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. 2023 Apr 4;22(2):96-102.
doi: 10.18502/cjn.v22i2.13336.

Iranian specialists' approach to surgery in patients with multiple sclerosis

Fereshteh Ghadiri  1 , Zahra Ebadi  1 , Elnaz Asadollahzadeh  1 , Mohammad Ali Sahraian  1 , Amirreza Azimi  1 , Samira Navardi  1 , Hora Heidari  1 , Zohreh Abna  1 , Marzieh Aboutorabi  2 , Iman Adibi  3   4 , Seyed Mohammad Baghbanian  5 , Sepideh Paybast  1 , Maryam Poursadeghfard  6 , Samaneh Hosseini  7 , Sareh Shahmohammadi  1 , Mehran Ghaffari  8 , Hamidreza Ghalyanchi-Langroodi  9 , Masoud Ghiasian  10 , Hoda Kamali  11 , Ebrahim Kouchaki  12 , Farzad Mahrabi  13 , Ehsan Mohammadianinejad  1 , Mohammad Ali Nahayati  14 , Abdorreza Naser Moghadasi  1
Affiliations

Iranian specialists' approach to surgery in patients with multiple sclerosis

Fereshteh Ghadiri et al. Curr J Neurol. .

Abstract

Background: Data on perioperative risk stratification in patients with multiple sclerosis (MS) are limited. In this regard, the present study was conducted to investigate Iranian specialists' approach to surgical counseling for patients with MS (PwMS). Methods: 21 MS specialists were asked about 11 case scenarios with different MS disease statuses, disease-modifying therapies (DMTs), and urgency of the operation. The reasons for refusing surgery or factors that have to be considered before surgery were studied. Results: Overall, Fleiss Kappa was estimated to be 0.091 [95% confidence interval (CI): 0.090-0.093, P < 0.001] indicating a very poor level of agreement among responders. Conclusion: PwMS face surgery for various reasons. Risk assessment of surgery, the effect of various drugs such as anesthetics and DMT on patients, as well as many other aspects of MS are issues challenging the practitioners. Clarifying the various dimensions of these issues requires further research.

Keywords: Infections; Multiple Sclerosis; Postoperative Complications; Surgery.

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Conflict of interest statement

The authors declare no conflict of interest in this study.

Figures

Figure    1
Figure    1
The response pattern of the participants regarding the selected approach to each case
See this image and copyright information in PMC

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