Evidence map›Paper›PMID 42191972›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Diagnostic concordance between clinical preliminary diagnoses and electrophysiological findings in 3,683 emg referrals: a single-center retrospective study.

Zafer Ceyhan

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Zafer CeyhanDepartment of Physical Medicine and Rehabilitation, Samsun Physical Medicine and Rehabilitation Diseases Hospital, Samsun, Türkiye. zaferceyhanz@gmail.com.ORCID http://orcid.org/0000-0001-8879-5052

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6 · The paper itself

Abstract

objectiveTo evaluate the concordance between clinical preliminary diagnoses and electrophysiological diagnoses obtained through electromyography (EMG) in patients referred with suspected entrapment neuropathies or polyneuropathy.

methodsIn this retrospective descriptive study, 3,683 EMG reports from patients referred to the EMG unit of Samsun Physical Medicine and Rehabilitation Hospital between June 1, 2023, and February 10, 2025, were reviewed. All EMG procedures were performed and interpreted by the same physiatrist. Patient age, sex, clinical preliminary diagnoses, and final electrophysiological findings were recorded. Statistical significance was set at p < 0.05.

resultsOf the patients, 75.4% were female, with a mean age of 54.6 ± 14.1 years. The most common referral diagnoses were carpal tunnel syndrome (CTS) (62.4%), polyneuropathy (PNP) (34.1%), cubital tunnel syndrome (CuTS) (2.6%), meralgia paresthetica (MP) (0.7%), and tarsal tunnel syndrome (TTS) (0.2%). EMG.

conclusionThe concordance between clinical and EMG diagnoses was generally moderate. In CTS and PNP, specificity was notably low. Improving clinical assessment and referral accuracy may enhance diagnostic precision and reduce unnecessary testing and patient waiting times.

Indexed as

ElectromyographyPolyneuropathiesAdultAgedCarpal Tunnel SyndromeCubital Tunnel SyndromeFemaleHumansMaleMiddle AgedNerve Conduction StudiesReferral and ConsultationRetrospective StudiesTarsal Tunnel SyndromeClinical diagnosisDiagnostic concordanceElectromyographyElectrophysiological diagnosis

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