title: Delay in diagnosis of muscle disorders depends on the subspecialty of the initially consulted physician.
abstract: BACKGROUND
  New therapeutic strategies in muscular dystrophies will make a difference in prognosis only if they are begun early in the course of the disease. Therefore, we investigated factors that influence the time to diagnosis in muscle dystrophy patients.
  
  
  METHODS
  A sample of 101 patients (mean age 49 years; range 19-80; 44% women) with diagnosed muscle dystrophies from neurological practices and the neuromuscular specialty clinic in Berlin, Germany, was invited to participate. Time from first consultation to diagnosis, subspecialty of physician, and sociodemographic data were assessed with self-report questionnaires. The association between time to diagnosis and potential predictors (subspecialty of initially consulted physician, diagnoses, gender, and age at onset) was modeled with linear regression analysis.
  
  
  RESULTS
  The mean time span between first health-care contact and diagnosis was 4.3 years (median 1). The diagnostic delay was significantly longer if patients were initially seen by a non-neurological specialist compared to a general practitioner (5.2 vs. 3.5 years, p = 0.047). Other factors that were independently associated with diagnostic delay were female gender and inherited muscle disease.
  
  
  CONCLUSIONS
  Action to improve clinical awareness of muscle diseases in non-neurological specialists is needed.
authors.affiliation: Muscle Research Group, Charité - Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Simone
authors.initials: S
authors.lastname: Spuler
authors.forename: Andrea
authors.initials: A
authors.lastname: Stroux
authors.forename: Franziska
authors.initials: F
authors.lastname: Kuschel
authors.forename: Adelheid
authors.initials: A
authors.lastname: Kuhlmey
authors.forename: Friederike
authors.initials: F
authors.lastname: Kendel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057210:Delayed Diagnosis; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008511:Medicine / Q000706:statistics & numerical data*; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis*; D009136:Muscular Dystrophies / Q000175:diagnosis; D009462:Neurology / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D057566:Self Report; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult