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178 Motor neurone disease and sociodemographic factors: a review
  1. Micha Vidot1,
  2. Kit Wu2,
  3. James Mitchell3,
  4. Arani Nitkunan4,
  5. Georgina Carr5
  1. 1St. George’s, University of London
  2. 2King’s College Hospital
  3. 3University of Liverpool
  4. 4St George’s University Hospital and Croydon University Hospital
  5. 5Neurological Alliance

Abstract

Background To improve equity of service, in line with the aspirations of public policy across the UK, it is imperative that we understand how sociodemographic factors affect the management and care of patients with motor neurone disease (MND).

Aims To describe the relationship between sociodemographic factors and the epidemiology, clinical factors, diagnosis, treatment, patient experience and outcomes for people with MND.

Methods We conducted a focused review of published literature from 2000 to 2021 looking into MND and each of the patient protected characteristics, as outlined in the Equality Act 2010, with additional factors such as education, socioeconomic status and employment also included.

Results There is plenty of published literature exploring amyotrophic lateral sclerosis (ALS) and the rela- tionship with age, race, sex and gender.

Minimal published data could be found for disability, gender reassignment, marriage and civil partner- ship, pregnancy and maternity, religion and beliefs, sexual orientation, socioeconomic status, settlement status, education and employment. Additionally, there was a lack of data looking into this for the different types of MND.

Discussion Research in MND has focused heavily upon ALS. Further research into all patient protected characteristics and the different types of MND is required to improve equity in care and patient outcomes.

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