Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/55178 |
Resumo: | © 2022 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
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Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic SocietiesAutonomic nervous system, disordersComposite Autonomic Severity ScoreSurveyCardiovascular autonomic function testsConsciousness, disordersNeurodisparityNeurological disordersOrthostatic hypotensionSweat testsSyncope© 2022 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.Background and purpose: Disorders of the autonomic nervous system (ANS) are common conditions, but it is unclear whether access to ANS healthcare provision is homogeneous across European countries. The aim of this study was to identify neurology-driven or interdisciplinary clinical ANS laboratories in Europe, describe their characteristics and explore regional differences. Methods: We contacted the European national ANS and neurological societies, as well as members of our professional network, to identify clinical ANS laboratories in each country and invite them to answer a web-based survey. Results: We identified 84 laboratories in 22 countries and 46 (55%) answered the survey. All laboratories perform cardiovascular autonomic function tests, and 83% also perform sweat tests. Testing for catecholamines and autoantibodies are performed in 63% and 56% of laboratories, and epidermal nerve fiber density analysis in 63%. Each laboratory is staffed by a median of two consultants, one resident, one technician and one nurse. The median (interquartile range [IQR]) number of head-up tilt tests/laboratory/year is 105 (49-251). Reflex syncope and neurogenic orthostatic hypotension are the most frequently diagnosed cardiovascular ANS disorders. Thirty-five centers (76%) have an ANS outpatient clinic, with a median (IQR) of 200 (100-360) outpatient visits/year; 42 centers (91%) also offer inpatient care (median 20 [IQR 4-110] inpatient stays/year). Forty-one laboratories (89%) are involved in research activities. We observed a significant difference in the geographical distribution of ANS services among European regions: 11 out of 12 countries from North/West Europe have at least one ANS laboratory versus 11 out of 21 from South/East/Greater Europe (p = 0.021). Conclusions: This survey highlights disparities in the availability of healthcare services for people with ANS disorders across European countries, stressing the need for improved access to specialized care in South, East and Greater Europe.WileyRepositório da Universidade de LisboaHabek, MarioLeys, FabianKrbot Skorić, MagdalenaReis Carneiro, DiogoCalandra‐Buonaura, GiovannaCamaradou, JenniferChiaro, GiacomoCortelli, PietroFalup‐Pecurariu, CristianGranata, RobertaGuaraldi, PietroHelbok, RaimundHilz, Max J.Iodice, ValeriaJordan, JensKaal, Evert C. A.Kamondi, AnitaPavy Le Traon, AnneRocha, IsabelSellner, JohannSenard, Jean MichelTerkelsen, AstridWenning, Gregor K.Berger, ThomasThijs, Roland D.Struhal, WalterFanciulli, AlessandraAdamec, IvanAerts, ArnaudCanta, Leo L.R.Delamont, Robert Shanede Lange, FrederikDel Sorbo, FrancescaDevigili, GraziaDi Leo, RitaDinh, TrangFortrat, Jacques‐OlivierGierthmühlen, JanneHemels, MartinKöhn, JuliaKrøigård, ThomasLipp, AxelMaier, AndreaMarinelli, LucioMazzeo, AnnaMilenkovic, IvanMotyl, MaciejNatali Sora, Maria GraziaNavarro‐Otano, JudithNilsen, Kristian BernhardOliveira, MarioOmland, Petter MoePelliccioni, GiuseppePereon, YannResch, Roland JosefRocchi, CamillaRoche, FredericRutten, JoostTijero Merino, BeatrizTutaj, Marcinvan der Heijden‐Montfroy, A.M.H.G.van Hoeve, Bas J.A.van Orshoven, NarenderWang, RuihaoZ’Graggen, Werner J.2022-11-21T15:42:31Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/55178engEur J Neurol. 2022 Dec;29(12):3633-36461351-510110.1111/ene.155381468-1331info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:01:46Zoai:repositorio.ul.pt:10451/55178Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:05:45.089617Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| title |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| spellingShingle |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies Habek, Mario Autonomic nervous system, disorders Composite Autonomic Severity Score Survey Cardiovascular autonomic function tests Consciousness, disorders Neurodisparity Neurological disorders Orthostatic hypotension Sweat tests Syncope |
| title_short |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| title_full |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| title_fullStr |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| title_full_unstemmed |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| title_sort |
Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies |
