Evidence map›Paper›PMID 30198224›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2018

Changes in the Multiple Sclerosis Treatment Paradigm. What Do We Do Now and What Were We Doing Before?

Ricardo Alonso, María Bárbara Eizaguirre, Lucía Zavala, Cecilia Pita, Berenice Silva, Orlando Garcea

Abstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Ricardo AlonsoMultiple Sclerosis Clinic, Ramos Mejia Hospital, Buenos Aires, Argentina. ricardoalonsohrm@gmail.com.
María Bárbara EizaguirreMultiple Sclerosis Clinic, Ramos Mejia Hospital, Buenos Aires, Argentina.
Lucía ZavalaMultiple Sclerosis Clinic, Ramos Mejia Hospital, Buenos Aires, Argentina.
Cecilia PitaMultiple Sclerosis Clinic, Ramos Mejia Hospital, Buenos Aires, Argentina.
Berenice SilvaMultiple Sclerosis Clinic, Ramos Mejia Hospital, Buenos Aires, Argentina.
Orlando GarceaMultiple Sclerosis Clinic, Ramos Mejia Hospital, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe number of disease-modifying drugs (DMDs) available for treating relapsing-remitting multiple sclerosis is increasing. Numerous drugs have been approved since 2010 in South America, which has increased the complexity of the treatment algorithm. The aim of this study was to determine the changes in multiple sclerosis treatments relative to the underlying causes and the availability of new DMDs in Argentina.

methodsA descriptive retrospective study was carried out on a group of 59 patients diagnosed with RRMS who use more than one DMD.

resultsThe first treatment switch occurred before 2010 in 27% of the patients and after 2010 in the other 73%. Efficacy was the main reason for switching during both periods. A second treatment switch was required in 25% of the patients, with this occurring after 2010 in 86.6% of them. Interferon was the most-used drug before 2010 and fingolimod was the most-used drug thereafter.

conclusionsWe have identified that the tendency for treatment changes has increased following the arrival of new drugs. Efficacy has been the main cause of these changes.

Indexed as

drug therapyefficacymultiple sclerosis

Identifiers

PMID30198224
PMCPMC6172498

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.