Toward a Shared-Care Model of Relapsing-Remitting Multiple Sclerosis: Role of the Primary Care Practitioner

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
Jiwon OhPaul S Giacomini

Abstract

The objective of this study was to develop a shared-care model to enable primary-care physicians to participate more fully in meeting the complex, multidisciplinary healthcare needs of patients with multiple sclerosis (MS). The design consisted of development of consensus recommendations and a shared-care algorithm. A working group of 11 Canadian neurologists involved in the management of patients with MS were included in this study. The clinical management of patients with multiple sclerosis is increasing in complexity as new disease-modifying therapies (DMTs) become available, and ongoing safety monitoring is required. A shared-care model that includes primary care physicians is needed. Primary care physicians can assist in the early detection of MS of individuals presenting with neurological symptoms. Additional key roles for family physicians are health promotion, symptom management, and safety and relapse monitoring of DMT-treated patients. General principles of health promotion include counseling MS patients on maintaining a healthy lifestyle; performing standard screening measures; and identifying and treating comorbidities. Of particular importance are depression and anxiety, which occur in >20% of MS patients. Standard...Continue Reading

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Citations

Jul 10, 2020·PloS One·Dalia L RotsteinColleen J Maxwell
Aug 6, 2020·Journal of Evaluation in Clinical Practice·Chun Chieh LinLesli E Skolarus
Oct 16, 2018·Frontiers in Neurology·Gustavo SaposnikJiwon Oh
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Jul 23, 2021·Multiple Sclerosis Journal - Experimental, Translational and Clinical·Julie PétrinMarcia Finlayson

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