The Multiple Sclerosis Care Unit

Per Soelberg Sorensen, Gavin Giovannoni, Xavier Montalban, Christoph Thalheim, Paola Zaratin, Giancarlo Comi

Research output: Contribution to journalReview articlepeer-review

Abstract

Treatment of multiple sclerosis (MS) has become increasingly multifaceted and comprises not only a variety of disease-modifying drugs with different mechanism of action but also a wide range of symptomatic therapies. Today, it is not possible for the family physician or even many general neurologists to master the current treatment algorithm, and this calls for the establishment of multidisciplinary MS Care Units. The core of the MS Care Unit would, in addition to MS neurologists and nurses, typically comprise neuropsychologists, clinical psychologists, physiotherapists, occupational therapists and secretaries, and will work together with a group of different specialists on formalized diagnostic workup procedures, protocols for initiation and follow-up of disease-modifying therapies. It is obvious that the terms of performance of different MS Care Units will vary across regions and need to be balanced with clinical practice according to local conditions. Although the main objective for establishment of MS Care Units will be to offer the single MS patient seamless and correct management of the disease to increase patient satisfaction and quality of life, it may even be cost-effective for the society by maintaining the working ability and reducing the costs of home help and custodial care by keeping people with MS resourceful.

Original languageEnglish
Pages (from-to)627-636
Number of pages10
JournalMultiple Sclerosis Journal
Volume25
Issue number5
DOIs
Publication statusPublished - Apr 1 2019

Keywords

  • Multiple sclerosis
  • multiple sclerosis care
  • multiple sclerosis disease-modifying therapy
  • multiple sclerosis multidisciplinary management
  • multiple sclerosis symptomatic treatment
  • multiple sclerosis treatment

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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