Evidence map›Paper›PMID 31236283›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Conversion of clinically isolated syndrome to multiple sclerosis: a prospective multi-center study in Eastern India.

T K Banerjee, M Saha, E Ghosh, A Hazra, A Das, D Choudhury, S Ojha, A Haldar, A Mukherjee, S S Nandi and 5 more

Open access · goldAbstract read
In one paragraph

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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
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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

15 authors at 6 institutions in 1 country.

T K BanerjeeNational Neurosciences Centre Calcutta, Kolkata, India.ORCID https://orcid.org/0000-0002-6923-7909
M SahaApollo Gleneagles Hospital, Kolkata, India.
E GhoshNational Neurosciences Centre Calcutta, Kolkata, India.
A HazraInstitute of Postgraduate Medical Education & Research, Kolkata, India.
A DasNational Neurosciences Centre Calcutta, Kolkata, India.
D ChoudhuryNational Neurosciences Centre Calcutta, Kolkata, India.
S OjhaNational Neurosciences Centre Calcutta, Kolkata, India.
A HaldarFortis Hospital, Kolkata, India.
A MukherjeeVivekananda Institute of Medical Sciences, Kolkata, India.
S S NandiCalcutta Medical Research Institute, Kolkata, India.
A GhoshApollo Gleneagles Hospital, Kolkata, India.
A MukherjeeCalcutta Medical Research Institute, Kolkata, India.
A ChatterjeeCalcutta Medical Research Institute, Kolkata, India.
A DattaInstitute of Neuroscience Kolkata, Kolkata, India.
S PurakayasthaInstitute of Neuroscience Kolkata, Kolkata, India.
National Neurosciences Centre · INApollo Gleneagles Hospitals · INInstitute of Neurosciences Kolkata · INVivekananda Institute of Medical Sciences · INFortis Hospital · INInstitute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn White populations more than 60% of clinically isolated syndrome (CIS) convert to multiple sclerosis (MS) on a long-term follow-up; several predictors for conversion have been identified.

objectiveThis study aimed to determine the conversion rate and the predictors of conversion from CIS to MS (McDonald 2010) among Indians. The other objective was to evaluate the diagnostic accuracy of the new McDonald 2017 criteria in prediction of a second clinical attack.

methodsClinical and demographic data of CIS cohorts were collected. Baseline investigations included cerebrospinal magnetic resonance imaging (MRI) with contrast and cerebrospinal fluid (CSF) testing for oligoclonal band (OCB). Follow-up clinical and MRI examinations were performed annually for at least 24 months.

resultsOf the 82 subjects (age range 15-58 years), 36 (43.9%) converted to MS; 31/82 (37.8%) converted in 24 months. The predictors for conversion were earlier age of onset, CSF-OCB, cerebral MRI T2 lesion count, and periventricular and juxtacortical location of lesions. Twenty-two (26.83%) CIS fulfilled the McDonald MS 2017 criteria at baseline.

conclusionIn this first prospective study of CIS in India, the risk factors for conversion are similar but the conversion rate to MS is lower than that in the western nations.

Indexed as

Barkhof’s criteriacerebral MRIClinically isolated syndromeIndiaMcDonald criteriamultiple sclerosisoligoclonal band

Identifiers

PMID31236283
PMCPMC6572895
OpenAlexW2946432884

What OpenQuestion holds

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LicenceCC BY-NC
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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.