…among Canadian neurologists has been reported to be 60%, resulting in less-than-optimal decision-making in about 20% of cases (Almusalam et al. JAMA Netw Open 2019;2:e197093). While therapeutic inertia is a rather blunt tool to dissect behaviour, it does draw attention to how MS treatments may not be optimized. An international study reported that the three factors most associated with escalation were relapses, baseline EDSS score and MRI activit…

…-canadian-virtual-care-priorities-covid-19/enhancing-access-principle-based-recommendations-equity/based-recommendations-equity-en.pdf). For example, a NARCOMS survey found that telehealth video visits were less common among disadvantaged groups, such as the elderly and those with greater impairments (Marrie et al. Neurol Clin Pract 2022;12:223-233). Telephone contact can be made in rural areas where videoconferencing is unavailable but generally…