. . . and this tweetorial series is supported by educational grants from Sanofi Genzyme. It is intended for an audience of healthcare providers. Thanks for joining!
— MultipleSclerosis_CME (@ms_cme) June 21, 2021
3) Make your choice and return tomorrow for the answer and great discussion! @WNGtweets @IntNatlWiMS @MSHSNeurology @MSUnites @MS_Focus @MustStopMS @mscare @mssociety @MSassociation @Shiftms @myelinmelanin
— MultipleSclerosis_CME (@ms_cme) June 21, 2021
5) Access to neurologic care can be limited not only for those with physical & economic barriers to care, but also for African Americans according to the study.
— MultipleSclerosis_CME (@ms_cme) June 22, 2021
7) Although MS has traditionally been thought to affect mostly people of Northern European descent, recent studies suggest that the incidence and risk of MS may be highest in Black people in the U.S. (doi: 10.1212/WNL.0b013e3182918cc2)
— MultipleSclerosis_CME (@ms_cme) June 22, 2021
9) General groups at risk for experiencing healthcare disparities include African Americans, Asian Americans, Latino/Hispanic Americans, Native Americans, Elderly, LGBTQ+ community and many others (https://t.co/wD3DqUgrLz)
— MultipleSclerosis_CME (@ms_cme) June 22, 2021
Refs: Centers for Disease Control and Prevention. https://t.co/2ei6xHqFgG.
Kaiser Family Foundation. https://t.co/FOIDlbrFDE.— MultipleSclerosis_CME (@ms_cme) June 22, 2021
12) A 2017 study suggested that AA were 30% less likely to see a neurologist in clinic, more likely to seek care in an ED, more likely to have inpatient hospital stays, and they faced with higher hospital expenses compared to whites (doi: 10.1212/WNL.0000000000004025)
— MultipleSclerosis_CME (@ms_cme) June 22, 2021
(DOI:10.1212/WNL.0000000000006874)
— MultipleSclerosis_CME (@ms_cme) June 22, 2021
15) . . . focused on bias and address trust/bias issues related to research/clinical trial participation
• Advocate at general med ed level for training for medical students, residents
• Advocate for collection of pt satisfaction data that include underrepresented minorities— MultipleSclerosis_CME (@ms_cme) June 22, 2021
17) Make your choice and return tomorrow for the answer and more discussion! @GavinGiovannoni @StaceyLClardy @SKriegerMD @DrJim4MS @AaronBosterMD @KlausSchmierer
— MultipleSclerosis_CME (@ms_cme) June 22, 2021
19) Re yesterday’s poll: recent studies suggest risk for MS may be to 47% higher in AA than whites in the United States. Several studies also suggest the incidence is highest in Black Americans. (doi: 10.1212/WNL.0b013e3182918cc2)
— MultipleSclerosis_CME (@ms_cme) June 23, 2021
21) African-Americans reach an EDSS of 6 (must use an assistive device to walk) up to 6 years earlier than their white counterparts
— MultipleSclerosis_CME (@ms_cme) June 23, 2021
23) Factors to consider when caring for ethnic minorities with MS include cultural/religious beliefs, socioeconomic status, distrust of the medical/research community and poor diversity in clinical trials. See https://t.co/mjZ3hwvc3l, and
DOI: 10.1212/CPJ.0000000000000112— MultipleSclerosis_CME (@ms_cme) June 23, 2021
25) So, a question:
What percentage of minority patients are enrolled in MS clinical trials?— MultipleSclerosis_CME (@ms_cme) June 23, 2021
27) Welcome back to the conclusion of our accredited tweetorial on health equity in the care of #MS. You’re almost there: FREE CE/#CME credit for #physicians, #nurses, and #pharmacists. I am @NerdyNeuroMD.
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
29) A 2014 PubMed review revealed that out of 50,000 articles about MS published in English, 113 focused on African-Americans and 23 on Hispanic-Americans with MS. (doi: 10.1212/CPJ.0000000000000112)
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
(see DOI: 10.1370/afm.1426)
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
32) Institutional Barriers include
•Healthcare Provider Bias
•Restrictive Inclusion/Exclusion Criteria
•Lack of Ethnically Diverse Researchers
•In-person time commitment
•Study Site Selection— MultipleSclerosis_CME (@ms_cme) June 24, 2021
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
36) Useful resources focused on increasing diversity and understanding minority populations in the MS space include:
MS Minority Research Engagement Partnership Network, https://t.co/iQDebBNPJC
NAAMSR (National African Americans with MS Registry) https://t.co/66N64933Vd, and— MultipleSclerosis_CME (@ms_cme) June 24, 2021
37) The bottom line: there is work to be done to improve recognition & diagnosis of MS in under-represented populations, ensure diverse participation in clinical trials, and seek best outcomes despite many healthcare disparities disproportionally affecting minority populations!
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
38) Congratulations! You made it! FREE CE/#CME! Go to https://t.co/orscPrB0sD to receive your credit. Be sure to FOLLOW us for more accredited tweetorials in the #MS space! I am @NerdyNeuroMD, and program chair @SKriegerMD and I are excited that you joined us! Tell your friends!
— MultipleSclerosis_CME (@ms_cme) June 24, 2021
