Survey among Russian doctors on routine electroencephalography
https://doi.org/10.33667/2078-5631-2021-39-26-32
Abstract
The aim of the work was to assess how accurately specialists, performing EEG, apply the recommendations in their daily practice.
Materials and Methods. An anonymous survey was conducted of 210 specialists in functional diagnostics and neurologists performing routine electroencephalography. The survey consisted of nine mandatory single-choice questions.
Results. Only 9 respondents out of 210 (4.3%) perform routine EEG completely in accordance with the Recommendations of the Expert Council of Neurophysiology of the Russian Anti-Epileptic League on performing the routine EEG.' Of these, only three specialists (1.4% of the total number of respondents) answered that a functional diagnostics doctor is present throughout the entire examination.
Conclusion: Despite the wide distribution and extensive experience in the use of EEG, there is no uniform practice of its implementation by doctors in the Russian Federation. Standardization of the methodology of its performance will increase confidence in EEG results among doctors of clinical specialties, increase the degree of inter-expert agreement among functional diagnostics physicians, and improve the quality of diagnosis of central nervous system diseases. To do this, it is necessary to develop webinar and educational programs on the methodology of EEG under the auspices of professional associations of doctors of functional diagnostics, neurophysiologists, neurologists.
About the Authors
E. P. BogdanovaRussian Federation
Bogdanova Evgeniya P. Doctor of functional diagnostics
Chelyabinsk
O. D. Elshina
Russian Federation
Elshina Oksana D. Assistant of the Department of Neurology, Psychiatry and Narcology; neurologist, epileptologist, doctor of functional diagnostics
Nizhny Novgorod
M. V. Sinkin
Russian Federation
Sinkin Mikhail V. Senior Researcher, Head of the Group of Clinical
Neurophysiology of the Department of Emergency Neurosurgery;
Head of laboratory of invasive neurointerfaces
Moscow
References
1. Tatum W. O., Rubboli G., Kaplan P. W., Mirsatari S. M., Radhakrishnan K., Gloss D., Caboclo L. O., Drislane F. W., Koutroumanidis M., Schomer D. L., Kasteleijn-NolstTrenite D., Cook M., Beniczky, S. Clinical utility of EEG in diagnosing and monitoring epilepsy in adults. Clinical Neurophysiology. 2018. 129 (5): 1056–1082.
2. Russian dictionary of terms used inclinical electroencephalography. M. V. Sinkin, N. E. Kvaskova, A. G. Brutyan, V. Y. Nogovitsyn, A. A. Troitsky, I. V. Ivanova, A. I. Belyakova-Bodina, I. G. Komoltsev, A. A. Sharkov, N. B. Arkhipova, A. V. Romanova, I. V. Okuneva, E. A. Baranova, E. S. Makashova, E. G. Seliverstova, E. P. Bogdanova, O. D. Elshina, T. A. Aleksandrova, A. N. Ulyakov, A. G. Ashimina, O. O. Rubtsov. Nervous diseases. 2021. № 1: 83–88.
3. Guidelines and Consensus Statements. Доступно по: https://www.acns.org/practice/guidelines. Ссылка активна на 06.09.2021. Available from https://www.acns.org/practice/guidelines. Link active until 06.09.2021.
4. EEG guidelines and standards. Visual EEG. Available from: http://eeg-online.ru/glossary.htm. Link active until 06.09.2021.
5. Guidelines / Minimal Standards | CSCN. Доступно по: https://www.cnsf.org/cscn/about-cscn/guidelines-minimalstandards/. Ссылка активна на 06.09.2021. Available from https://www.cnsf.org/cscn/about-cscn/guidelines-minimalstandards/. Link active until 06.09.2021.
6. Practice for clinical electroencephalography. Доступно по: https://www.bscn.org.uk/content_wide.aspx?Group=guidelines&Page=guidelines_eeg. Ссылка активна на 06.09.2021. Available from https://www.bscn.org.uk/content_wide.aspx?Group=guidelines&Page=guidelines_eeg. Link active until 06.09.2021.
7. Recommendations of the Neurophysiology Expert Council of the Russian Anti-Epileptic League on Routine EEG. Epilepsy and Paroxysmal Conditions. 2016. 8 (4): 99–108.
8. Zenkov L. R. Clinical electroencephalography (with elements of epileptology). Guidelines for physicians / L. R. Zenkov. — 8th ed. — M.: Medpress-Inform, 2017. — 360 p.
9. Electroencephalography: manual / M. V. Alexandrov, L. B. Ivanov, S. A. Lytaev et al. / edited by M. V. Alexandrov. — SpetsLit, 2020. — 224 p.
10. Ivanov L. B. Applied computer electroencephalography: monograph / L. B. Ivanov. — MOSCOW: MBN, 2000. — 251 p.
11. Kasteleijn-NolstTrenité D., Rubboli G., Hirsch E., Martins da Silva A., Seri S., Wilkins A., Jaime Parra J., Covanis A., Elia M., Capovilla G., Stephani U., Harding, G. (2011). Methodology of photic stimulation revisited: Updated European algorithm for visual stimulation in the EEG laboratory. Epilepsia — 53(1): 16–24.
12. Facebook social network, group «Clinical Neurophysiology for Professionals» https://www.facebook.com/groups/759538944174515 Link active until 06.09.2021
13. Craciun L., Gardella E., Alving J., Terney D., Mindruta I., Zarubova J., Beniczky S. How long shall we record electroencephalography? Acta Neurologica Scandinavica. 2013. 129 (2): 9–11.
14. Craciun L., Varga E. T., Mindruta I., Meritam P., Horváth Z., Terney D., Beniczky S. et. al. Diagnostic yield of five minutes compared to three minutes hyperventilation during electroencephalography. Seizure. 2015. 30: 90–92.
15. Watemberg N., Farkash M., Har-Gil M., Sezer T., Goldberg-Stern H., & Alehan F. Hyperventilation During Routine Electroencephalography: Are Three Minutes Really Necessary? Pediatric Neurology. 2015. 52 (4): 410–413.
Review
For citations:
Bogdanova E.P., Elshina O.D., Sinkin M.V. Survey among Russian doctors on routine electroencephalography. Medical alphabet. 2021;(39):26-32. (In Russ.) https://doi.org/10.33667/2078-5631-2021-39-26-32