Evidence map›Paper›PMID 28607706›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Evaluation of an integrated multidisciplinary approach in multiple sclerosis care: A prospective, randomized, controlled study.

Caroline Papeix, Laetitia Gambotti, Rana Assouad, Claire Ewenczyck, Marie-Laure Tanguy, Fanny Pineau, Marie-Claire Houis, Dominique Mazevet, Elisabeth Maillart, Catherine Lubetzki

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Use of pragmatic randomized trials in multiple sclerosis: A systematic overview.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Multiple Sclerosis Care Unit.Multiple sclerosis (Houndmills, Basingstoke, England) · 2019
    Review
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

10 authors at 3 institutions in 1 country.

Caroline PapeixAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Laetitia GambottiAP-HP, Pitié-Salpêtrière Hospital, Clinical Research Unit, France.
Rana AssouadAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Claire EwenczyckAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Marie-Laure TanguyAP-HP, Pitié-Salpêtrière Hospital, Clinical Research Unit, France.
Fanny PineauAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Marie-Claire HouisAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Dominique MazevetAP-HP, Pitié-Salpêtrière Hospital, Department of Rehabilitation, France.
Elisabeth MaillartAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Catherine LubetzkiAP-HP, Pitié-Salpêtrière Hospital, Neurology Department, France.
Pitié-Salpêtrière Hospital · FRAssistance Publique – Hôpitaux de Paris · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisabled multiple sclerosis (MS) patients often need intervention of multiple specialists, resulting in a complex organization of care. How this multidisciplinary care should be organized and structured has not been studied.

objectiveThe objective of this article is to address the effectiveness of an integrated multidisciplinary approach versus usual care in MS patients.

methodsThis is a prospective, randomized, controlled, monocentric clinical trial in MS patients. Two treatment strategies were compared: (i) an integrated multidisciplinary (IMD) approach, consisting of a half-day individually tailored comprehensive assessment in the MS clinic; and (ii) a standard care. The primary outcome was the impact of the strategy on quality of life (QoL) measured using the MSIS-29 scale at inclusion and after six months.

resultsFifty MS patients were included. Median MSIS 29 score decreased over six months in the control group (-4.89) and increased in the IMD group (+2.00), with a significant difference between the two groups (

conclusionsThis prospective, randomized study is the first attempt to evaluate the multidisciplinary approach in MS patients. The results show that, contrary to our expectations, an integrated multidisciplinary approach is not superior to usual care on QoL.

Indexed as

multidisciplinary approachMultiple sclerosisquality of liferehabilitation

Identifiers

PMID28607706
PMCPMC5433398
OpenAlexW2240081821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.