| author |
Habek, Mario |
| author_facet |
Habek, Mario Leys, Fabian Krbot Skorić, Magdalena Reis Carneiro, Diogo Calandra‐Buonaura, Giovanna Camaradou, Jennifer Chiaro, Giacomo Cortelli, Pietro Falup‐Pecurariu, Cristian Granata, Roberta Guaraldi, Pietro Helbok, Raimund Hilz, Max J. Iodice, Valeria Jordan, Jens Kaal, Evert C. A. Kamondi, Anita Pavy Le Traon, Anne Rocha, Isabel Sellner, Johann Senard, Jean Michel Terkelsen, Astrid Wenning, Gregor K. Berger, Thomas Thijs, Roland D. Struhal, Walter Fanciulli, Alessandra Adamec, Ivan Aerts, Arnaud Canta, Leo L.R. Delamont, Robert Shane de Lange, Frederik Del Sorbo, Francesca Devigili, Grazia Di Leo, Rita Dinh, Trang Fortrat, Jacques‐Olivier Gierthmühlen, Janne Hemels, Martin Köhn, Julia Krøigård, Thomas Lipp, Axel Maier, Andrea Marinelli, Lucio Mazzeo, Anna Milenkovic, Ivan Motyl, Maciej Natali Sora, Maria Grazia Navarro‐Otano, Judith Nilsen, Kristian Bernhard Oliveira, Mario Omland, Petter Moe Pelliccioni, Giuseppe Pereon, Yann Resch, Roland Josef Rocchi, Camilla Roche, Frederic Rutten, Joost Tijero Merino, Beatriz Tutaj, Marcin van der Heijden‐Montfroy, A.M.H.G. van Hoeve, Bas J.A. van Orshoven, Narender Wang, Ruihao Z’Graggen, Werner J. |
| author_role |
author |
| author2 |
Leys, Fabian Krbot Skorić, Magdalena Reis Carneiro, Diogo Calandra‐Buonaura, Giovanna Camaradou, Jennifer Chiaro, Giacomo Cortelli, Pietro Falup‐Pecurariu, Cristian Granata, Roberta Guaraldi, Pietro Helbok, Raimund Hilz, Max J. Iodice, Valeria Jordan, Jens Kaal, Evert C. A. Kamondi, Anita Pavy Le Traon, Anne Rocha, Isabel Sellner, Johann Senard, Jean Michel Terkelsen, Astrid Wenning, Gregor K. Berger, Thomas Thijs, Roland D. Struhal, Walter Fanciulli, Alessandra Adamec, Ivan Aerts, Arnaud Canta, Leo L.R. Delamont, Robert Shane de Lange, Frederik Del Sorbo, Francesca Devigili, Grazia Di Leo, Rita Dinh, Trang Fortrat, Jacques‐Olivier Gierthmühlen, Janne Hemels, Martin Köhn, Julia Krøigård, Thomas Lipp, Axel Maier, Andrea Marinelli, Lucio Mazzeo, Anna Milenkovic, Ivan Motyl, Maciej Natali Sora, Maria Grazia Navarro‐Otano, Judith Nilsen, Kristian Bernhard Oliveira, Mario Omland, Petter Moe Pelliccioni, Giuseppe Pereon, Yann Resch, Roland Josef Rocchi, Camilla Roche, Frederic Rutten, Joost Tijero Merino, Beatriz Tutaj, Marcin van der Heijden‐Montfroy, A.M.H.G. van Hoeve, Bas J.A. van Orshoven, Narender Wang, Ruihao Z’Graggen, Werner J. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Habek, Mario Leys, Fabian Krbot Skorić, Magdalena Reis Carneiro, Diogo Calandra‐Buonaura, Giovanna Camaradou, Jennifer Chiaro, Giacomo Cortelli, Pietro Falup‐Pecurariu, Cristian Granata, Roberta Guaraldi, Pietro Helbok, Raimund Hilz, Max J. Iodice, Valeria Jordan, Jens Kaal, Evert C. A. Kamondi, Anita Pavy Le Traon, Anne Rocha, Isabel Sellner, Johann Senard, Jean Michel Terkelsen, Astrid Wenning, Gregor K. Berger, Thomas Thijs, Roland D. Struhal, Walter Fanciulli, Alessandra Adamec, Ivan Aerts, Arnaud Canta, Leo L.R. Delamont, Robert Shane de Lange, Frederik Del Sorbo, Francesca Devigili, Grazia Di Leo, Rita Dinh, Trang Fortrat, Jacques‐Olivier Gierthmühlen, Janne Hemels, Martin Köhn, Julia Krøigård, Thomas Lipp, Axel Maier, Andrea Marinelli, Lucio Mazzeo, Anna Milenkovic, Ivan Motyl, Maciej Natali Sora, Maria Grazia Navarro‐Otano, Judith Nilsen, Kristian Bernhard Oliveira, Mario Omland, Petter Moe Pelliccioni, Giuseppe Pereon, Yann Resch, Roland Josef Rocchi, Camilla Roche, Frederic Rutten, Joost Tijero Merino, Beatriz Tutaj, Marcin van der Heijden‐Montfroy, A.M.H.G. van Hoeve, Bas J.A. van Orshoven, Narender Wang, Ruihao Z’Graggen, Werner J. |
| dc.subject.por.fl_str_mv |
Autonomic nervous system, disorders Composite Autonomic Severity Score Survey Cardiovascular autonomic function tests Consciousness, disorders Neurodisparity Neurological disorders Orthostatic hypotension Sweat tests Syncope |
| topic |
Autonomic nervous system, disorders Composite Autonomic Severity Score Survey Cardiovascular autonomic function tests Consciousness, disorders Neurodisparity Neurological disorders Orthostatic hypotension Sweat tests Syncope |
| description |
© 2022 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-11-21T15:42:31Z 2022 2022-01-01T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/55178 |
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http://hdl.handle.net/10451/55178 |
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eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Eur J Neurol. 2022 Dec;29(12):3633-3646 1351-5101 10.1111/ene.15538 1468-1331 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Wiley |
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Wiley |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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