Evidence map›Paper›PMID 17411425›Full record

ArticleBMC medicine2007

Analysis of NAMCS data for multiple sclerosis, 1998-2004.

Jagannadha R Avasarala, Cormac A O'Donovan, Steve E Roach, Fabian Camacho, Steven R Feldman

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Management of COPD in the UK primary-care setting: an analysis of real-life prescribing patterns.International journal of chronic obstructive pulmonary disease · 2014
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Jagannadha R AvasaralaKansas Neurological Consultants, Wichita, KS 67218, USA. javasarala@yahoo.com
Cormac A O'Donovan
Steve E Roach
Fabian Camacho
Steven R Feldman
Wake Forest University · USThe Ohio State University Wexner Medical Center · USYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo our knowledge, no study to date has investigated the prescribing patterns of immunomodulatory agents (IMAs) in an outpatient setting in the United States. To address this issue, we performed retrospective data analyses on National Ambulatory Medical Care Survey (NAMCS) data for MS patient visits between 1998 and 2004.

methodsNAMCS data are a weighted estimate of the nationwide frequency of patients' outpatient clinic visits. We analyzed NAMCS data in the following categories: (1) the proportion of MS patient visits to neurologists, family practitioners or internists, (2) age/gender/race/geographical distribution patterns in patient visits, and (3) the proportion of patients on IMA treatment among established MS patients.

resultsThere were an estimated 6.7 million multiple sclerosis (MS) patient visits to the clinics between 1998-2004. Neurologists recorded the most patient visits, 50.7%. Patient visits were mostly in the fourth and fifth decade age group (57.9%). The male to female ratio was 1:4. No statistical evidence was observed for a decline or increase in IMA usage. About 62% patients visiting neurologists and 92% seen by family practitioners/internists were not using IMAs. Our results suggest that between the years 1998-2003, the use of interferon-1a tended to decline while the use of interferon-1b and glatiramer acetate, increased.

conclusionStrategies that lead to improved use of IMAs in the management of MS in the outpatient setting are needed.

Indexed as

AdultAmbulatory CareFemaleHumansImmunologic FactorsMaleMiddle AgedMultiple SclerosisOffice VisitsOutpatientsPractice Patterns, Physicians'RegistriesRegression AnalysisRetrospective StudiesUnited StatesImmunologic Factors

Identifiers

PMID17411425
PMCPMC1855349
OpenAlexW2085667644

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.