tolchin
title	The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
title_short	The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
title_full	The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
title_fullStr	The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
title_full_unstemmed	The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
title_sort	role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/2f63626b724245eda9c9c321eeeef35d
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The role of evidence-based guidelines in the diagnosis and treatment of functional neurological disorder

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