Evidence map›Paper›PMID 31877873›Full record

ArticleJournal of clinical medicine2019

Comparing Plasma Exchange to Escalated Methyl Prednisolone in Refractory Multiple Sclerosis Relapses.

Steffen Pfeuffer, Leoni Rolfes, Eike Bormann, Cristina Sauerland, Tobias Ruck, Matthias Schilling, Nico Melzer, Marcus Brand, Refik Pul, Christoph Kleinschnitz and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 14 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
    Article
  2. Review
  3. Observational
  4. A review of possible therapies for multiple sclerosis.Molecular and cellular biochemistry · 2021
    Review
  5. Apheresis in Neurological Disorders.Journal of clinical medicine · 2020
    Article
  6. Article
  7. Review
  8. 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

12 authors at 3 institutions in 1 country.

Steffen PfeufferNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
Leoni RolfesNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
Eike BormannInstitute of Biostatistics and Clinical Research, University of Muenster, 48149 Münster, Germany.
Cristina SauerlandInstitute of Biostatistics and Clinical Research, University of Muenster, 48149 Münster, Germany.
Tobias RuckNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
Matthias SchillingNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
Nico MelzerNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
Marcus BrandDepartment of Internal Medicine D, University of Muenster 48149 Münster, Germany.
Refik PulDepartment of Neurology, University Duisburg-Essen, 45147 Essen, Germany.
Christoph KleinschnitzDepartment of Neurology, University Duisburg-Essen, 45147 Essen, Germany.
Heinz WiendlNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
Sven G MeuthNeurology Clinic and Institute for Translational Neurology, University of Muenster, 48149 Münster, Germany.
University Hospital Münster · DEUniversity of Münster · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous methyl prednisolone (IVMPS) represents the standard of care for multiple sclerosis (MS) relapses, but fail to improve symptoms in one quarter of patients. In this regard, apart from extending steroid treatment to a higher dose, therapeutic plasma exchange (TPE) has been recognized as a treatment option. The aim of this retrospective, monocentric study was to investigate the efficacy of TPE versus escalated dosages of IVMPS in refractory MS relapses. An in-depth medical chart review was performed to identify patients from local databases. Relapse recovery was stratified as "good/full", "average" and "worst/no" according to function score development. In total, 145 patients were analyzed. Good/average/worst recovery at discharge was observed in 60.9%/32.6%/6.5% of TPE versus 15.2%/14.1%/70.7% of IVMPS patients, respectively. A total of 53.5% of IVMPS patients received TPE as rescue treatment and 54.8% then responded satisfactorily. The multivariable odds ratio (OR) for worst/no recovery was 39.01 (95%-CI: 10.41-146.18;

Indexed as

class IVmultiple sclerosisoptic neuritisplasma exchangerelapsesteroids

Identifiers

PMID31877873
PMCPMC7027010
OpenAlexW2995744852

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.