J 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.