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DOI: 10.1055/s-0036-1583668
Development of a MS-Network for Children and Adolescents in the Rhine-Ruhr Region
Background/Purpose: Multiple sclerosis (MS) is the most common progressive neurological disease in young to middle adulthood. The realization, that the disease can also manifest itself before adulthood in children and adolescents, however, is rather new. This can result in diagnostic errors, administration of the wrong treatment, and, not uncommonly, in year-long medical odysseys—aside from the special psychosocial strains for the entire family system. Competent, interdisciplinary, and geographically proximate care is therefore urgently required.
Methods: With regard to content, the network will be supported by the competencies of neuropediatricians, neurologists, radiologists, psychologists, self-help groups, unions, and established, specialized practices in the Rhine-Ruhr region. At its inception in June of 2015, treatment and care guidelines for children and adolescents with MS were defined. In the currently running pilot phase that is set to last 2 years, it is planned to integrate further network partners. Agreements between the network partners ensure an interdisciplinary, guideline-compliant, and at the same time geographically local treatment and care of the affected children and adolescents, as well as their families.
Results: In the meetings of the network partners, the following goals were established and partially implemented:
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Compiling of common benchmarks of quality
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Connection of medical treatment with psychosocial help services
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Creation of self-help services for children, adolescents, and parents
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Provision of regional contact partners
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Knowledge management of pediatric MS: Transition of the data to the MS-database of the DMSG Bundesverband.
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Improvement of the transition
Conclusion: With this network, children and adolescents are provided with contact partners and places of treatment in their proximity. These are in regular contact with each other to make the severity of the disease and its outcomes more bearable—for children, as well as for parents!