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The 2013 clinical course descriptors for multiple sclerosis: A clarification

Lublin, FD; Coetzee, T; Cohen, JA; Marrie, RA; Thompson, A; (2020) The 2013 clinical course descriptors for multiple sclerosis: A clarification. Neurology , 94 (24) pp. 1088-1092. 10.1212/WNL.0000000000009636. Green open access

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Abstract

The clinical courses of multiple sclerosis were defined in 1996 and refined in 2013 to provide a time-based assessment of the current status of the individual. These definitions have been successfully used by clinicians, clinical trialists, and regulatory authorities. Recent regulatory decisions produced variations and discrepancies in the use of the clinical course descriptions. We provide here a clarification of the concepts underlying these descriptions and restate the principles used in their development. Importantly, we highlight the critical importance of time framing the disease course modifiers activity and progression and clarify the difference between the terms worsening and progressing.

Type: Article
Title: The 2013 clinical course descriptors for multiple sclerosis: A clarification
Open access status: An open access version is available from UCL Discovery
DOI: 10.1212/WNL.0000000000009636
Publisher version: https://doi.org/10.1212/WNL.0000000000009636
Language: English
Additional information: Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
Keywords: Multiple sclerosis
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10094527
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