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Multidisciplinary care for adults with amyotrophic lateral sclerosis (ALS)/motor neuron disease (MND)
Independent publisher
This describes who publishes a source, not how reliable it is.
Open source (opens in a new tab)Link checked August 2026
About this source
The Cochrane systematic review of multidisciplinary care in ALS/MND: what evidence exists for the clinic team model, how good that evidence is, and which outcomes it does and does not cover.
Where this source is used
Used in 2 places across 1 domain.
Questions
Medical Care
Clinic Coordination
- What is a multidisciplinary ALS/MND clinic or team?
Adds context
“Coordinated, specialist, multidisciplinary care is the model clinical guidelines recommend for ALS/MND.”
A systematic review of multidisciplinary care in MND. It describes the approach as increasingly regarded as an important part of care, while also saying its evidence base is unclear, so the recommendation rests more on professional consensus than on trial evidence.
- Why does coordinated team care matter?
Supports this
“The evidence that multidisciplinary specialist care improves outcomes in ALS/MND is limited: no controlled trials exist, and the observational studies that do suggest a benefit mainly for the mental health side of quality of life.”
The systematic review of this question found no randomised or controlled trials, so the benefit rests on a few observational studies the reviewers graded low or very low quality. Those suggest an advantage for the mental health side of quality of life and less time in hospital; the evidence on survival points both ways. The reviewers add that this gap is not proof the approach does not work.
No randomised controlled trials or controlled clinical trials were identified for the original review or this update.
Main results
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