To be assessed | Tool | Outcome | Action | |
---|---|---|---|---|
Step 1 |
Physical HRQoL Control self-efficacy |
MQoL-54 MSSES | Predictive score | If score in lowest quartile (>50% discontinuation risk) → 2A & 2B |
Step 2A |
Depression & anxiety Fatigue Bladder |
HADS MFIS Actionable | Diagnostic scores |
If score(s) abnormal → further diagnosis and therapy If MSSES score(s) low → therapy? |
Step 2B | Prognosis |
1) Clinical 2) MRI 3) CSF | Prognostic indicators | If prognosis unfavourable > consider 2ndline DMD |