Evidence map›Paper›PMID 31011930›Full record

Observational studyNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2019

Long-term disability outcomes in relapsing-remitting multiple sclerosis: a 10-year follow-up study.

Jelena Drulovic, Jovana Ivanovic, Sarlota Mesaros, Vanja Martinovic, Darija Kisic-Tepavcevic, Irena Dujmovic, Tatjana Pekmezovic

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Jelena DrulovicClinic of Neurology, Clinical Center of Serbia, Dr Subotica 6, Belgrade, 11000, Serbia. drulovicjelena@gmail.com.ORCID http://orcid.org/0000-0002-4516-3458
Jovana IvanovicFaculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade, 11000, Serbia.
Sarlota MesarosClinic of Neurology, Clinical Center of Serbia, Dr Subotica 6, Belgrade, 11000, Serbia.
Vanja MartinovicClinic of Neurology, Clinical Center of Serbia, Dr Subotica 6, Belgrade, 11000, Serbia.
Darija Kisic-TepavcevicInstitute of Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26A, Belgrade, 11000, Serbia.
Irena DujmovicClinic of Neurology, Clinical Center of Serbia, Dr Subotica 6, Belgrade, 11000, Serbia.
Tatjana PekmezovicInstitute of Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26A, Belgrade, 11000, Serbia.

Funding

Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja 175031Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja (RS) 175031 and 175087Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja (RS) 175087
6 · The paper itself

Abstract

objectiveThe aim of this study is to assess the impact of interferon (IFN) beta treatment on the development of worsening disability in relapsing-remitting (RR) multiple sclerosis (MS) patients in the single-center observation cohort.

methodThis is a prospective study of 236 IFN-beta-treated and 183 untreated RRMS patients recruited consecutively at the Clinic of Neurology in Belgrade (Serbia). Out of this original cohort, 10-year follow-up data were available for 233 IFN-beta-treated and 131 untreated subjects. The median time since recruitment was 9.7 years.

resultsIFN-beta treatment significantly delayed (p < 0.001) the time to reach each of the clinical outcomes (secondary progression-SP, EDSS scores 4 and 6) since recruitment. Time from the first visit to SP was reached after 9.7 years for IFN-beta-treated vs. 7.8 years for untreated patients. The delay for the development of EDSS score ≥ 4 from the first visit was 1.6 years (8.7 years for IFN-beta-treated vs. 7.1 years for untreated patients). Time from the first visit to EDSS score of 6 was reached after 9.8 years for IFN-beta-treated vs. 8.8 years for untreated patients. The IFN-beta-treated group showed significant reduction (p < 0.001) in the risk of conversion to SP when compared with untreated patients (HR = 0.22). There was also a significant difference in reaching EDSS scores 4 and 6 (p < 0.001), in favor of the IFN-beta-treated group (HR = 0.40 and HR = 0.27, respectively).

conclusionComparison of outcomes in our IFN-beta-treated vs. untreated RRMS patients suggests that this treatment may delay development of long-term disability in MS.

Indexed as

AdolescentAdultDisability EvaluationDisease ProgressionFemaleFollow-Up StudiesHumansImmunologic FactorsInterferon-betaMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingTimeTreatment OutcomeYoung AdultImmunologic FactorsInterferon-betaDisabilityInterferon betaLong-term follow-upMultiple sclerosisPredictionRelapse rate

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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.