Evidence map›Paper›PMID 31465498›Full record

ArticlePloS one2019

Cognitive function in multiple sclerosis: A long-term look on the bright side.

Yermi Harel, Alon Kalron, Shay Menascu, David Magalashvili, Mark Dolev, Glen Doniger, Ely Simon, Anat Achiron

Abstract read
In one paragraph

Article in PloS one, 2019. 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
–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

7 citing papers in PubMed.

  1. Trial
  2. Observational
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  4. Observational
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  7. Review
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

8 authors.

Yermi HarelMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
Alon KalronDepartment of Physical Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Shay MenascuMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
David MagalashviliMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
Mark DolevMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
Glen DonigerSagol Neuroscience Center, Tel-Aviv University, Tel-Aviv, Israel.
Ely SimonDepartment of Clinical Research, NeuroTrax Corporation, Medina, NY, United States of America.
Anat AchironMultiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0002-2020-3126

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) may lead to cognitive decline over-time.

objectivesCharacterize cognitive performance in MS patients with long disease duration treated with disease modifying drugs (DMD) in relation to disability and determine the prevalence of cognitive resilience.

methodsCognitive and functional outcomes were assessed in 1010 DMD-treated MS patients at least 10 years from onset. Cognitive performance was categorized as high, moderate or low, and neurological disability was classified according to the Expanded Disability Status Scale (EDSS) as mild, moderate or severe. Relationship between cognitive performance and disability was examined.

resultsAfter a mean disease duration of 19.6 (SD = 7.7) years, low cognitive performance was observed in 23.7% (N = 239), moderate performance in 42.7% (N = 431), and 33.7% (N = 340) had high cognitive performance, meeting the definition of cognitively resilient patients. Within the group of patients with low cognitive performance, severe disability was observed in 50.6% (121/239), while in the group of patients with high cognitive performance, mild disability was observed in 64.4% (219/340). Differences between the group of patients with high cognitive performance and severe disability (4.5%) and the group of patients with low cognitive performance and mild disability (5.0%) were not accounted for by DMD treatment duration.

conclusionsThe majority of DMD treated MS patients did not have cognitive decline that could impair their quality of life after disease of extended duration.

Indexed as

CognitionDisability EvaluationFemaleHumansMaleMiddle AgedMultiple Sclerosis

Identifiers

PMID31465498
PMCPMC6715181

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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.