MYASTHENIA GRAVIS JOURNEY MAPPING: AN INSIDE LOOK

In 2023, Muscular Dystrophy Canada (MDC) conducted a journey mapping initiative for Canadians with myasthenia gravis (MG), a rare autoimmune neuromuscular condition. While some treatments are available for MG in Canada, there remains many challenges and unmet needs. We recognized these recurring roadblocks and difficulties in the diagnosis process for our MG clients, and wanted to capture this information so we would know how best to support this community.

We sought to examine the journey from time of most bothersome symptoms, to diagnosis, to treatment, to post-diagnosis. So, we asked individuals affected across Canada to participate in surveys, interviews and roundtable discussions related to their experiences with their diagnosis, treatment, information provided and day-to-day life.

Our goal was to capture the clinical, attitudinal, cost and informational journey including time to diagnosis, diagnostic experience, treatment, emotions during each stage of their journey, and pressure points. The MG journey map below illustrates a person’s needs, processes they follow, and perceptions and emotions they have throughout their healthcare journey. Information is key, knowing where the challenges are means we know exactly where we need to support our community!

Want to learn more about the MG Journey Mapping project?

Visit: muscle.ca/services-support/advocacy/journey-mapping/ to watch the results video and see the MG Journey map.

BREAKING DOWN BARRIERS FOR THE NEUROMUSCULAR COMMUNITY

Muscular Dystrophy Canada’s (MDC) strategic priorities represent a continuing evolution for our organization. They build upon the outcomes and learnings over the last three years, during which time our organization continued to meet the needs of clients through our programs and services, equipment, and system navigation; successfully encouraged governments to change public policy; and, supported translational and clinical research, in addition to, expanding Canadian neuromuscular research infrastructure.

Our investments in research have helped create exciting changes in the Canadian landscape. Whether it was working with our researchers and clinicians facilitating educational webinars, developing resources so our clients have access to credible and clear information, or through our shared work with the Neuromuscular Disease Network for Canada (NMD4C) – our clients are benefiting from early screening and diagnosing, new treatments, trials, and standards of care.

Extending into the next five years, our unwavering focus is on expanding our base of clients to ensure we assist more Canadians with neuromuscular disorders and their families. As well, we remain committed to fiscally responsible spending – ensuring funds raised go to our organization’s mission, and to increasing our fundraising activity to meet the needs of the neuromuscular community.

In addition to our commitment to reach more Canadians affected by a neuromuscular disorder over the next five years, the strategic priorities enable our commitment to ensuring we are innovative, efficient, and inclusive by providing our community the support and information they need to make informed decisions. We will expand our programs and services to engage further with remote and underserved communities, and will provide services in the languages that make up the fabric of our country.

Government policies at the federal, provincial, territorial, and local levels have a daily impact on our community. The next five years will see MDC expand our direct advocacy efforts working in partnership with our community, other like-minded organizations, industry, partners, clients, and government.
Over the next five years we will continue to work with researchers and clinicians to enhance collaborative and proactive strategies to support infrastructure development, capacity building, develop centres of excellence and the sharing of research outcomes that benefit our community.

We will respect that as a diverse community representing a wide spectrum of cultures and experiences, there are different ways of knowing, and of approaching health. We will incorporate this understanding and a respect for the whole person – mind, body, and spirit — in all that we do. We will continue to ensure that all organizational planning and decisions align with our strategic priorities, in addition to ensuring the right measurements are in place to monitor our performance.

Finally, we will not give up the search for more and better ways to work with all our stakeholders. Our clients and their families, staff, donors, supporters, partners, and volunteers are essential members of our community and we are grateful for their support every day.

We are excited about the impact MDC will have during the next five years.

Read our 2023-2028 Strategic Plan

VALUE OF A MONTHLY GIFT

VALUE OF A MONTHLY GIFT

Did you know that every month, you have the opportunity to change the life of someone affected by a neuromuscular disorder?

