Evidence map›Paper›PMID 27245221›Full record

ArticleBMC neurology2016

Multimodal evoked potentials for functional quantification and prognosis in multiple sclerosis.

Xavier Giffroy, Nathalie Maes, Adelin Albert, Pierre Maquet, Jean-Michel Crielaard, Dominique Dive

Abstract read
In one paragraph

Article in BMC neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

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

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

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Deciphering the Morphology of Motor Evoked Potentials.Frontiers in neuroinformatics · 2020
    Article
  12. Review
  13. Pathophysiological and cognitive mechanisms of fatigue in multiple sclerosis.Journal of neurology, neurosurgery, and psychiatry · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Therapeutic Targets for Multiple Sclerosis: Current Treatment Goals and Future Directions.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2017
    Review
  18. Article
  19. Review
  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

6 authors.

Xavier GiffroyDepartment of Neurology, University Hospital of Liege, Rue Grandfosse 31-33, 4130, Esneux, Belgium. xgiffroy@chu.ulg.ac.be.
Nathalie MaesDepartment of Biostatistics and Medico-Economic Information, University Hospital (CHU, ULg) of Liege, B35, 4000, Liège, Belgium.
Adelin AlbertDepartment of Biostatistics and Medico-Economic Information, University Hospital (CHU, ULg) of Liege, B35, 4000, Liège, Belgium.
Pierre MaquetDepartment of Neurology, University Hospital of Liege, Rue Grandfosse 31-33, 4130, Esneux, Belgium.
Jean-Michel CrielaardDepartment of Physical Medicine and Rehabilitation, University Hospital of Liege, B35, 4000, Liege, Belgium.
Dominique DiveDepartment of Neurology, University Hospital of Liege, Rue Grandfosse 31-33, 4130, Esneux, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional biomarkers able to identify multiple sclerosis (MS) patients at high risk of fast disability progression are lacking. The aim of this study was to evaluate the ability of multimodal (upper and lower limbs motor, visual, lower limbs somatosensory) evoked potentials (EP) to monitor disease course and identify patients exposed to unfavourable evolution.

methodsOne hundred MS patients were assessed with visual, somatosensory and motor EP and rated on the Expanded Disability Status Scale (EDSS) at baseline (T0) and about 6 years later (T1). The Spearman correlation (rS) was used to evaluate the relationship between conventional EP scores and clinical findings. Multiple (logistic) regression analysis estimated the predictive value of baseline electrophysiological data for three clinical outcomes: EDSS, annual EDSS progression, and the risk of EDSS worsening.

resultsIn contrast to longitudinal correlations, cross-sectional correlations between the different EP scores and EDSS were all significant (0.33 ≤ rS < 0.67, p < 0.001). Baseline global EP score and EDSS were highly significant predictors (p < 0.0001) of EDSS progression 6 years later. The baseline global EP score was found to be an independent predictor of the EDSS annual progression rate (p < 0.001), and of the risk of disability progression over time (p < 0.005). Based on a ROC curve determination, we defined a Global EP Score cut off point (17/30) to identify patients at high risk of disability progression illustrated by a positive predictive value of 70%.

conclusionThis study provides a proof of the concept that electrophysiology could be added to MRI and used as another complementary prognostic tool in MS patients.

Indexed as

AdultBiomarkersCross-Sectional StudiesDisease ProgressionEvoked Potentials, MotorEvoked Potentials, SomatosensoryFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingMultiple SclerosisPersons with DisabilitiesPrognosisRetrospective StudiesBiomarkersDisabilityEvoked potentialsMultiple sclerosisPrognosis

Identifiers

PMID27245221
PMCPMC4888661

What OpenQuestion holds

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Registered trials

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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.