International consensus guidance for management of myasthenia gravis: Executive summary.

OBJECTIVE: To develop formal consensus-based guidance for the management of myasthenia gravis (MG). METHODS: In October 2013, the Myasthenia Gravis Foundation of America appointed a Task Force to develop treatment guidance for MG, and a panel of 15 international experts was convened. The RAND/UCLA a...

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Main Authors: Sanders, D, Wolfe, G, Benatar, M, Evoli, A, Gilhus, N, Illa, I, Kuntz, N, Massey, J, Melms, A, Murai, H, Nicolle, M, Palace, J, Richman, D, Verschuuren, J, Narayanaswami, P
פורמט: Journal article
שפה:English
יצא לאור: American Academy of Neurology 2016
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author Sanders, D
Wolfe, G
Benatar, M
Evoli, A
Gilhus, N
Illa, I
Kuntz, N
Massey, J
Melms, A
Murai, H
Nicolle, M
Palace, J
Richman, D
Verschuuren, J
Narayanaswami, P
author_facet Sanders, D
Wolfe, G
Benatar, M
Evoli, A
Gilhus, N
Illa, I
Kuntz, N
Massey, J
Melms, A
Murai, H
Nicolle, M
Palace, J
Richman, D
Verschuuren, J
Narayanaswami, P
author_sort Sanders, D
collection OXFORD
description OBJECTIVE: To develop formal consensus-based guidance for the management of myasthenia gravis (MG). METHODS: In October 2013, the Myasthenia Gravis Foundation of America appointed a Task Force to develop treatment guidance for MG, and a panel of 15 international experts was convened. The RAND/UCLA appropriateness methodology was used to develop consensus guidance statements. Definitions were developed for goals of treatment, minimal manifestations, remission, ocular MG, impending crisis, crisis, and refractory MG. An in-person panel meeting then determined 7 treatment topics to be addressed. Initial guidance statements were developed from literature summaries. Three rounds of anonymous e-mail votes were used to attain consensus on guidance statements modified on the basis of panel input. RESULTS: Guidance statements were developed for symptomatic and immunosuppressive treatments, IV immunoglobulin and plasma exchange, management of impending and manifest myasthenic crisis, thymectomy, juvenile MG, MG associated with antibodies to muscle-specific tyrosine kinase, and MG in pregnancy. CONCLUSION: This is an international formal consensus of MG experts intended to be a guide for clinicians caring for patients with MG worldwide.
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spelling oxford-uuid:383d8173-a44e-4e7b-8491-5cce5f4f5fa82022-03-26T13:49:01ZInternational consensus guidance for management of myasthenia gravis: Executive summary.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:383d8173-a44e-4e7b-8491-5cce5f4f5fa8EnglishSymplectic Elements at OxfordAmerican Academy of Neurology2016Sanders, DWolfe, GBenatar, MEvoli, AGilhus, NIlla, IKuntz, NMassey, JMelms, AMurai, HNicolle, MPalace, JRichman, DVerschuuren, JNarayanaswami, POBJECTIVE: To develop formal consensus-based guidance for the management of myasthenia gravis (MG). METHODS: In October 2013, the Myasthenia Gravis Foundation of America appointed a Task Force to develop treatment guidance for MG, and a panel of 15 international experts was convened. The RAND/UCLA appropriateness methodology was used to develop consensus guidance statements. Definitions were developed for goals of treatment, minimal manifestations, remission, ocular MG, impending crisis, crisis, and refractory MG. An in-person panel meeting then determined 7 treatment topics to be addressed. Initial guidance statements were developed from literature summaries. Three rounds of anonymous e-mail votes were used to attain consensus on guidance statements modified on the basis of panel input. RESULTS: Guidance statements were developed for symptomatic and immunosuppressive treatments, IV immunoglobulin and plasma exchange, management of impending and manifest myasthenic crisis, thymectomy, juvenile MG, MG associated with antibodies to muscle-specific tyrosine kinase, and MG in pregnancy. CONCLUSION: This is an international formal consensus of MG experts intended to be a guide for clinicians caring for patients with MG worldwide.
spellingShingle Sanders, D
Wolfe, G
Benatar, M
Evoli, A
Gilhus, N
Illa, I
Kuntz, N
Massey, J
Melms, A
Murai, H
Nicolle, M
Palace, J
Richman, D
Verschuuren, J
Narayanaswami, P
International consensus guidance for management of myasthenia gravis: Executive summary.
title International consensus guidance for management of myasthenia gravis: Executive summary.
title_full International consensus guidance for management of myasthenia gravis: Executive summary.
title_fullStr International consensus guidance for management of myasthenia gravis: Executive summary.
title_full_unstemmed International consensus guidance for management of myasthenia gravis: Executive summary.
title_short International consensus guidance for management of myasthenia gravis: Executive summary.
title_sort international consensus guidance for management of myasthenia gravis executive summary
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