Management of myasthenia gravis: still room for improvement

According to a real-life study carried out in the UK, Germany, Italy, Spain and France involving 778 patients with myasthenia gravis and their 144 doctors :

  • the time to diagnosis was 11 months, with an erroneous initial diagnosis in an average of 24.3% of cases,
  • 45% of patients were classified as MGFA III or higher, compared with nearly 27% at the time of diagnosis,
  • 62% have moderate to severe symptoms despite treatment in line with best practice recommendations,
  • myasthenia has a negative impact on the daily lives of most patients, with fatigue being the most troublesome symptom,
  • France has a higher rate of hospitalisation, at 34.4% over the past year, compared with 19.1% in Italy and the UK.

It should be noted that the data was collected between June and September 2020 in four of the five countries, including France, during the Covid-19 pandemic, which may have influenced some of the results.

 

Physician- and patient-reported perspectives on myasthenia gravis in Europe: a real-world survey. Mahic M, Bozorg A, DeCourcy J et al. Orphanet J Rare Dis. 2023 Jun 29