Evidence map›Paper›PMID 32964347›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2021

The prevalence of comorbidities in patients with multiple sclerosis: population-based registry data.

Gorica D Maric, Tatjana D Pekmezovic, Sarlota T Mesaros, Olivera S Tamas, Jovana B Ivanovic, Vanja N Martinovic, Marko M Andabaka, Aleksa Lj Jovanovic, Nikola D Veselinovic, Darija B Kisic-Tepavcevic and 1 more

Abstract read
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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  14. Occurrence of malignant diseases in patients with multiple sclerosis: population-based MS Registry data.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  15. Article
  16. Adherence to Therapy in Patients with Multiple Sclerosis-Review.International journal of environmental research and public health · 2022
    Review
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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

11 authors at 2 institutions in 1 country.

Gorica D MaricInstitute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Tatjana D PekmezovicInstitute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Sarlota T MesarosDepartment of the CNS Immune-Mediated Disorders, Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia.
Olivera S TamasDepartment of the CNS Immune-Mediated Disorders, Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia.
Jovana B IvanovicDepartment of the CNS Immune-Mediated Disorders, Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia.
Vanja N MartinovicDepartment of the CNS Immune-Mediated Disorders, Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia.
Marko M AndabakaInstitute of Genetics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Aleksa Lj JovanovicInstitute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Nikola D VeselinovicDepartment of the CNS Immune-Mediated Disorders, Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia.
Darija B Kisic-TepavcevicInstitute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Jelena S DrulovicDepartment of the CNS Immune-Mediated Disorders, Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia. drulovicjelena@gmail.com.ORCID http://orcid.org/0000-0002-4516-3458
University of Belgrade · RSCentar za Promociju Nauke · RS

Funding

Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja 175031Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja 175031 and 175087Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja 175087
6 · The paper itself

Abstract

backgroundComorbidities occur frequently in persons with multiple sclerosis (MS). The aim of the present study was to determine the prevalence of the most common comorbidities in the population of MS patients in Belgrade, Serbia. MATERIAL AND

methodsData on diagnosed and fully documented comorbidities were taken from the Belgrade MS population registry. The list of explored comorbidities included cardiovascular, malignant, and autoimmune diseases; psychiatric disorders; epilepsy; and type 2 diabetes. In the data analysis, crude, age- and gender-specific, and age-adjusted prevalence was calculated. Additionally, comorbidities were analyzed in patients with various MS phenotypes.

resultsThe most prevalent group of comorbidities were psychiatric (prevalence (Prev) = 20.59%, 95% CI 19.10-22.17) and cardiovascular comorbidities (Prev = 15.23%, 95% CI 13.93-16.63). The most prevalent single comorbidities were depression (Prev = 11.82%, 95% CI 10.64-13.11) and hypertension (Prev = 11.41%, 95% CI 10.25-12.68). Type 2 diabetes was significantly more prevalent in patients with primary progressive MS compared with the patients with relapsing-remitting and secondary progressive MS (p < 0.001). We found statistically significant positive correlation between number of comorbidities and progression index (p < 0.001). Patients treated with disease-modifying therapies (DMTs) had significantly higher risk of developing comorbidity, after treatment initiation, compared with those who were untreated (p = 0.001).

conclusionsOur study demonstrated high prevalence of comorbidities in persons with MS, with psychiatric and cardiovascular diseases being the most common. Furthermore, our findings confirmed the association of comorbidities with progression of disability and emphasized their role in treatment decision-making in MS.

Indexed as

Diabetes Mellitus, Type 2Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingComorbidityHumansPrevalenceRegistriesSerbiaComorbidityMS registryMultiple sclerosisPrevalence

Identifiers

PMID32964347
OpenAlexW3088786244

What OpenQuestion holds

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Registered trials

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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.