Evidence map›Paper›PMID 30515298›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

The neutrophil-to-lymphocyte ratio is associated with multiple sclerosis.

I C Hasselbalch, H B Søndergaard, N Koch-Henriksen, A Olsson, H Ullum, F Sellebjerg, A B Oturai

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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 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 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

44 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Recent Advances in Camel Immunology.Frontiers in immunology · 2020
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  14. Neutrophil-to-Lymphocyte Ratio in the Alzheimer's Disease Continuum.International journal of molecular sciences · 2025
    Review
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  17. Increased neutrophil-to-lymphocyte ratio as a possible marker to detect neuroinflammation in patients with narcolepsy type 1.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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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

7 authors.

I C HasselbalchDanish Multiple Sclerosis Center, University of Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-4098-7228
H B SøndergaardDanish Multiple Sclerosis Center, University of Copenhagen, Denmark.
N Koch-HenriksenThe Danish Multiple Sclerosis Registry, University of Copenhagen, Denmark.
A OlssonDanish Multiple Sclerosis Center, University of Copenhagen, Denmark.
H UllumDepartment of Clinical Immunology, University of Copenhagen, Copenhagen, Denmark.
F SellebjergDanish Multiple Sclerosis Center, University of Copenhagen, Denmark.
A B OturaiDanish Multiple Sclerosis Center, University of Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubtypes of white blood cell counts are known biomarkers of systemic inflammation and a high neutrophil-to-lymphocyte ratio (NLR) has been associated with several autoimmune diseases. Few studies have investigated the NLR in multiple sclerosis (MS).

objectiveTo examine the association between NLR, MS and disability measured by the MS severity score (MSSS).

methodsPatients were included from the Danish Multiple Sclerosis Biobank. Information on patient NLR was obtained just before their first treatment and clinical information was provided by the Danish Multiple Sclerosis Treatment Register. Information on NLR from controls was collected from the Danish Blood Donor Study. Patients and controls were 1:2 propensity score matched by baseline confounders.

resultsPropensity score matching left 740 of 743 MS patients and 1420 of 4691 controls for further analyses. Odds-ratio (OR) was 3.64 (95% confidence interval 2.87-4.60,

conclusionPatients with early MS had increased levels of NLR compared to healthy controls and NLR was weakly correlated with MSSS.

Indexed as

C-reactive proteinMultiple sclerosismultiple sclerosis severity scoreneutrophil-to-lymphocyte ratiorelapsing-remittingsystemic inflammation

Identifiers

PMID30515298
PMCPMC6262498

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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.