The management of multiple sclerosis by reference centers in south of Italy: a 2011 survey on health demands and needs in Campania region

Autor: Daniele Spitaleri, Emilio Lombardi, Walter Di Iorio, Roberta Lanzillo, Mario Alberto Battaglia, Anna Pia Spadera, F. Romano, Giuseppe Orefice, Antonio Gallo, Pasquale Vivo, Francesco Di Nardo, Darko Nedovic, Vincenzo Busillo, Giorgia Teresa Maniscalco, Chiara De Waure, Walter Mazzucco, Walter Ricciardi, Leonardo Sinisi, Maria Petracca
Přispěvatelé: de Waure, Chiara, Di Nardo, Francesco, Mazzucco, Walter, Nedovic, Darko, Battaglia, Mario Alberto, Busillo, Vincenzo, Di Iorio, Walter, Gallo, Antonio, Lanzillo, Roberta, Lombardi, Emilio, Maniscalco, Giorgia Teresa, Orefice, Giuseppe, Petracca, Maria, Romano, Felice, Sinisi, Leonardo, Spadera, Anna Pia, Spitaleri, Daniele, Vivo, Pasquale, Ricciardi, Walter, de Waure, C, Di Nardo, F, Mazzucco, W, Nedovic, D, Battaglia, Ma, Busillo, V, Di Iorio, W, Lanzillo, R, Lombardi, E, Maniscalco, Gt, Orefice, G, Petracca, M, Romano, F, Sinisi, L, Spadera, Ap, Spitaleri, D, Vivo, P, Ricciardi, W.
Rok vydání: 2015
Předmět:
Adult
Male
medicine.medical_specialty
Pediatrics
Multiple Sclerosis
Cross-sectional study
Neurological examination
Dermatology
Disease management
Health services needs and demand
Multiple sclerosis
Cross-Sectional Studies
Female
Humans
Italy
Surveys and Questionnaires
Needs Assessment
2708
Neurology (clinical)
Psychiatry and Mental Health
03 medical and health sciences
0302 clinical medicine
medicine
Multiple sclerosi
030212 general & internal medicine
Disease management (health)
Glatiramer acetate
Settore MED/42 - IGIENE GENERALE E APPLICATA
Neuroradiology
Expanded Disability Status Scale
medicine.diagnostic_test
business.industry
General Medicine
Management of multiple sclerosis
medicine.disease
Psychiatry and Mental health
Physical therapy
business
030217 neurology & neurosurgery
medicine.drug
Zdroj: Europe PubMed Central
ISSN: 1590-3478
1590-1874
Popis: This cross-sectional study has investigated the diagnostic and therapeutic management of patients suffering from multiple sclerosis (MS) in the Campania Region (Italy). A survey involving all the reference centers for MS in Campania Region was conducted from March to August 2011. Centers responded to a web-administered questionnaire on management and clinical characteristics of MS patients. In the study period, 3263 patients (mean age 37 years, 66 % females) accessed the centers. Patients received a first diagnosis of MS in 161 cases (4.9 %). About 37 % of the subjects without a previous diagnosis came to the centers on their own initiative. All patients underwent a complete neurological examination and expanded disability status scale. The other most common investigations were magnetic resonance imaging (44.0 %) and evoked potentials (22.1 %). The number of treated patients was 2797 (87.1 %). The most used drugs were interferon β and glatiramer acetate. The time between diagnosis and initiation of therapy exceeded 6 months in 32 % of cases. Second-line drugs were under-used: 16 % of patients who might benefit from them show high clinical and radiological disease activity despite treatment with immunomodulant drugs. The MS care management of the surveyed centers showed consistent margins for improvement in 2011. Even though these data do not represent the current situation, they can be used to monitor improvements in MS care.
Databáze: OpenAIRE
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