Pharmacological and non‐pharmacological treatments in amyotrophic lateral sclerosis: an Italian real‐world data study
A total of 1636 ALS incident subjects were detected in the three regions, mainly aged 65-74 years. Patients were generally fragile with a high prevalence of comorbidities at baseline. Riluzole was used by 27.4% of the overall study cohort at baseline and steeply increased in the first year after the index date differently between regions (Latium 61.2%, Tuscany 85.0%, Umbria 76.5%), with about half of the subjects being incident users. In the 12 months after the index date, also symptomatic therapies increased, in riluzole users and non-users. Determinants analysis showed that higher patient severity and complexity were associated with a lower likelihood of being treated with riluzole.
Authors
- Olga Paoletti
- Antonio Addis (ORCID: https://orcid.org/0000-0003-0962-9959)
- Ursula Kirchmayer (ORCID: https://orcid.org/0000-0001-7732-0166)
- Maria Grazia Celani (ORCID: https://orcid.org/0000-0002-0739-4140)
- Giada Crescioli (ORCID: https://orcid.org/0000-0002-1071-6120)
- Giulia Hyeraci (ORCID: https://orcid.org/0000-0002-6536-2083)
- Silvia Cascini (ORCID: https://orcid.org/0000-0002-3519-148X)
- Niccolò Lombardi (ORCID: https://orcid.org/0000-0002-9666-0438)
- Rosa Gini (ORCID: https://orcid.org/0000-0002-6250-877X)
- Ilaria Bacigalupo (ORCID: https://orcid.org/0000-0002-4249-1982)
- Marco Finochietti
- Marco Tuccori
Institutions
- University of Pisa (IT)
- Istituto Superiore di Sanità (IT)
- Azienda Ospedaliera di Perugia (IT)
- ASL Roma (IT)
- National Centre for Disease Prevention and Control (IT)
- Agenzia Regionale di Sanità della Toscana (IT)
- University of Florence (IT)
Publication Details
- Journal
- European Journal of Neurology
- Published
- 2024-09-19
- DOI
- https://doi.org/10.1111/ene.16470
- Primary Topic
- Amyotrophic Lateral Sclerosis Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Università degli Studi di Firenze
- Università di Pisa
- Agenzia Italiana del Farmaco, Ministero della Salute