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- W2159551432 abstract "Abstract Simulation is frequent in spinal disease, resulting in problems for specialists like Orthopedic Surgeons, Neurosurgeons, Reumatologists, etc. Simulation requires demonstration of the intentional production of false or exaggerated symptoms following an external incentive. The clinician has difficulties in demonstrating these criteria, resulting in misdiagnosis of simulation or misinterpretation of the normal patient as a simulator, with the possibility of iatrogenic distress and litigation. We review simulation-related problems in spine, proposing a terminological, as well as a diagnostic strategy including clinical and complementary diagnosis, as a way to avoid misinterpretation and minimize the iatrogenic distress and liability. Based on the clinical-forensic author's expertise, the literature is analyzed and the terminology readdressed to develop new terms (inconsistencies, incongruences, discrepancies and contradictions). Clinical semiology and complementary test are adapted to the new scenario. Diagnostic strategy relies on anamnesis, clinical and complementary tests, and adapting them to a uniform terminology with clear meaning of signs and symptoms." @default.
- W2159551432 created "2016-06-24" @default.
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- W2159551432 date "2014-11-01" @default.
- W2159551432 modified "2023-10-01" @default.
- W2159551432 title "Simulation in Spinal Diseases" @default.
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- W2159551432 doi "https://doi.org/10.1016/j.reumae.2014.03.022" @default.
- W2159551432 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24913963" @default.
- W2159551432 hasPublicationYear "2014" @default.
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