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Real-World Evidence: What Is It and Why Is It so Important In MS?

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Presentation on theme: "Real-World Evidence: What Is It and Why Is It so Important In MS?"— Presentation transcript:

1 Real-World Evidence: What Is It and Why Is It so Important In MS?

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3 This program will include a discussion of data that were presented in abstract form. These data should be considered preliminary until published in a peer-reviewed journal.

4 Introduction

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6 Information Gained From RCTs and Observational Data

7 Information Gained From RCTs and Observational Data: Limitations

8 Sources of RWE: Advantages and Limitations

9 Checklist for High Quality RWE Studies

10 Summary of Key Points

11 Sources of RWE: Structured Databases

12 MSBase Registry

13 MSBase: Learnings About Effect of Early Treatment on Conversion to SPMS

14 Potential for Learning About Treatment Optimization

15 MS Registries and Cohorts: A Sample

16 Treatment-Related Data Collection in Germany: PANGAEA Observational Study

17 Need for Widespread Data Collection: Complementary to RCTs

18 Advantages and Challenges of RCTs and RWE

19 Propensity Score

20 Propensity Score Matching

21 Propensity Score Matching: Controlling for Variables

22 Propensity Score-Based Methods in Cardiology

23 Propensity Score-Based Method: Coffee and Mortality

24 Distribution of Propensity Scores Before and After Matching

25 MSBase Propensity-Matched Data: Escalation to Natalizumab vs Fingolimod in Active RRMS

26 Propensity-Matched Comparison of Sick Days: PEARL and PANGAEA Observational Studies

27 Bias in Observational Studies: Checklist

28 Smoking and MS Progression: Swedish National MS Registry

29 Swedish Registry Disability Outcomes: Developing an Age-Related MS Severity Score

30 Vast Amounts of Data Are Needed

31 Individualized Treatment and Big-Data RWE: A Combined Approach

32 Impactful RWE Requires Structured Data Collection

33 Concluding Remarks

34 Abbreviations


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