Evidence map›Paper›PMID 33552236›Full record

ArticleTherapeutic advances in neurological disorders2021

Therapeutic plasma exchange in steroid-refractory multiple sclerosis relapses. A retrospective two-center study.

Stephan Blechinger, Johannes Ehler, Gabriel Bsteh, Alexander Winkelmann, Fritz Leutmezer, Stefanie Meister, Agnes Santer, Michael Hecker, Thomas Berger, Paulus Rommer and 1 more

Abstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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.

Stephan BlechingerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Johannes EhlerDepartment of Anaesthesiology and Intensive Care Medicine, Rostock University Medical Center, Rostock, Germany.
Gabriel BstehDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Alexander WinkelmannDepartment of Neurology, Rostock University Medical Center, Rostock, Germany.
Fritz LeutmezerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Stefanie MeisterDepartment of Neurology, Rostock University Medical Center, Rostock, Germany.
Agnes SanterDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Michael HeckerDepartment of Neurology, Rostock University Medical Center, Rostock, Germany.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5626-1144
Paulus RommerDepartment of Neurology, Medical University of Vienna, Spitalgasse 23, Vienna 1090, Austria.ORCID https://orcid.org/0000-0001-5209-6647
Uwe Klaus ZettlDepartment of Neurology, Rostock University Medical Center, Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic plasma exchange (TPE) is frequently used in glucocorticosteroid (GCS)-refractory multiple sclerosis (MS) relapses. Data regarding predictors of treatment response are scarce. The objective of this study was to analyze predictive factors for response to TPE in GCS-refractory MS patients.

methodsA total of 118 MS patients in two tertiary MS centers were analyzed. Primary outcome was TPE response defined as marked, mild, or no improvement. Secondary outcome was change in expanded disability status scale (ΔEDSS). ΔEDSS and relapse activity within 6 months after TPE were studied.

resultsMarked or mild improvement was observed in 78.8% of patients. ΔEDSS correlated significantly inversely with time from relapse to start of TPE (τ = -0.239,

conclusionPatients with longer disease duration and higher EDSS pre and post-TPE were more likely to show further disability progression or relapses within 6 months after TPE. No sustained effects were observed during the follow-up period.

Indexed as

autoimmunityclinical trials observational study (cohort, case control)multiple sclerosisplasmapheresis

Identifiers

PMID33552236
PMCPMC7844455

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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.