ECTRIMS eLearning

Evolution of the Czech national registry ReMuS - 3 years experience
Author(s): ,
D Horakova
Affiliations:
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, First Faculty of Medicine and General University Hospital, Prague
,
P Hradilek
Affiliations:
Clinic of Neurology, University Hospital Ostrava, Ostrava
,
M Vachova
Affiliations:
Department of Neurology, KZ a.s, Hospital Teplice o.z, Teplice
,
M Valis
Affiliations:
Department of Neurology, Charles University in Prague, Faculty of Medicine in Hradec Kralove, and University Hospital Hradec Kralove, Hradec Kralove
,
J Sucha
Affiliations:
Department of Neurology, Charles University in Prague, Faculty of Medicine in Pilsen, and University Hospital Pilsen, Pilsen
,
A Novotna
Affiliations:
Neurology Clinic, Pardubice Regional Hospital and Faculty of Health Studies, University of Pardubice, Pardubice
,
R Ampapa
Affiliations:
Department of Neurology, Hospital of Jihlava, Jihlava
,
M Grunermelova
Affiliations:
Department of Neurology, Thomayer Hospital, Prague
,
I Stetkarova
Affiliations:
Charles University in Prague, 3rd Faculty of Medicine, Hospital Kralovske Vinohrady, Prague
,
P Stourac
Affiliations:
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, First Faculty of Medicine and General University Hospital, Prague0
,
J Mares
Affiliations:
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, First Faculty of Medicine and General University Hospital, PragueDepartment of Neurology and Center of Clinical Neuroscience, Charles University in Prague, First Faculty of Medicine and General University Hospital, Prague
,
J Adamkova
Affiliations:
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, First Faculty of Medicine and General University Hospital, PragueClinic of Neurology, University Hospital Ostrava, Ostrava
P Liskova
Affiliations:
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, First Faculty of Medicine and General University Hospital, PragueDepartment of Neurology, KZ a.s, Hospital Teplice o.z, Teplice
ECTRIMS Learn. Horakova D. 09/14/16; 145454; EP1359
Dana Horakova
Dana Horakova
Contributions
Abstract

Abstract: EP1359

Type: ePoster

Abstract Category: Clinical aspects of MS - Epidemiology

Background: There is an unmet need for reliable long term data depicting different aspects of multiple sclerosis (MS) patients in a real life. One of the most important source of this data are well organized registries.

Objectives: To report an evolution and results from the Czech national registry ReMuS.

Methods: The ReMuS was established in 2013 and is operated by the endowment fund Impuls (www.multiplesclerosiscz) in collaboration with the Czech neuroimmunological society. Data is collected directly in MS centers via software iMed. There is twice yearly data export from particular center into a centralized database, where data are cleaned (via querying local centers), compile and final report is created. The report is publicly available on www.multiplesclerosis.cz.

The first stratum to be added to this database was patients treated by disease modifying drugs (DMD). In first two years, only data from this demographic were collected and added to the database. Since the third year, data of all patients followed in the MS centers has been collected and sent. Here we report only data of patients treated by DMD.

The registry is completely funded by the fund IMPULS, approx.70 % of budget is invested directly in centers to support data collection, the rest is spend on datamanagement and analysis of data..

Results: 13 out of 15 Czech MS centers have already joined the registry. The number of DMD treated patient records has increased gradually from 1501 in 2013 to 7786 in the last export in December 2015. Sex ratio female / male is 72/28%, median age 40.1 (9.3;78.1), EDSS 2.5 (0;8), mean annual relapse rate 0.27. Among all DMDs, the leading preparations are interferons (50.6%) and glatiramer acetate (22.6%), the escalation therapy represents 21.7 % of all DMDs.

The registry provides further data about pregnancy, distribution of patients in particular regions, health insurance assignment, and important data about employment and disability pension (71.9% of patients are employed and working full or part time, or are students).

