Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Project ECHO Delivers MS Care in Underserved Areas

Int J MS Care; ePub 2018 Oct 4; Alschuler, et al

Participant responses in a recent study support Project Extension for Community Healthcare Outcomes (Project ECHO) as a program that may both directly and indirectly impact the way providers deliver multiple sclerosis (MS) care in underserved areas. Project ECHO, a novel approach to addressing disparities in MS care, was pilot tested as a weekly 60-minute videoconference delivered to 24 clinicians across 13 practice sites over 41 weeks. Participants completed a number of measures related to their experience in the program and answered qualitative questions via exit interview. Researchers reported on the responses to exit interview questions related to the case consultation component of Project ECHO. They found that participant responses regarding case consultations generated 4 themes:

  1. improved confidence amongst participants in the existing treatment decision;
  2. direct change in the care of the patient provided by the participant;
  3. changed practice habits for all of the participant's MS patients; and
  4. increased perception that patients had confidence in the participant as an MS care provider.

Alschuler KN, Stobbe GA, Hertz DP, et al. Impact of multiple sclerosis Project ECHO on provider confidence and clinical practice. [Published online ahead of print October 4, 2018]. Int J MS Care. doi:10.7224/1537-2073.2018-014.

This Week's Must Reads

Stroke Care Comparison of Asian Americans and Whites, JAMA Neurology; ePub 2019 Jan 22; Song, Liang, et al

Aerobic Exercise Can Improve Executive Functioning , Neurology; 2019 Jan 15; Blumenthal, et al

Episodic Memory Decline is Neurodegenerative Marker, Neurology; ePub 2019 Jan 23; Wilson, Yang, et al

Serum Troponin Level Marker for Visceral Infarcts , J Stroke Cerebrovasc Dis; ePub 2019 Jan 18; Azher, et al

Urine Sodium-to-Potassium Ratio Predicts Stroke, Stroke; ePub 2019 Jan 21; Averill, Young, et al

Must Reads in Multiple Sclerosis

Prevalence of Asthma in Persons with MS, Mult Scler Relat Disord; ePub 2018 Dec 11; Hill, et al

Normal-Appearing White Matter in MS Examined, Neuroradiology; ePub 2018 Dec 12; Yu, et al

MS Disease Burden: Which Symptoms Matter Most?, Mult Scler Relat Disord; 2018 Oct; Barin, et al

Retinal Layer Thickness and MS Conversion Risk, Mult Scler; ePub 2018 Dec 3; Filippatou, et al

Importance of Coping and QOL in People with MS, Int J MS Care; ePub 2018 Dec 6; Grech, et al