Portal de Periódicos da CAPES

Argentinean recommendations on the identification of treatment failure in relapsing remitting multiple sclerosis patients

2018; Elsevier BV; Volume: 385; Linguagem: Inglês

10.1016/j.jns.2018.01.004

1878-5883

Edgardo Cristiano, Ricardo Alonso, Amelia Alvez Pinheiro, Elizabeth Alejandra Bacile Bacile, María Eugenia Balbuena, Carlos Ballario, Andrés Barboza, Santiago Bestoso, Marcos Burgos, Fernando Cáceres, Edgar Carnero Contentti, Adriana Carrá, E Crespo, María Celeste Curbelo, Normah Deri, J R Muñóz y Fernández, Nora Fernández Liguori, Marcela Fiol, María I. Gaitán, Orlando Garcea, Diego Giunta, Mario Javier Halfón, Javier Hryb, Miguel Jacobo, Eduardo Köhler, Ramiro Linares, Geraldine Luetic, Alejandra Martínez, Jimena Míguez, Pedro Nofal, Liliana Patrucco, Raúl Piedrabuena, Juan Ignacio Rojas, Roberto Rotta Escalante, Maria Luisa Saladino, Berenice Silva, Vladimiro Sinay, Judith Steinberg, Adriana Tarulla, Santiago A. Vétere, Andrés Villa, Cárlos Vrech, María Célica Ysrraelit, Jorge Correale,

Fibromyalgia and Chronic Fatigue Syndrome Research

One of the biggest challenges in multiple sclerosis (MS) is the definition of treatment response/failure in order to optimize treatment decisions in affected patients. The objective of this consensus was to review how disease activity should be assessed and to propose recommendations on the identification of treatment failure in RRMS patients in Argentina.A panel of experts in neurology from Argentina, dedicated to the diagnosis and care of MS patients, gathered both virtually and in person during 2016 and 2017 to carry out a consensus recommendation on the identification of treatment failure in RRMS patients. To achieve consensus, the methodology of "formal consensus-RAND/UCLA method" was used.Recommendations were established based on published evidence and the expert opinion. Recommendations focused on disease management, disease activity markers and treatment failure identification were determined. Main consensus were: ≥2 relapses during the first year of treatment and/or ≥3 new or enlarged T2 or T1 GAD+ lesions and/or sustained increase of ≥2 points in EDSS or ≥100% in T25FW defines treatment failure in RRMS patients.The recommendations of this consensus guidelines attempts to optimize the health care and management of patients with MS in Argentina.