Making a monthly donation, and becoming an MDC Changemaker is an important and rewarding way to show your support for the neuromuscular disorder community. By pledging a few dollars each month, you can provide ongoing and meaningful support, which makes a huge difference in the lives the persons affected. MDC Changemakers are part of the fabric of the neuromuscular community and their support plays a vital role in driving our work forward and ensuring that Canadians affected by neuromuscular disorders have the tools and resources they need to live rich, full lives.

“Over the years, as my equipment needs have changed, Muscular Dystrophy Canada’s (MDC) support has been indispensable. With the support of donors, MDC helped me get an elevating wheelchair and even provided funding support so my family could afford a van with a power lift. And getting back some independence through this equipment has been life-changing for me. MDC made that possible.”

Alex Harold
  1. It’s convenient: Set it and forget it!
    Monthly giving is a great way to include charitable donations in your budget. Smaller donations that occur throughout the year, are generally more manageable for your personal budget. Plus, MDC issues a single, consolidated tax-receipt to all Changemakers for the full amount of their yearly donation so you don’t have to keep track of each individual gift.
  2. Compounded impact: A little goes a long way!
    A regular gift made over a longer period of time stacks up in terms of total impact. Recurring monthly gifts provide MDC with regular and predictable support that allows us to fund our life-changing programming throughout the year and better predict future cash flows.
  3. Join an exclusive community
    At MDC, our monthly donors are Changemakers; a community dedicated to breaking down barriers for the neuromuscular community. Becoming an MDC Changemaker comes with some exclusive benefits, including:
    • A dedicated MDC staff member to answer your questions and provide support whenever you need it;
    • Members-only webinars, focused on research updates;
    • Email-only quarterly updates to share impact statistics and good news stories;
    • An annual report highlighting how your support of MDC has impacted the neuromuscular community;
    • The feeling of pride at being a part of one of the most important communities within MDC.

Become an MDC CHANGEMAKER today, and help break down barriers for people affected by neuromuscular disorders.

GETTING A CLOSER LOOK AT THE SOCIAL AND ECONOMIC COSTS OF NEUROMUSCULAR DISORDERS

Muscular Dystrophy Canada is proud of our significant contributions to understanding the costs related to living with a neuromuscular disorder (NMD) in Canada. In fact, thanks to your support, we led the first study to examine the societal cost in Canada for six common types of neuromuscular disorders: Duchenne muscular dystrophy, spinal muscular atrophy, myotonic dystrophy, facioscapulohumeral muscular dystrophy, Charcot-Marie-Tooth disease, and myasthenia gravis.

What we learned is although neuromuscular disorders are rare, the total number of people with one of the six disorders mentioned above is considerable, and the total annual cost to society is substantial ($4.6 billion). It also left us wondering, what are the indirect costs for individuals affected and their families: how much time is spent in clinics and hospitals, away from work and school, and how much time and money is spent on travel, medications, rehabilitation, assistive devices and equipment, diagnostics, home therapies and other aspects of life with an NMD.

BIND, is a comprehensive new study funded by CIHR and led by Dr Jodi Warman-Chardon from the University of Ottawa, which will collect information about the hidden and indirect costs of living with any neuromuscular disorder, at any age.

Watch now: Dr Jodi Warman- Chardon leads BIND study:

With new treatments and therapies becoming available in the near future, the BIND study will be leveraged to make informed decisions to influence public policies and healthcare system planning, as well as to shape Muscular Dystrophy Canada’s programming, inform our advocacy work, and help provide information to decision-makers about what families affected by neuromuscular disorders need most.

MDC is also calling on people with myasthenia gravis (MG) to help us map the Patient Journey: What were the first signs and symptoms of MG? How long did it take to get a diagnosis? How is MG managed today?

To participate in BIND or Myasthenia Gravis: The Patient Journey in Canada, please email research@muscle.ca or call 1-800-567-2873 ext. 1114.

TOGETHER WE ARE BREAKING DOWN BARRIERS TO IMPROVE ACCESS TO THERAPIES FOR CANADIANS AFFECTED BY FSHD

Canadians affected by facioscapulohumeral muscular dystrophy (FSHD) could face substantial delays in accessing clinical trials and any Health Canada approved life-changing treatments and therapies when they become available. Muscular Dystrophy Canada (MDC) is working with the Canadian Neuromuscular Disease Registry (CNDR) and the Neuromuscular Disease Network for Canada (NMD4C) to help prevent that from happening.

