Evidence map›Paper›PMID 33430058›Full record

ArticleNeurology international2021

Presenting Symptoms and Disease Severity in Multiple Sclerosis Patients.

Jason Ledesma, Padma Priya Puttagunta, Shayan Torabi, Kristen Berube, Eric Tamrazian, Diamond Garcia, Bijal Kirit Mehta

Abstract read
In one paragraph

Article in Neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Bulbar Symptoms as an Unusual Presentation of Multiple Sclerosis: A Case Report.European journal of case reports in internal medicine · 2022
    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

7 authors.

Jason LedesmaDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.
Padma Priya PuttaguntaDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.
Shayan TorabiDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.
Kristen BerubeDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.
Eric TamrazianDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.ORCID 0000-0003-1935-5277
Diamond GarciaDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.
Bijal Kirit MehtaDepartment of Neurology, The Lundquist Institute, Torrance, CA 90504, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe study aims to determine an association between presenting symptoms in multiple sclerosis and measures of disease severity, including the expanded disability status score (EDSS) and MRI based lesion volumes.

methodsData was collected as part of a larger 3 year MS study, from 2014 to 2017, to compare Vitamin A levels and MS progression. All data was collected from a single clinical site. Demographic data as well as date of diagnosis and use of disease modifying therapies. Patients not able to obtain MRIs or lab tests and histories of vitamin abnormalities were excluded from the study. 29 patients met inclusion criteria. We chose presenting symptoms of vision, balance, sensory function, and motor function as these represented the most common manifestations of the disease and mirror the domains of the EDSS, which is the most commonly used scale for MS disease severity. We also included neuroimaging based lesion volume as another objective measure for comparison.

resultsAlthough duration of disease was different between comparator groups, no significant difference was found between them when EDSS and lesion volumes were compared. There was a difference in lesion volumes when comparing those patients that had presenting symptoms of visual changes or balance symptoms with those presenting with sensory changes.

conclusionsThis study supports the notion that presenting symptoms are not associated with EDSS independent disease duration. It also verifies that severity of disease is not associated with lesion volumes. However, sensory symptoms as a presenting symptom was associated with less lesion volumes in our study.

Indexed as

balancedisease severityExpanded Disability Status Scale (EDSS)lesion volumesmotor functionMultiple Sclerosis (MS)presenting symptomssensory functionvision

Identifiers

PMID33430058
PMCPMC7838821

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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.