2019
Initiation of first disease-modifying treatment for multiple sclerosis patients in the Czech republic from 2013 to 2016: Data from the national registry ReMuS
HORAKOVA, D., P. ROCKOVA, J. JIRCIKOVA, Tomáš DOLEŽAL, M. VACHOVA et. al.Základní údaje
Originální název
Initiation of first disease-modifying treatment for multiple sclerosis patients in the Czech republic from 2013 to 2016: Data from the national registry ReMuS
Autoři
HORAKOVA, D. (203 Česká republika, garant), P. ROCKOVA (203 Česká republika), J. JIRCIKOVA (203 Česká republika), Tomáš DOLEŽAL (203 Česká republika, domácí), M. VACHOVA (203 Česká republika), P. HRADILEK (203 Česká republika), M. VALIS (203 Česká republika), J. SUCHA (203 Česká republika), A. MARTINKOVA (203 Česká republika), R. AMPAPA (203 Česká republika), M. GRUNERMELOVA, I. STETKAROVA, Pavel ŠTOURAČ (203 Česká republika, domácí), J. MARES (203 Česká republika), Michal DUFEK (203 Česká republika, domácí), E. KMETOVA (203 Česká republika), J. ADAMKOVA (203 Česká republika) a T. HRNCIAROVA (203 Česká republika)
Vydání
MULTIPLE SCLEROSIS AND RELATED DISORDERS, OXFORD, ELSEVIER SCI LTD, 2019, 2211-0348
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30103 Neurosciences
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.889
Kód RIV
RIV/00216224:14110/19:00111752
Organizační jednotka
Lékařská fakulta
UT WoS
000495743000037
Klíčová slova anglicky
Multiple sclerosis; Czech national registry ReMuS; Disease-modifying drugs; Quality of care; Treatment initiation
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 20. 1. 2020 09:30, Mgr. Tereza Miškechová
Anotace
V originále
Background: : Proper management of multiple sclerosis (MS) requires feedback from clinical practice via registries. Objective: : To introduce the Czech national multiple sclerosis registry, ReMuS, and explore the availability and use of disease-modifying drugs (DMD). Methods: : The analysis focused on patients who started their first DMD, either with first-line or second-line medication and was based on reimbursement criteria set by Czech regulators. Baseline information was used to predict relapses after DMD initiation and to compare patients that started DMD in different years. Results: : A total of 3,328 patients started DMD treatment for MS between 2013 and 2016; 3,203 on first-line and 125 on second-line medication. The proportion of patients starting on second-line drugs increased from 1.8% in 2013 to 4.7% in 2016. The occurrence of a relapse within one year of DMD initiation was significantly related to (1) the Expanded Disability Status Scale (EDSS) score immediately prior to starting DMD and (2) the number of previous relapses. Both parameters were significantly lower in patients starting in later years of the explored interval. Conclusion: : Data from the ReMuS registry highlights improvements made in the management of MS in the Czech Republic. However, a relatively low percentage of patients started treatment using second-line drugs, in contrast to trends in other countries.