Integrated multidisciplinary clinics should be the gold standard in managing progressive MS – NO

Multiple sclerosis (MS) is characterized by a wide range of clinical symptoms, with intra-individual and inter-individual variability. Due to this complexity, many MS clinics have developed a multidisciplinary team approach to manage the multiple aspects of the disease. In this respect, it is tempting to consider an integrated intervention within a multidisciplinary outpatient clinic; gathering different team members at the same place is valuable, not only for the benefit of the patient but also for health organization. Whether this integrated multidisciplinary approach is more beneficial for the patient than a more usual type of care, where interventions are not integrated, but arranged by successive referrals to required medical and allied health professionals, remains, however, an open question.