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Using clinically stable disease (NEDA 2) as a proxy for disease impact and employment in MS paints an incomplete picture
  1. Sharon Roman
  1. , Vancouver, British Columbia, Canada
  1. Correspondence to Sharon Roman, Vancouver, British Columbia, Canada; slhroman{at}

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Obstacles to employment are multi-factorial and can extend beyond disease activity in MS

Multiple sclerosis (MS) has long been associated with high rates of unemployment.1 While in many countries, patients are entitled to ask for reasonable accommodations,2 the duty to accommodate still operates within the confines of being able to fulfil the job requirements. Fluctuations in disease and pseudo exacerbations can confound meeting these requirements, making permanent and meaningful employment out of reach for many, as most people with MS are not free of all disease activity.3 Obstacles to employment are multifactorial and can be independent of clinically stable disease, a measurement used in the paper by Ameriet al. …

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