Evidence map›Paper›PMID 32590314›Full record

ArticleMultiple sclerosis and related disorders2020

Decision-making on management of ms and nmosd patients during the COVID-19 pandemic: A latin american survey.

Alonso Ricardo, Edgar Carnero Contentti, Silva Berenice Anabel, López Pablo Adrian, Garcea Orlando, Hamuy Fernando, Rivera Víctor, Gracia Fernando, Rojas Juan Ignacio

Open access · bronzeAbstract read
In one paragraph

Article in Multiple sclerosis and related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

9 authors at 5 institutions in 3 countries.

Alonso RicardoCentro Universitario de Esclerosis Múltiple (CUEM), Hospital Ramos Mejía, Facultad de Medicina, Universidad de Buenos Aires, Urquiza número 609, CABA, C1221 ADC, Argentina; División Neurología, Sanatorio Güemes, CABA. Electronic address: ricardoalonsohrm@gmail.com.
Edgar Carnero ContenttiNeuroimmunology Unit, Department of Neuroscience, Hospital Alemán, Buenos Aires, Argentina.
Silva Berenice AnabelCentro Universitario de Esclerosis Múltiple (CUEM), Hospital Ramos Mejía, Facultad de Medicina, Universidad de Buenos Aires, Urquiza número 609, CABA, C1221 ADC, Argentina.
López Pablo AdrianNeuroimmunology Unit, Department of Neuroscience, Hospital Alemán, Buenos Aires, Argentina.
Garcea OrlandoCentro Universitario de Esclerosis Múltiple (CUEM), Hospital Ramos Mejía, Facultad de Medicina, Universidad de Buenos Aires, Urquiza número 609, CABA, C1221 ADC, Argentina.
Hamuy FernandoCentro Nacional de Esclerosis Múltiple Hospital IMT, Paraguay-Departamento de Neurología de Diagnóstico Codas Thompson, Paraguay.
Rivera VíctorDepartment of Neurology, Baylor College of Medicine, Houston, TX, 77030, United States.
Gracia FernandoClínica de Esclerosis Múltiple, Servicio de Neurología, Hospital Santo Tomas, Panamá, Facultad de Ciencias de la Salud, Universidad Interamericana de Panamá.
Rojas Juan IgnacioCentro de Esclerosis Múltiple de Buenos Aires (CEMBA), CABA, Argentina.
Hospital Alemán · ARHospital Ramos Mejía · ARBaylor College of Medicine · USUniversidad Interamericana de Panamá · PAUniversity of Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emergence of COVID-19 and its vertiginous spreading speed represents a unique challenge to neurologists managing multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD). The need for data on the impact of the virus on these patients grows rapidly. There is an urgent necessity of sharing information to enable evidence-based decision making on the clinical management. There are no data on what physicians are doing on clinical practice in Latin American countries.

aimto investigate current management opinion of Latin American MS and/or NMOSD expert neurologists based on their experience and recommendations.

methodswe developed a voluntary web-based survey based on hypothetical situations that these patients may encounter, while taking into account the potential risk of developing severe COVID-19 infection.

results60% of the experts had the possibility of monitoring their patients by telemedicine. Most neurologists postpone magnetic resonance. Laboratory blood tests delay is associated with the type of treatment. Platform therapies, dimethyl-fumarate and natalizumab are considered safe options to initiate in naive patients.

conclusiondecision-making about MS and NMOSD patients has become even more complex in order to adapt to the COVID-19 pandemic. Risks and benefits should be taken into consideration throughout the patient follow-up.

Indexed as

Clinical Decision-MakingAdultCOVID-19Cross-Sectional StudiesFemaleHealth PersonnelHumansLatin AmericaMaleMiddle AgedMultiple SclerosisNeuromyelitis OpticaSurveys and QuestionnairesCoronavirusCovid-19Decision-makingDemyelinating diseaseTreatment

Identifiers

PMID32590314
PMCPMC7837246
OpenAlexW3036137147

What OpenQuestion holds

Textmetadata
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.