Neurología : publicación oficial de la Sociedad Española de Neurología
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To analyse the cost-consequences of chronic neuropathic pain (NeP) outpatients care comparing management in general clinics (GC) versus specialised pain clinics (SPC) in neurology settings in Spain. ⋯ In neurology settings in Spain, the outpatient clinical management of chronic NeP in SPC was a dominant alternative compared with GC healthcare, since it has shown better patients healthcare outcomes with less severity and interference of pain on daily activities, while maintaining a similar level of costs. These results could help health decision makers when planning the use of health care resources.
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Practice Guideline
[Recommendations for using and interpreting magnetic resonance imaging in multiple sclerosis].
To establish recommendations for using and interpreting magnetic resonance imaging (MRI) results in the diagnosis and follow up of multiple sclerosis (MS). ⋯ The use of recommendations for using and interpreting MRI results in the diagnosis and follow up MS should help to rationalise resources and optimise the clinical results arising from its practice.
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With reference to the article "Assessment of the efficiency of the clinical management of neuropathic pain in specialist clinics compared to general clinics in neurology health care units in Spain" by Matias-Guiu et al, a reflection is made on the methodological and operational difficulties of working with results in health, quality of life or costs in something so subjective as pain, and its impact on daily life. It then highlights the importance of the decision to establish a specialist clinic or other type specific care team for neuropathic pain, adding another level of care. Some points are given for the analysis of that decision.