Get the free Susac---Disease Activity-Global Assessment (Susac-DA-GA)

SusacDisease ActivityGlobal Assessment (SusacDAGA) Patient ID#Date (Month)This form was completed by: PhysicianPatient(Day)(Year)Family MemberInstructions: This form measures your estimate of the

How to fill out susac---disease activity-global assessment susac-da-ga

How to fill out susac---disease activity-global assessment susac-da-ga

1. To fill out the Susac-Disease Activity-Global Assessment (SUSAC-DA-GA), follow these steps:
2. Start by gathering the necessary information, including the patient's medical history, symptoms, and any relevant test results.
3. Assess the patient's disease activity in each of the three domains: central nervous system (CNS), inner ear (IE), and retina (RE). Use the provided scale from 0-9, where 0 represents no activity and 9 represents severe activity.
4. Evaluate the patient's global assessment of disease activity, considering the overall impact of the disease on their daily life and functioning. Use the provided scale from 0-10, where 0 indicates no impact and 10 indicates maximum impact.
5. Record the scores for each domain and the global assessment on the SUSAC-DA-GA form.
6. If needed, provide additional comments or explanations regarding the patient's disease activity and global assessment.
7. Review the completed form for accuracy and completeness.
8. Keep a copy of the filled-out SUSAC-DA-GA form for future reference or sharing with other healthcare providers.

Who needs susac---disease activity-global assessment susac-da-ga?

1. The SUSAC-Disease Activity-Global Assessment (SUSAC-DA-GA) is typically used by healthcare professionals involved in the diagnosis, monitoring, and treatment of patients with Susac syndrome.
2. Susac syndrome is a rare autoimmune disease that primarily affects the small blood vessels in the brain, inner ear, and retina. The SUSAC-DA-GA helps in assessing the disease activity and its impact on the patient's overall functioning.
3. Patients with Susac syndrome and their healthcare providers can benefit from using SUSAC-DA-GA to track and evaluate the disease activity over time. It can aid in treatment decision-making and monitoring the effectiveness of interventions.
4. Additionally, researchers and clinicians studying Susac syndrome may utilize the SUSAC-DA-GA as a standardized tool for evaluating disease activity and gathering data for research purposes.

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What is susac---disease activity-global assessment susac-da-ga?

The susac disease activity-global assessment, often abbreviated as susac-da-ga, is a tool used to evaluate and monitor the disease activity and overall health status of patients with Susac's syndrome, a rare autoimmune condition.

Who is required to file susac---disease activity-global assessment susac-da-ga?

Healthcare providers involved in the treatment and management of patients diagnosed with Susac's syndrome are required to file the susac-da-ga to ensure proper tracking of disease activity and patient health.

How to fill out susac---disease activity-global assessment susac-da-ga?

To fill out the susac-da-ga, healthcare providers must provide patient demographic information, document the clinical signs and symptoms, score disease activity based on established criteria, and include any relevant laboratory or imaging results.

What is the purpose of susac---disease activity-global assessment susac-da-ga?

The purpose of the susac-da-ga is to standardize the assessment of disease activity in patients with Susac's syndrome, facilitate communication among healthcare providers, and track changes over time to guide treatment decisions.

What information must be reported on susac---disease activity-global assessment susac-da-ga?

Information that must be reported includes patient identification, clinical findings, scores for specific symptoms, treatment history, and any other relevant clinical data that affects disease management.