Publications by authors named "Amanda Montague"

Background: In the context of the COVID-19 pandemic, people with multiple sclerosis (pwMS) have been particularly vulnerable to adverse outcomes due to increased risk of severe infection and/or widespread disruptions in care. The CopeMS study led by The University of Texas at Austin and the MS Association of America investigates the long-term impact of the COVID-19 pandemic on healthcare access, disease modifying therapy (DMT) utilization and outcomes of pwMS.

Methods: This retrospective cohort analysis used Optum's de-identified Clinformatics® Data Mart Database (CDM), a large de-identified administrative healthcare claims database to identify pwMS who were continuously enrolled from 01/01/2019 to 12/31/2020 and assessed changes in the utilization of DMTs and healthcare services during the COVID-19 pandemic compared to the year prior.

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Background And Objectives: Black and Hispanic people with multiple sclerosis (MS) (pMS) have been found to have different disease courses or worse outcomes associated with MS compared to White pMS. They are also more likely to be negatively affected by social determinants of health, further worsening disparities in outcomes. As these disparities may affect treatment response, non-White pMS must be included in trials for greater generalizability of research and therefore more inclusive treatment plans.

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Article Synopsis
  • EMRs are used less in psychiatry due to stigma around mental health; this study focuses on patients with multiple sclerosis (MS) who often have psychiatric issues and their willingness to share medical information.* -
  • Survey results show MS patients are more willing to share non-psychiatric medical info than psychiatric info, but those with psychiatric disorders were generally more willing to share their records electronically despite stigma.* -
  • The study highlights that self and societal stigma significantly impact patients' willingness to share information, emphasizing the need for tailored EMR implementation in populations with high psychiatric comorbidities.*
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