Evidence map›Paper›PMID 31187189›Full record

ArticleJournal of neurology2019

Regional variation in the incidence rate and sex ratio of multiple sclerosis in Scotland 2010-2017: findings from the Scottish Multiple Sclerosis Register.

Patrick K A Kearns, Martin Paton, Martin O'Neill, Chrissie Waters, Shuna Colville, James McDonald, Ian J B Young, Dan Pugh, Jonathon O'Riordan, Belinda Weller and 8 more

Abstract read
In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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

18 authors.

Patrick K A KearnsAnne Rowling Regenerative Neurology Clinic, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK. pkearns@ed.ac.uk.ORCID http://orcid.org/0000-0002-0053-4200
Martin PatonInformation Services Division, NHS Scotland, Edinburgh, UK.
Martin O'NeillInformation Services Division, NHS Scotland, Edinburgh, UK.
Chrissie WatersInformation Services Division, NHS Scotland, Edinburgh, UK.
Shuna ColvilleAnne Rowling Regenerative Neurology Clinic, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.
James McDonaldDepartment of Neurology, NHS Grampian, Aberdeen, Scotland, UK.
Ian J B YoungEdinburgh Royal Infirmary, NHS Lothian, Edinburgh, Scotland, UK.
Dan PughEdinburgh Royal Infirmary, NHS Lothian, Edinburgh, Scotland, UK.
Jonathon O'RiordanDepartment of Neurology, NHS Tayside, Dundee, Scotland, UK.
Belinda WellerAnne Rowling Regenerative Neurology Clinic, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.
Niall MacDougallDepartment of Neurology, NHS Lanarkshire, Glasgow, Scotland, UK.
Tom ClemensDepartment of Human Geography, University of Edinburgh, Edinburgh, Scotland, UK.
Chris DibbenDepartment of Human Geography, University of Edinburgh, Edinburgh, Scotland, UK.
James F WilsonCentre for Global Health Research, Usher Institute for Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Marcia C CastroDepartment of Global Health and Populations, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Alberto AscherioDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Siddharthan ChandranAnne Rowling Regenerative Neurology Clinic, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.
Peter ConnickAnne Rowling Regenerative Neurology Clinic, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.

Funding

Medical Research Council MC_UU_00007/10Medical Research Council MR/L023784/1Medical Research Council MR/L023784/2
6 · The paper itself

Abstract

backgroundFifteen regional studies published over the last six decades surveying prevalence, mortality and hospital admissions have suggested that Scotland is amongst the highest risk nations for multiple sclerosis (MS) in the world. However, substantial intranational variation in rates (between regions) has been described in numerous countries, including in the only previous Scottish national survey, which used hospital admission data, to address this issue. Against this backdrop, the Scottish Multiple Sclerosis Register (SMSR) was established in 2010 to prospectively collect nationally comprehensive incidence data and to allow for regional comparisons.

methodsHere, we present the SMSR and analyse the variation in crude and age-sex standardized incidence rates, lifetime risk (cumulative incidence), and the sex distribution of cases and rates, between the 14 administrative Health Boards or regions of Scotland: 01 January 2010 to 31 December 2017.

resultsThe overall incidence rate for Scotland was 8.76/100,000 person-years (standardized: 8.54). Regional incidence rates varied significantly-up to threefold-between Health Boards (p < 1 × 10

conclusionsThis study introduces a national incidence register: a valuable research tool and the result of substantial public investment. The wide variation in incidence rates and sex ratios between regions, in a relatively homogenous population, raises questions for future study.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedMultiple SclerosisRegistriesScotlandSex FactorsYoung AdultAutoimmune diseasesCentral nervous system diseasesEpidemiologic methodsEpidemiologyRegistry

Identifiers

PMID31187189
PMCPMC6765473

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.