Evidence map›Paper›PMID 27657060›Full record

ArticleInternational journal of molecular sciences2016

McDonald Criteria 2010 and 2005 Compared: Persistence of High Oligoclonal Band Prevalence Despite Almost Doubled Diagnostic Sensitivity.

Philipp Schwenkenbecher, Anastasia Sarikidi, Ulrich Wurster, Paul Bronzlik, Kurt-Wolfram Sühs, Peter Raab, Martin Stangel, Refik Pul, Thomas Skripuletz

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 37 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Philipp SchwenkenbecherClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. schwenkenbecher.philipp@mh-hannover.de.
Anastasia SarikidiClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. sarikidi.anastasia@mh-hannover.de.
Ulrich WursterClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. wurster.ulrich@mh-hannover.de.
Paul BronzlikDepartment of Diagnostic and Interventional Neuroradiology, Hannover Medical School, Hannover 30625, Germany. bronzlik.paul@mh-hannover.de.
Kurt-Wolfram SühsClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. suehs.kurt-wolfram@mh-hannover.de.
Peter RaabDepartment of Diagnostic and Interventional Neuroradiology, Hannover Medical School, Hannover 30625, Germany. raab.peter@mh-hannover.de.
Martin StangelClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. stangel.martin@mh-hannover.de.
Refik PulClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. pul.refik@mh-hannover.de.
Thomas SkripuletzClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hannover Medical School, Hannover 30625, Germany. skripuletz.thomas@mh-hannover.de.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2010 McDonald criteria were developed to allow a more rapid diagnosis of relapsing-remitting multiple sclerosis (MS) by only one MRI of the brain. Although cerebrospinal fluid (CSF) is not a mandatory part of the latest criteria, the evidence of an intrathecal humoral immunoreaction in the form of oligoclonal bands (OCB) is crucial in the diagnostic workup. To date, the impact of the 2010 McDonald criteria on the prevalence of OCB has not been investigated. We retrospectively evaluated data of 325 patients with a clinical relapse suggestive of demyelination that were treated in a German university hospital between 2010 and 2015. One hundred thirty-six patients (42%) were diagnosed with MS and 189 patients with CIS when the criteria of 2010 were applied. The criteria of 2005 allowed only 70 patients (22%) to be designated as MS. In contrast, the prevalence of OCB was marginal affected in MS patients with 96% for the criteria of 2010 and 98.5% for the criteria of 2005. In conclusion, OCB are prevalent in most MS patients and reflect the chronic inflammatory nature of the disease. We recommend CSF examination to exclude alternative diagnoses and reevaluation of the diagnosis MS in patients with negative OCB.

Indexed as

CSFmultiple sclerosisOCB

Identifiers

PMID27657060
PMCPMC5037857
OpenAlexW2522804303

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.