Evidence map›Paper›PMID 31237825›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2020

Multiple sclerosis relapse risk in the postoperative period: Effects of invasive surgery and anesthesia.

Lindsey B De Lott, Samantha Zerafa, Kerby Shedden, Galit Levi Dunietz, Michelle Earley, Benjamin M Segal, Tiffany J Braley

Open access · greenAbstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 35% 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, 11 citations in OpenAlex.

  1. Acute neurological deficit following lumbar microdiscectomy: a multiple sclerosis relapse mimicking a surgical complication - a case report and literature review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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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 at 2 institutions in 1 country.

Lindsey B De LottDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Samantha ZerafaCollege of Engineering, University of Michigan, Ann Arbor, MI, USA.
Kerby SheddenDepartment of Statistics, University of Michigan, Ann Arbor, MI, USA.
Galit Levi DunietzDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Michelle EarleyThe Biostatistics Center, The George Washington University, Washington DC, USA.
Benjamin M SegalDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Tiffany J BraleyDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · USGeorge Washington University · US

Funding

TRAINING IN CLINICAL AND BASIC NEUROSCIENCET32NS007222 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Henry L Paulson · 1985 to 2026
$8.0M
Michigan Vision Clinician Scientist Development ProgramK12EY022299 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Abigail Fahim, DAVID N ZACKS · 2013 to 2026
$6.3M
Arginase-1 and iNOS expressing CNS myeloid cell subsets in EAE and MSR01NS105385 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEGAL, BENJAMIN M · 2017 to 2021
$1.9M
Immune mediated regeneration of retinal ganglion cell axons following optic nerve traumaR01EY028350 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEGAL, BENJAMIN M · 2017 to 2020
$1.5M
A novel inflammatory cell with neuroprotective and neuroregenerative propertiesR01EY029159 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEGAL, BENJAMIN M · 2018 to 2022
$1.4M
Optimizing Treatment Decisions for Acute Demyelinating Optic NeuritisK23EY027849 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DE LOTT, LINDSEY BLAKE · 2018 to 2022
$1.0M
The mechanism of action of Granulocyte Macrophage-Colony Stimulating Factor in an animal model of Multiple SclerosisR21NS103215 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEGAL, BENJAMIN M · 2017 to 2018
$427k
NEI NIH HHS K12 EY022299NEI NIH HHS K23 EY027849NEI NIH HHS R01 EY028350NEI NIH HHS R01 EY029159NINDS NIH HHS R01 NS105385NINDS NIH HHS R21 NS103215NINDS NIH HHS T32 NS007222
6 · The paper itself

Abstract

backgroundPostoperative multiple sclerosis (MS) relapses are a concern among patients and providers.

objectiveTo determine whether MS relapse risk is higher postoperatively.

methodsData were extracted from medical records of MS patients undergoing surgery at a tertiary center (2000-2016). Conditional logistic regression estimated within-patient unadjusted and age-adjusted odds of postoperative versus preoperative relapse.

resultsAmong 281 patients and 609 surgeries, 12 postoperative relapses were identified. The odds of postoperative versus preoperative relapse in unadjusted (odds ratio (OR) = 0.56, 95% confidence interval (CI) = 0.18-1.79;

conclusionsSurgery/anesthesia exposure did not increase postoperative relapse risk. These findings require confirmation in larger studies.

Indexed as

AnesthesiaMultiple SclerosisChronic DiseaseHumansOdds RatioRecurrenceRetrospective StudiesRisk FactorsAnesthesialogistic modelsmultiple sclerosispostoperative periodpreoperative periodretrospective studies

Identifiers

PMID31237825
PMCPMC6930348
OpenAlexW2955825338

What OpenQuestion holds

Textmetadata
LicenceTDM
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.