ABSTRACT

Health-care providers are placing increasing emphasis on the practice of evidence-based medicine (EBM)—‘a conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients’.[1] As for other chronic progressive conditions of unknown cause or cure, the practice of EBM for people with multiple sclerosis (MS) is generally directed to one of three goals:

• preventing disease progression; • reducing the duration and severity of exacerbations; and • effectively managing symptoms of the disease.