Evidence map›Paper›PMID 31285832›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Costs of illness progression for different multiple sclerosis phenotypes: a population-based study in Sweden.

Hanna Gyllensten, Andrius Kavaliunas, Chantelle Murley, Kristina Alexanderson, Jan Hillert, Petter Tinghög, Emilie Friberg

Abstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Hanna GyllenstenDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.ORCID https://orcid.org/0000-0001-6890-5162
Andrius KavaliunasDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.ORCID https://orcid.org/0000-0003-3896-7332
Chantelle MurleyDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.ORCID https://orcid.org/0000-0003-4150-4275
Kristina AlexandersonDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.
Jan HillertDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.
Petter TinghögDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.
Emilie FribergDepartment of Clinical Neuroscience, Karolinska Institutet, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known of how the cost of illness and health-related quality of life changes over time after a diagnosis of multiple sclerosis.

objectivesThe aim was thus to explore the progression of annual direct and indirect costs and health-related quality of life among people with multiple sclerosis of working ages, following diagnosis with relapsing-remitting multiple sclerosis (RRMS), primary progressive multiple sclerosis (PPMS) or conversion to secondary progressive multiple sclerosis (SPMS) after RRMS.

methodsSwedish nationwide registers were linked to estimate the annual cost of illness in 2006-2013 among people with a registered new multiple sclerosis phenotype, including: direct costs, indirect costs, and health-related quality of life.

resultsDrugs and indirect costs for sick leave were the main cost drivers after diagnosis with RRMS. After conversion to SPMS, the RRMS cost drivers were replaced by indirect costs for disability pension. The main cost driver in newly diagnosed PPMS was indirect costs for sick leave, later replaced by disability pension. Health-related quality of life scores were similar after RRMS and SPMS.

conclusionsAfter initial high indirect costs for sick leave, people with RRMS had higher drug costs compared to people with PPMS. Cost drivers during SPMS initially followed the pattern in the RRMS population, but were replaced by indirect costs for disability pension.

Indexed as

cost of illnessdisease progressionhealthcare costshealth-related quality of lifeMultiple sclerosisregistriessick leave

Identifiers

PMID31285832
PMCPMC6600515

What OpenQuestion holds

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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.