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Adherence to disease-modifying drugs in patients with multiple sclerosis: a consensus statement from the Middle East
Bassem I Yamout1, Maurice Dahdaleh, Mohammed Ali Al Jumah
1Internal Medicine, American University of Beirut, Beirut, Lebanon. yamoutba@idm.net.lb
Abstract:
Adherence to therapy is a key issue in chronic illnesses. In addition, several features of multiple sclerosis (MS) and its treatment may increase the likelihood of patient nonadherence and discontinuation of treatment. Nonadherence will obviously compromise the efficacy of disease-modifying drugs in patients with MS. This subject was discussed by a group of local MS specialists from the Middle East. The group debated several key questions about the features and causes of patient nonadherence and its management. Further, they made recommendations for optimizing treatment adherence in this area.
Insights
Patient adherence to multiple sclerosis (MS) therapy is crucial for treatment efficacy. Local MS specialists in the Middle East discussed challenges and recommendations for improving patient adherence to disease-modifying drugs.
Area of Science:
- Neurology
- Pharmacology
- Public Health
Background:
- Therapy adherence is critical for managing chronic illnesses like multiple sclerosis (MS).
- Specific aspects of MS and its treatments can lead to patient nonadherence and treatment discontinuation.
- Compromised adherence negatively impacts the effectiveness of disease-modifying drugs (DMDs) in MS patients.
Purpose of the Study:
- To address challenges related to patient adherence in multiple sclerosis (MS) within the Middle East.
- To identify key factors contributing to nonadherence and treatment discontinuation in MS patients.
- To develop expert recommendations for enhancing treatment adherence in the region.
Main Methods:
- A consensus discussion among local multiple sclerosis (MS) specialists from the Middle East.
- Debate on critical questions concerning the characteristics and causes of patient nonadherence.
- Formulation of practical recommendations for improving adherence.
Main Results:
- Identified specific features of MS and its treatment that pose adherence challenges.
- Discussed the multifaceted causes of patient nonadherence to therapy.
- Generated a set of expert-driven recommendations tailored for the Middle Eastern context.
Conclusions:
- Improving adherence to disease-modifying drugs is essential for optimizing multiple sclerosis (MS) management.
- Addressing patient-specific and treatment-related factors is key to enhancing adherence.
- Regional expert consensus provides a foundation for targeted interventions to improve MS patient outcomes.
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