Pinpointing the Progression of Multiple Sclerosis - Differentiation, Evaluation and Treatment Updates
Once you're logged in, please select the "REGISTER" tab to process your payment and complete your registration.
- Differentiate findings about the pathophysiology of Primary Progressive Multiple Sclerosis (PPMS).
- Identify specific aspects of evaluation, including objective tests and measures that can help to pinpoint PPMS and quantify its progression.
- Evaluate data on pharmacologic treatments that may emerge with a role in treating patients with PPMS.
Assessment of Need and References
Clinicians managing patients with PPMS are challenged by several aspects of this responsibility. Assessment can be confounded by patient perceptions and variable presentations and course, so effective evaluation must consider objective data such as MRI and assessment scale findings as well as the individual patient’s presentation and history. Treatment options have been limited to date and there is a lack of consensus on approach to treatment, so it is important that clinicians are able to analyze new data/treatment options expected to emerge, as a means of informing the selection of the safest and most effective options for care. View the entire assessment of need analysis and references.
- Clinical Gap 1: Differentiating and Evaluating: It is important that clinicians are equipped to accurately differentiate and evaluate PPMS (as compared with RRMS or secondary progressive MS [SPMS]), which affects a smaller percentage of patients but is also potentially much more disabling. In addition, acquiring foundational knowledge regarding pathophysiology can help to frame mechanisms of action for potentially effective treatments.
- Clinical Gap 2: Developments in Treatment: Due to the lack of approved effective treatments for PPMS thus far, clinicians must be informed about emerging agents that may offer some modification of the disease course.
Robert T. Naismith, MD
Associate Professor of Neurology, Washington University School of Medicine in St. Louis
Relevant to the content of this CME activity, Dr. Naismith indicated he is a consultant for Acorda, Alkermes, Bayer, Biogen, EMD Serono, Genetech, Genzyme, Novartis, and Teva.
Kathy Mercuris, PT, DHS, C/NDT, CEEAA
Associate Professor in the Doctor of Physical Therapy Program, Des Moines University
Dr. Mercuris received her BS in Physical Therapy from Northwestern University and her Doctorate in Health Sciences at the University of Indianapolis. She is certified in adult hemiplegia by the Neurodevelopment Association, is a certified Tai Chi for Arthritis and Fall Prevention instructor, and has Certification as Exercise Expert in Aging Adults. She has 38 years of experience working with individuals with neurologic dysfunction and teaching in the Doctor of Physical Therapy Program at Des Moines University.
Relevant to the content of this CME activity, Dr. Mercuris indicated she has no financial relationships to disclose.
Copyright: All rights reserved. By viewing this activity, participants agree to abide by copyright and trademark laws, intellectual property rights, and all other applicable laws of the United States of America. No part of the syllabus may be used or reproduced in any manner whatsoever without written permission, except in the case of brief quotations embodied in articles or reviews.
Internet CME Policy: The Office of Continuing Medical Education (CME) at Des Moines University (DMU) is committed to protecting the privacy of its customers. DMU CME maintains its Internet site as an information resource and service for health professionals. DMU CME will keep your personal and credit information confidential when you participate in an Internet based program. Your information will never be given to anyone outside of the DMU CME program. DMU CME collects only the information necessary to provide you with the services that you request.
Continuing Education Credit
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Des Moines University (DMU) is accredited by the IMS to provide continuing medical education for physicians. DMU designates this enduring materials activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 1.0 AOA Category 2-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
- Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 1.0 continuing education contact hour(s). No partial credit awarded.
- Other: This enduring materials activity is designated for 1.0 AMA PRA Category 1 Credit(s)™.
This activity is supported by an educational grant from Genentech, Inc.
- 1.00 AOA Category 2B
- 1.00 AMA PRA Category 1 Credits™
- 1.00 CE Contact Hours