Evidence map›Paper›PMID 33409489›Full record

ArticleBrain communications2020

Reproductive history and progressive multiple sclerosis risk in women.

Burcu Zeydan, Elizabeth J Atkinson, Delana M Weis, Carin Y Smith, Liliana Gazzuola Rocca, Walter A Rocca, Brian Mark Keegan, Brian G Weinshenker, Kejal Kantarci, Orhun H Kantarci

Open access · goldAbstract read
In one paragraph

Article in Brain communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Disease course after pregnancy in women with progressive multiple sclerosis symptoms.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Observational
  13. Observational
  14. Article
  15. Upper cervical spinal cord atrophy in MS: Sex, menopause, and neurodegeneration.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Article
  16. Review
  17. The influence of menopause on multiple sclerosis.European journal of neurology · 2025
    Article
  18. Article
  19. The Impact of Aging on Multiple Sclerosis.Current neurology and neuroscience reports · 2024
    Review
  20. No causal link between age at menopause and multiple sclerosis onset and severity: a Mendelian randomization study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    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

10 authors at 2 institutions in 1 country.

Burcu ZeydanDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-2270-9868
Elizabeth J AtkinsonDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.
Delana M WeisDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Carin Y SmithDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-3610-6945
Liliana Gazzuola RoccaDivision of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.
Walter A RoccaDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Brian Mark KeeganDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Brian G WeinshenkerDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Kejal KantarciDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Orhun H KantarciDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clinic · USMayo Clinic in Florida · US

Funding

Prevention of Alzheimer's disease in women: risks and benefits of hormone therapyRF1AG057547 · NIA · MAYO CLINIC ROCHESTER · PI GLEASON, CAREY E, KANTARCI, KEJAL · 2017 to 2020
$11.1M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Sex-Specific Effects of Endocrine Disruption on Aging and Alzheimer's DiseaseU54AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MIELKE, MICHELLE M · 2018 to 2022
$7.7M
Multiple Chronic Conditions and AgingR01AG052425 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2017 to 2021
$3.3M
NIA NIH HHS R01 AG034676NIA NIH HHS R01 AG052425NIA NIH HHS RF1 AG057547NIA NIH HHS U54 AG044170
6 · The paper itself

Abstract

Being a woman is one of the strongest risk factors for multiple sclerosis. The natural reproductive period from menarche to natural menopause corresponds to the active inflammatory disease period in multiple sclerosis. The fifth decade marks both the peri-menopausal transition in the reproductive aging and a transition from the relapsing-remitting to the progressive phase in multiple sclerosis. A short reproductive period with premature/early menopause and/or low number of pregnancies may be associated with an earlier onset of the progressive multiple sclerosis phase. A cross-sectional study of survey-based reproductive history in a multiple sclerosis clinical series enriched for patients with progressive disease, and a case-control study of multiple sclerosis and age/sex matched controls from a population-based cohort were conducted. Menarche age, number of complete/incomplete pregnancies, menopause type and menopause age were compared between 137 cases and 396 control females. Onset of relapsing-remitting phase of multiple sclerosis, progressive disease onset and reaching severe disability (expanded disability status scale 6) were studied as multiple sclerosis-related outcomes (

Indexed as

menarchemenopauseoestrogenpregnancyprogressive multiple sclerosis

Identifiers

PMID33409489
PMCPMC7772117
OpenAlexW3114195333

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.