Association between clinic-level quality of care and patient-level outcomes in multiple sclerosis.

ABSTRACT:

Background

Multiple sclerosis (MS) quality of care guidelines are consensus-based. The effectiveness of the recommendations is unknown.

Objective

To determine whether clinic-level quality of care affects clinical and patient-reported outcomes.

Methods

This nationwide observational cohort study included patients with adult-onset MS in the Swedish MS registry with disease onset 2005-2015. Clinic-level quality of care was measured by four indicators: visit density, magnetic resonance imaging (MRI) density, mean time to commencement of disease-modifying therapy, and data completeness. Outcomes were Expanded Disability Status Scale (EDSS) and patient-reported symptoms measured by the Multiple Sclerosis Impact Scale (MSIS-29). Analyses were adjusted for individual patient c

SUBMITTER: He AH 

PROVIDER: S-EPMC10413789 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature