E-health and multiple sclerosis

Paul M. Matthews, Valerie J. Block, Letizia Leocani

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE OF REVIEW: To outline recent applications of e-health data and digital tools for improving the care and management of healthcare for people with multiple sclerosis. RECENT FINDINGS: The digitization of most clinical data, along with developments in communication technologies, miniaturization of sensors and computational advances are enabling aggregation and clinically meaningful analyses of real-world data from patient registries, digital patient-reported outcomes and electronic health records (EHR). These data are allowing more confident descriptions of prognoses for multiple sclerosis patients and the long-term relative benefits and safety of disease-modifying treatments (DMT). Registries allow detailed, multiple sclerosis-specific data to be shared between clinicians more easily, provide data needed to improve the impact of DMT and, with EHR, characterize clinically relevant interactions between multiple sclerosis and other diseases. Wearable sensors provide continuous, long-term measures of performance dynamics in relevant ecological settings. In conjunction with telemedicine and online apps, they promise a major expansion of the scope for patients to manage aspects of their own care. Advances in disease understanding, decision support and self-management using these Big Data are being accelerated by machine learning and artificial intelligence. SUMMARY: Both health professionals and patients can employ e-health approaches and tools for development of a more patient-centred learning health system.

Original languageEnglish
Pages (from-to)271-276
Number of pages6
JournalCurrent Opinion in Neurology
Volume33
Issue number3
DOIs
Publication statusPublished - Jun 1 2020

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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