Evidence map›Paper›PMID 25896084›Full record

ReviewNature reviews. Neurology2015

Multiple sclerosis and pregnancy in the 'treatment era'.

Sandra Vukusic, Romain Marignier

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
10.9field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 117 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Updated Perspectives on the Challenges of Managing Multiple Sclerosis During Pregnancy.Degenerative neurological and neuromuscular disease · 2022
    Review
  12. Review
  13. Article
  14. Article
  15. Early Aggressive Treatment Approaches for Multiple Sclerosis.Current treatment options in neurology · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

Sandra VukusicService de Neurologie A and Fondation Eugène Devic EDMUS contre la Sclérose en Plaques, 59 boulevard Pinel, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, F-69677, France; Centre des Neurosciences de Lyon, INSERM 1028 et CNRS UMR5292, Equipe Neuro-oncologie et Neuro-inflammation, Lyon, F-69003, France; Université Lyon 1, Lyon, F-69003, France.
Romain MarignierService de Neurologie A and Fondation Eugène Devic EDMUS contre la Sclérose en Plaques, 59 boulevard Pinel, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, F-69677, France; Centre des Neurosciences de Lyon, INSERM 1028 et CNRS UMR5292, Equipe Neuro-oncologie et Neuro-inflammation, Lyon, F-69003, France; Université Lyon 1, Lyon, F-69003, France.
Observatoire Français de la Sclérose en Plaques · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The influence of pregnancy on the course of multiple sclerosis (MS) has long been controversial; until the end of 1990s, women with MS were discouraged from having children owing to a biased belief that pregnancy would worsen the disease course. Since the first large prospective study in 1998, counselling of women with MS has changed radically, and many patients have attained their desire of motherhood. Although many disease-modifying drugs have come to market in the past two decades, when used during pregnancy and lactation, their beneficial effects on the course of MS have to be balanced with fears concerning potential risks to the fetus or child. The wealth of treatment options and the various associated risks have created a growing need for counselling on family planning for women with MS. Most importantly, such counselling should address the concerns that women with MS might have regarding pregnancy. Second, as soon as a woman starts considering pregnancy, a treatment plan should be established. This plan needs to weigh the risk posed to the fetus by potentially harmful drug exposure, and the risk to the mother from a reappearance of disease activity. Finally, breastfeeding and treatment options after delivery should be discussed to outline the options for prevention of postpartum relapses, and the possible resumption of disease-modifying drugs.

Indexed as

Analgesia, EpiduralAnalgesia, ObstetricalBreast FeedingContraindicationsCounselingFemaleHumansImmunoglobulins, IntravenousInfertility, FemaleMethylprednisoloneMultiple SclerosisNeuromyelitis OpticaPreconception CarePregnancyPregnancy ComplicationsPrenatal CareImmunoglobulins, IntravenousMethylprednisolone

Identifiers

PMID25896084
OpenAlexW2063591769

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.