Evidence map›Paper›PMID 30411534›Full record

ArticleCNS neuroscience & therapeutics2019

Age-dependent variation of female preponderance across different phenotypes of multiple sclerosis: A retrospective cross-sectional study.

Andrei Miclea, Anke Salmen, Greta Zoehner, Lara Diem, Christian P Kamm, Panos Chaloulos-Iakovidis, Marius Miclea, Myriam Briner, Kostas Kilidireas, Leonidas Stefanis and 3 more

Open access · hybridAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2019. 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
1.2field-weighted citation impact, top 22% 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, 32 citations in OpenAlex.

  1. Review
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  3. PlasmaNeurology(R) neuroimmunology & neuroinflammation · 2025
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  13. Development of an age-adjusted model for blood neurofilament light chain.Annals of clinical and translational neurology · 2022
    Article
  14. Review
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  16. Review
  17. Review
  18. Review
  19. Review
  20. SeXX Matters in Multiple Sclerosis.Frontiers in neurology · 2020
    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

13 authors at 2 institutions in 3 countries.

Andrei MicleaDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Anke SalmenDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0002-4751-299X
Greta ZoehnerDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Lara DiemDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Christian P KammDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Panos Chaloulos-IakovidisDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Marius MicleaNeurological Outpatient Department, Neurocenter Peine, Peine, Germany.
Myriam BrinerDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Kostas KilidireasDepartment of Neurology, Eginition University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Leonidas StefanisDepartment of Neurology, Eginition University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Andrew ChanDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Maria Eleftheria EvangelopoulosDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Robert HoepnerDepartment of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.ORCID 0000-0002-0115-7021
University of Bern · CHNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMultiple sclerosis (MS) is an autoimmune disease of the CNS, which predominantly affects women. Studies investigating the sex distribution in MS are sparse. We aim to analyze the female-to-male ratio (F/M ratio) in different MS phenotypes in association with age at diagnosis and year of birth.

methodsWe performed a retrospective cross-sectional analysis by cumulating data (sex, year of birth, age at diagnosis, and MS phenotypes) from unpublished and published studies of the participating centers.

resultsDatasets of 945 patients were collected. The overall F/M ratio was 1.9:1.0 and female preponderance was present in all phenotypes except for primary progressive MS (PPMS), in which men were predominantly affected (F/M ratio: 0.5:1.0). Female preponderance declined with increasing age at diagnosis and was no longer present in relapsing-remitting MS (RRMS) patients > 58 years of age.

conclusionOur data demonstrate an age dependency of female preponderance in MS except for PPMS. This could be influenced by the lifecycle of sex hormone secretion in women. In PPMS, a male preponderance was observed in all age-groups, which might point to pathophysiological mechanisms being less influenced by sex hormones.

Indexed as

PhenotypeAdolescentAdultAgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleHumansMaleMiddle AgedMultiple SclerosisMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-RemittingRetrospective StudiesSex FactorsagingMultiple sclerosissex distributionsex hormones

Identifiers

PMID30411534
PMCPMC6488902
OpenAlexW2899828258

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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.