“Studies show that Canadians have less frequent and timely access to therapies for rare diseases, like FSHD; that very few therapies approved elsewhere in the world are even submitted to Health Canada for regulatory approval; and, that if treatment is approved there is a vast difference in who has access across the provinces and we are working hard to change this,” said Stacey Lintern, CEO, Muscular Dystrophy Canada.

There are more than a dozen FSHD therapies currently in development. The work that MDC is leading will help introduce a patient registry and collect information to build a Canada-wide core dataset for FSHD to speed up development, approval and access to treatments regardless of where a person lives in Canada.

“We know from our experience with spinal muscular atrophy therapies that our government requires Canadian data when reviewing a treatment. With this FSHD dataset and registry, MDC wants to get out ahead of the treatments being developed and address the challenges and barriers to access so that Canadians can access treatments as soon as possible. We’re also hopeful more biopharmaceutical companies will establish sites, and conduct clinical trials in Canada,” added Lintern.

“The CNDR is dedicated to working in close partnership with Muscular Dystrophy Canada and NMD4C to promote opportunities to participate in cutting-edge clinical trials for patients affected by FSHD but to also collect data towards ensuring access to future therapies once approved,” said Dr Lawrence Korngut, National Principal Investigator and neurologist at the University of Calgary.

“Enabling Canadians living with FSHD to register in a single national system allows them to signal their interest in participating in clinical trials, provide the essential Canadian baseline data that the regulators want to see, and be contacted when new treatments become available,” said Dr Hanns Lochmüller, NMD4C Investigator and FSHD clinical trialist.

By engaging partners, MDC is committed to breaking down barriers that prevent Canadians from accessing life-changing treatments, not just for FSHD, but for all neuromuscular disorders and investigating additional opportunities that would benefit our community.

Would you like to help determine what is included in the FSHD dataset and share your Canadian experience? Join us for a virtual roundtable by emailing research@muscle.ca

RAISING THE BAR FOR NEUROMUSCULAR DISORDER RESEARCH AND CLINICAL CARE IN CANADA

Thanks to Muscular Dystrophy Canada’s (MDC) incredible supporters, when opportunities arise to improve the care, research and treatment of neuromuscular disorders (NMD) for Canadians, we’re able to act. Such was the case with the Neuromuscular Disease Network for Canada (NMD4C).

Launched in January 2020, with funding from MDC and the Canadian Institutes of Health Research (CIHR), NMD4C was created to provide a comprehensive, inclusive, open and enduring network through which Canadian stakeholders can share expertise and data, and collaborate on joint activities and research. In addition to helping fund the network, MDC also became an equal partner and helps support knowledge translation.

Three years later, MDC has worked with NMD4C to:

  • introduce support for clinical and post-doctoral research fellows;
  • provide up-to-date clinical and research education through monthly accredited webinars, and forums for dialogue and exchange;
  • create a national competency standard that recognizes advanced neuromuscular training;
  • develop an accredited and standardized Canadian neuromuscular fellowship curriculum;
  • build a virtual Canadian neuromuscular disorder biobank catalogue;
  • update the Canadian Neuromuscular Disease Registry by adding two new disease datasets;
  • establish NMD clinical trials, as well as clinical trial capacity;
  • and, launch ‘imPORTND’, the first patient-oriented training platform developed specifically for neuromuscular disease research.

“Being a patient partner enables me to have meaningful input into research, to increase its relevance to quality of life and ensure that among its measures are things that are important to patients,” said Corinne Kagan, Patient Research Partner and co-developer of the imPORTND training modules.

