Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis
BackgroundManagement of multiple sclerosis (MS) requires a high level of communication between health care professionals (HCPs) and people with MS (pwMS) including profound investigation and discussion of symptoms to identify therapeutic needs. For treatment decisions, monitoring of disease activity...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-01-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.1093352/full |
| _version_ | 1797961700253630464 |
|---|---|
| author | Monika Christ Katrin Schuh Antonios Bayas |
| author_facet | Monika Christ Katrin Schuh Antonios Bayas |
| author_sort | Monika Christ |
| collection | DOAJ |
| description | BackgroundManagement of multiple sclerosis (MS) requires a high level of communication between health care professionals (HCPs) and people with MS (pwMS) including profound investigation and discussion of symptoms to identify therapeutic needs. For treatment decisions, monitoring of disease activity is important, in this respect self-monitoring devices and apps, as well as magnetic resonance imaging are important tools.MethodsMS Perspectives is a cross-sectional online survey conducted in Germany which was designed to collect data, among others, on the communication between pwMS and HCPs regarding treatment goals, symptom assessment, usage of devices and apps to self-monitor health functions, as well as to identify patients' attitude toward the role of magnetic resonance imaging (MRI). Between December 2021 and February 2022, 4,555 pwMS completed the survey.ResultsIn total, 63.7% of participants reported that treatment goals have been discussed with their HCPs. Symptoms worsening in the past 12 months independent of relapses was more often reported by pwMS than inquired by HCPs, according to patients' report. Devices or apps for health monitoring were used by less than half of participants. Frequency of MRI controls was much lower in participants with longer compared to shorter disease duration (47.5 vs. 86.3%). The proportion of patients with annual or semiannual scans was highest among pwMS receiving infusion therapy (93.5%), followed by oral medication (82.5%) and injectables (73.4%), and lowest for pwMS without immunotherapy (58.2%).ConclusionMS Perspectives identified a rather low patient involvement regarding treatment goals and symptom assessment in clinical practice. Regarding this and our findings for health self-monitoring and MRI usage, strategies for improving patient-HCP communication and disease monitoring may be considered. |
| first_indexed | 2024-04-11T01:01:50Z |
| format | Article |
| id | doaj.art-4016de14d3514de587d4d4bbef476c4a |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-11T01:01:50Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-4016de14d3514de587d4d4bbef476c4a2023-01-04T15:08:25ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-01-011310.3389/fneur.2022.10933521093352Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosisMonika Christ0Katrin Schuh1Antonios Bayas2Department of Neurology, Faculty of Medicine, University of Augsburg, Augsburg, GermanyNovartis Pharma GmbH, Nuremberg, GermanyDepartment of Neurology, Faculty of Medicine, University of Augsburg, Augsburg, GermanyBackgroundManagement of multiple sclerosis (MS) requires a high level of communication between health care professionals (HCPs) and people with MS (pwMS) including profound investigation and discussion of symptoms to identify therapeutic needs. For treatment decisions, monitoring of disease activity is important, in this respect self-monitoring devices and apps, as well as magnetic resonance imaging are important tools.MethodsMS Perspectives is a cross-sectional online survey conducted in Germany which was designed to collect data, among others, on the communication between pwMS and HCPs regarding treatment goals, symptom assessment, usage of devices and apps to self-monitor health functions, as well as to identify patients' attitude toward the role of magnetic resonance imaging (MRI). Between December 2021 and February 2022, 4,555 pwMS completed the survey.ResultsIn total, 63.7% of participants reported that treatment goals have been discussed with their HCPs. Symptoms worsening in the past 12 months independent of relapses was more often reported by pwMS than inquired by HCPs, according to patients' report. Devices or apps for health monitoring were used by less than half of participants. Frequency of MRI controls was much lower in participants with longer compared to shorter disease duration (47.5 vs. 86.3%). The proportion of patients with annual or semiannual scans was highest among pwMS receiving infusion therapy (93.5%), followed by oral medication (82.5%) and injectables (73.4%), and lowest for pwMS without immunotherapy (58.2%).ConclusionMS Perspectives identified a rather low patient involvement regarding treatment goals and symptom assessment in clinical practice. Regarding this and our findings for health self-monitoring and MRI usage, strategies for improving patient-HCP communication and disease monitoring may be considered.https://www.frontiersin.org/articles/10.3389/fneur.2022.1093352/fullmultiple sclerosissurveypatient communicationmagnetic resonance imagingdigital technology |
| spellingShingle | Monika Christ Katrin Schuh Antonios Bayas Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis Frontiers in Neurology multiple sclerosis survey patient communication magnetic resonance imaging digital technology |
| title | Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis |
| title_full | Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis |
| title_fullStr | Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis |
| title_full_unstemmed | Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis |
| title_short | Large-scale cross-sectional online survey on patient-neurologist communication, burden of disease assessment and disease monitoring in people with multiple sclerosis |
| title_sort | large scale cross sectional online survey on patient neurologist communication burden of disease assessment and disease monitoring in people with multiple sclerosis |
| topic | multiple sclerosis survey patient communication magnetic resonance imaging digital technology |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.1093352/full |
| work_keys_str_mv | AT monikachrist largescalecrosssectionalonlinesurveyonpatientneurologistcommunicationburdenofdiseaseassessmentanddiseasemonitoringinpeoplewithmultiplesclerosis AT katrinschuh largescalecrosssectionalonlinesurveyonpatientneurologistcommunicationburdenofdiseaseassessmentanddiseasemonitoringinpeoplewithmultiplesclerosis AT antoniosbayas largescalecrosssectionalonlinesurveyonpatientneurologistcommunicationburdenofdiseaseassessmentanddiseasemonitoringinpeoplewithmultiplesclerosis |