Interpretation of expert clinicians′ consensus-based definition for treatment failure in chronic tic disorders
10.3760/cma.j.cn101070-20240409-00219
- VernacularTitle:《关于慢性抽动障碍治疗失败定义的专家共识》解读
- Author:
Yuxin XIANG
1
;
Dan SUN
;
Zhisheng LIU
Author Information
1. 华中科技大学同济医学院附属武汉儿童医院神经内科，武汉 430016
- Keywords:
Chronic tic disorders;
Treatment failure;
Behavioral interventions;
Pharmacological interventions;
Refractory tic disorders
- From:
Chinese Journal of Applied Clinical Pediatrics
2024;39(9):650-654
- CountryChina
- Language:Chinese
-
Abstract:
Correctly identifying the treatment failure in chronic tic disorders can prevent the continued use of unnecessary treatments and facilitate timely escalation to experimental or even invasive treatment.However, there is still a lack of a standard definition for the treatment failure in chronic tic disorders.Led by Professor Davide Martino from the University of Calgary in Canada, several rounds of web-based Delphi surveys were conducted to formulate expert clinicians′ consensus-based definition for treatment failure in chronic tic disorders.This consensus defines the treatment failure in chronic tic disorders from 4 aspects of behavioral and pharmacological interventions: lack of efficacy, adherence, tolerability and behavioral disorders.In addition, it further defines the failure of behavioral intervention as a whole and pharmacological intervention as a whole.This article interprets the process and key contents of the consensus, and discusses the definition of refractory tic disorders to help clinicians improve their understanding of the treatment failure in chronic tic disorders.