“As a partner and funder, MDC has ensured that Canadians affected by neuromuscular disorders remain at the forefront of NMD4C’s decision making, activities and outcomes. From investing in early career researchers and clinicians and developing a virtual biobank, to strengthening the clinical landscape, the goal has always been to positively influence the NMD healthcare experience in Canada and to build research capacity and knowledge about these rare disorders,” said Dr Homira Osman, Vice President of Research and Public Policy, Muscular Dystrophy Canada. “We (MDC) remain committed to the network, and to working together to raise the bar for clinical and research standards in Canada and build upon the momentum currently taking place in research.”

Learn more about imPORTND

To learn more about NMD4C and how you can support or become involved, contact research@muscle.ca

MDC IS HERE FOR YOU!

Whether you live on the east coast, the west coast, the Prairies or central Canada, MDC is here to support you. We have Service Specialists across the country who will be happy to work alongside you, ensuring you have the information and support you need. Meet Ryanne, our Service Specialist in Atlantic Canada.

“As a Service Specialist I am able to work directly with clients and their families to support them in achieving a wide range of goals and navigation of the healthcare system. When we are able to provide funding towards an essential piece of equipment, we are not only supporting our clients with the financial strain that accompanies living with a neuromuscular disorder, but we are also providing hope for the possibilities of what they will accomplish with this equipment. Being able to provide this kind of support and making positive connections with our families truly is my favorite part about working at MDC.”

“The majority of the disorders we cover are so rare that it can make you feel isolated. It is so important for our clients to understand that is why MDC is here, to ensure you do not have to navigate living with a neuromuscular disorder alone.”

Are you or someone you know living with a neuromuscular disorder? MDC has a wide range of programs and services designed to meet you where you are. Whether it is information on your disorder, helping you with accommodation needs at work or school, navigating the healthcare system, housing or financial issues, or helping you secure equipment – we’re here to help. Visit muscle.ca/services-support/need-help/ to find a Service Specialist near you, or call us at 1-800-567-2873.

TEN DOWN, THREE TO GO

Manitoba and Quebec latest provinces to embark on newborn screening for SMA

It’s been one year since we started working on making newborn screening (NBS) for spinal muscular atrophy (SMA) a reality for all Canadian babies. Thanks to a partnership with Novartis Canada and your unwavering support – there are only two provinces and a territory left to commit to this life-changing test. This spring, Quebec started planning for newborn screening for SMA, and Manitoba announced it moved from the planning phase to officially screening all babies.

Learn more “TEN DOWN, THREE TO GO”

RESEARCH FUNDING IS CHANGING NEUROMUSCULAR LANDSCAPE IN CANADA

Because of generous supporters, like you, nine new clinical and translational science research projects received funding this year. These projects are excellent examples of the high quality, exciting research taking place right here in Canada! We wouldn’t be able to support research like this without YOU.

2021-2022
RECIPIENTS:

Building a screenable human 3D neuromuscular junction model for neuromuscular disorders
Dr. Thomas Durcan
The Royal Institution for the Advancement of Learning/McGill University

Mitochondrial-targeted therapies to improve Duchenne muscular dystrophy outcomes
Dr. Christopher Perry
York University

Genome-wide DNA methylation profile in Duchenne muscular dystrophy
Dr. Craig Campbell
London Health Sciences Centre
(Lawson Health Research Institute)

Measuring balance in chronic inflammatory demyelinating polyneuropathy
Dr. Michael Berger
University of British Columbia

Endurance training as a novel therapeutic strategy for myotonic dystrophy type 1
Dr. Bernard Jasmin
University of Ottawa

QP-OPMD: Quantitative MRI imaging to assess progression in oculopharyngeal muscular dystrophy
Dr. Jodi Warman Chardon
Ottawa Hospital Research Institute

Exploring the impact of spinal bulbar muscular atrophy on persons self-identifying as Indigenous
Dr. Kerri Schellenberg
The University of Saskatchewan

The transition of TEENagers with spinal muscular atrophy to a multi-disciplinary adult program
Dr. Reshma Amin
The Hospital for Sick Children

Motor network connectivity in spinal muscular atrophy: new pathways for intervention
Dr. Maryam Oskoui
The Research Institute of the McGill University Health Centre

Learn more “RESEARCH FUNDING IS CHANGING NEUROMUSCULAR LANDSCAPE IN CANADA”