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Ng L et al. – This review did not find any high quality randomised controlled trials that examined the effectiveness of such multidisciplinary care. The evidence from low quality studies suggests that such care may improve some aspects of quality of life, reduce the frequency of hospitalisation and hospital length of stay and improve disability in persons with ALS or MND. The evidence for multidisciplinary care on survival is conflicting. Further research is needed into appropriate study designs; outcome measurement; caregiver needs; and the evaluation of optimal settings, type, intensity or frequency and cost–effectiveness of MDC in the MND population. Future research should focus on observational designs to assess care and outcomes in 'real–life' settings. The interface between neurology, rehabilitation and palliative care should be explored to provide long–term support for MND.


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