Conclusions: ReMuS, the Czech national registry, has already collected comprehensive data of almost 8000 patients, the first 3 centers have participated almost 3 years. The aim is to enroll a majority of MS patients in the Czech Republic (estimated number is 15-17000 patients) within the next 2 years. The registry is already preparing important longitudinal data.

Disclosure: The ReMuS is funded by Endowment fund Impuls

Dana Horakova received compensation for travel, speaker honoraria and consultant fees from Biogen Idec, Novartis, Merck, Bayer, Sanofi Genzyme, and Teva, as well as support for research activities from Biogen Idec.

Pavel Hradilek: nothing to disclose

Marta Vachova: nothing to disclose

Martin Valis: nothing to disclose

Jaroslava Sucha: nothing to disclose

Alena Novotna nothing to disclose

Radek Ampapa: nothing to disclose

Marketa Grunermelova: nothing to disclose

Ivana Stetkarova: nothing to disclose

Pavel Stourac: nothing to disclose

Jan Mares: nothing to disclose

Jana Adamkova: nothing to disclose

Petra Liskova: nothing to disclose

Abstract: EP1359

Type: ePoster

Abstract Category: Clinical aspects of MS - Epidemiology

Background: There is an unmet need for reliable long term data depicting different aspects of multiple sclerosis (MS) patients in a real life. One of the most important source of this data are well organized registries.

Objectives: To report an evolution and results from the Czech national registry ReMuS.

Methods: The ReMuS was established in 2013 and is operated by the endowment fund Impuls (www.multiplesclerosiscz) in collaboration with the Czech neuroimmunological society. Data is collected directly in MS centers via software iMed. There is twice yearly data export from particular center into a centralized database, where data are cleaned (via querying local centers), compile and final report is created. The report is publicly available on www.multiplesclerosis.cz.

The first stratum to be added to this database was patients treated by disease modifying drugs (DMD). In first two years, only data from this demographic were collected and added to the database. Since the third year, data of all patients followed in the MS centers has been collected and sent. Here we report only data of patients treated by DMD.

The registry is completely funded by the fund IMPULS, approx.70 % of budget is invested directly in centers to support data collection, the rest is spend on datamanagement and analysis of data..

Results: 13 out of 15 Czech MS centers have already joined the registry. The number of DMD treated patient records has increased gradually from 1501 in 2013 to 7786 in the last export in December 2015. Sex ratio female / male is 72/28%, median age 40.1 (9.3;78.1), EDSS 2.5 (0;8), mean annual relapse rate 0.27. Among all DMDs, the leading preparations are interferons (50.6%) and glatiramer acetate (22.6%), the escalation therapy represents 21.7 % of all DMDs.

The registry provides further data about pregnancy, distribution of patients in particular regions, health insurance assignment, and important data about employment and disability pension (71.9% of patients are employed and working full or part time, or are students).

Conclusions: ReMuS, the Czech national registry, has already collected comprehensive data of almost 8000 patients, the first 3 centers have participated almost 3 years. The aim is to enroll a majority of MS patients in the Czech Republic (estimated number is 15-17000 patients) within the next 2 years. The registry is already preparing important longitudinal data.

Disclosure: The ReMuS is funded by Endowment fund Impuls

Dana Horakova received compensation for travel, speaker honoraria and consultant fees from Biogen Idec, Novartis, Merck, Bayer, Sanofi Genzyme, and Teva, as well as support for research activities from Biogen Idec.

Pavel Hradilek: nothing to disclose

Marta Vachova: nothing to disclose

Martin Valis: nothing to disclose

Jaroslava Sucha: nothing to disclose

Alena Novotna nothing to disclose

Radek Ampapa: nothing to disclose

Marketa Grunermelova: nothing to disclose

Ivana Stetkarova: nothing to disclose

Pavel Stourac: nothing to disclose

Jan Mares: nothing to disclose

Jana Adamkova: nothing to disclose

Petra Liskova: nothing to disclose

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