Evidence map›Paper›PMID 25966681›Full record

ArticleBMC neurology2015

No prognostic value of routine cerebrospinal fluid biomarkers in a population-based cohort of 407 multiple sclerosis patients.

Madlyne Becker, Clotilde Latarche, Emilie Roman, Marc Debouverie, Catherine Malaplate-Armand, Francis Guillemin

Registry-linked trialAbstract read
In one paragraph

Article in BMC neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02883335 (Lorraine Registry of Multiple Sclerosis), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02883335 recruitingnot on this map

Lorraine Registry of Multiple Sclerosis

Typeobservational_patient_registrySponsorCentral Hospital, Nancy, FranceRan2003 to 2030Enrolled6,000ConditionsMultiple SclerosisArmsObservational registry
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Current and Future Biomarkers in Multiple Sclerosis.International journal of molecular sciences · 2022
    Review
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Review
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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

6 authors.

Madlyne BeckerINSERM, CIC-EC, CIC 1433, F-54 000, Nancy, France. m.becker@chu-nancy.fr.
Clotilde LatarcheINSERM, CIC-EC, CIC 1433, F-54 000, Nancy, France. c.latarche@chu-nancy.fr.
Emilie RomanMetz-Thionville Hospital, Bel Air Hospital, Departement of Biology, F-57 100, Thionville, France. e.roman@chr-metz-thionville.fr.
Marc DebouverieINSERM, CIC-EC, CIC 1433, F-54 000, Nancy, France. m.debouverie@chu-nancy.fr.
Catherine Malaplate-ArmandDepartment of Biochemistry and Molecular Biology, Nancy University Hospital, F-54 000, Nancy, France. c.armand@chu-nancy.fr.
Francis GuilleminINSERM, CIC-EC, CIC 1433, F-54 000, Nancy, France. francis.guillemin@chu-nancy.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to determine the association of clinical and routine cerebrospinal fluid biochemical markers (total protein, IgG index and oligoclonal bands) with disability in multiple sclerosis and whether these biomarkers assessed at diagnosis add prognostic value.

methodsWe followed a cohort of patients included in the Multiple Sclerosis Lorraine Register (eastern France) who had a diagnosis of multiple sclerosis for at least 5 years, as well as biological markers values and MRI findings (Barkhof's criteria). In a Cox regression model, endpoint was time to score of 4 on the Expanded Disability Status Scale (EDSS) (i.e., limited time walking without aid or rest for more than 500 m).

resultsFor 407 patients included, the median time from multiple sclerosis onset to EDSS score 4 was 4.5 years [2.2-7.2]. Cerebrospinal fluid total protein factor < 500 mg/L was associated with EDSS score 4 on bivariate analysis (hazard ratio 0.66, 95% confidence interval 0.46-0.95, p = 0.02). On multivariate analysis, older age at disease onset (≥50 years) and initial primary progressive course of MS but not biological markers predicted worse prognosis.

conclusionRoutine cerebrospinal fluid biological markers at diagnosis were not prognostic factors of multiple sclerosis progression.

Indexed as

Disease ProgressionPredictive Value of TestsRegistriesAdultBiomarkersFemaleFollow-Up StudiesFranceHumansMaleMiddle AgedMultiple SclerosisPrognosisSeverity of Illness IndexYoung AdultBiomarkers

Identifiers

PMID25966681
PMCPMC4430897

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Registered trials

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.