Foley Frederick W, Benedict Ralph H B, Gromisch Elizabeth S, Deluca John
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA (FWF, ESG); Holy Name Medical Center, Teaneck, NJ, USA (FWF); Jacobs Neurological Institute, State University of New York at Buffalo, Buffalo, NY, USA (RHBB); Kessler Foundation, West Orange, NJ, USA (JD); and University of Medicine and Dentistry of New Jersey, Newark, NJ, USA (JD).
Int J MS Care. 2012 Summer;14(2):58-64. doi: 10.7224/1537-2073-14.2.58.
Cognitive dysfunction is observed in about half of people with multiple sclerosis (MS), and MS health-care professionals face the challenge of screening, assessing, and treating patients for cognitive problems. Considering the inconsistent or limited empirical evidence to assist in this task, a multidisciplinary consensus conference of MS experts, sponsored by the Consortium of Multiple Sclerosis Centers (CMSC), was held on September 24, 2010, to address these issues. Key articles from the literature on these topics were distributed prior to the meeting, and CMSC member professionals were surveyed on clinical practices related to screening, assessment, and treatment for cognitive problems. The purpose of the meeting was threefold: 1) to achieve a multidisciplinary perspective on practices for screening, monitoring, evaluating, and treating MS patients for cognitive problems; 2) to propose consensus candidate measures for screening and/or monitoring for cognitive problems in MS that neurologists or nurses might administer on a regular basis; and 3) to propose consensus treatment approaches from a multidisciplinary perspective. This article summarizes the conclusions of the conference participants and provides preliminary suggestions for screening and brief assessment.
约半数多发性硬化症（MS）患者存在认知功能障碍，MS医疗专业人员面临着对患者认知问题进行筛查、评估和治疗的挑战。鉴于协助完成此项任务的经验证据并不一致或有限，由多发性硬化症中心联盟（CMSC）主办的一次MS专家多学科共识会议于2010年9月24日召开，以解决这些问题。会议前分发了有关这些主题的文献中的关键文章，并就与认知问题筛查、评估和治疗相关的临床实践对CMSC成员专业人员进行了调查。会议目的有三：1）就MS患者认知问题的筛查、监测、评估和治疗实践达成多学科共识；2）提出神经科医生或护士可定期实施的MS认知问题筛查和/或监测的共识候选措施；3）从多学科角度提出共识治疗方法。本文总结了会议参与者的结论，并提供了筛查和简要评估的初步建议。
