Evidence map›Paper›PMID 33796947›Full record

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

Cognitive impairment in multiple sclerosis: diagnosis and monitoring.

Virginia Meca-Lallana, Francisco Gascón-Giménez, Ricardo C Ginestal-López, Yolanda Higueras, Nieves Téllez-Lara, Joan Carreres-Polo, Sara Eichau-Madueño, Jesús Romero-Imbroda, Ángela Vidal-Jordana, Francisco Pérez-Miralles

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review 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. It is linked to trial NCT06629155 (Disentangling Cognitive Functioning and Visual Scanning Deficits in Cognitive Test Results in Multiple Sclerosis), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 1% 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.

NCT06629155 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Disentangling Cognitive Functioning and Visual Scanning Deficits in Cognitive Test Results in Multiple Sclerosis (MS)

TypeobservationalSponsorUniversitair Ziekenhuis BrusselRan2025 to 2027Enrolled50ConditionsMultiple Sclerosis, Internuclear OphthalmoplegiaArmsInfrared oculography
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  15. Neurofilament Light Chain and Disability Measures as Predictors of Cognitive Decline in Early Multiple Sclerosis.Medical science monitor : international medical journal of experimental and clinical research · 2025
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  17. Presence of cortical lesions in older persons with multiple sclerosis and association with cognitive function.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  19. Differential Validity in the Written, Oral, and Electronic SDMT in Multiple Sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
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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

10 authors at 8 institutions in 1 country.

Virginia Meca-LallanaUnidad de Enfermedades Desmielinizantes, Servicio de Neurología, Hospital Universitario de La Princesa, Madrid, Spain. virmeca@hotmail.com.ORCID http://orcid.org/0000-0001-9418-4127
Francisco Gascón-GiménezUnidad de Esclerosis Múltiple, Servicio de Neurología, Hospital Clínico Universitario, Valencia, Spain.
Ricardo C Ginestal-LópezServicio de Neurología, Hospital Clínico San Carlos, Madrid, Spain.
Yolanda HiguerasInstituto de Investigación Sanitaria del Gregorio Marañón, Hospital Gregorio Marañón, Madrid, Spain.
Nieves Téllez-LaraServicio de Neurología, Hospital Clínico Universitario, Valladolid, Spain.
Joan Carreres-PoloServicio de Radiología, Hospital Universitari i Politècnic La Fe de Valencia, Valencia, Spain.
Sara Eichau-MadueñoServicio de Neurología, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Jesús Romero-ImbrodaServicio de Neurología, Hospital Regional Universitario de Málaga, Málaga, Spain.
Ángela Vidal-JordanaServicio de Neurología-Neuroinmunología, Centro de Esclerosis Múltiple de Cataluña (Cemcat), Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Francisco Pérez-MirallesUnitat de Neuroimmunología - CSUR Servicio de Neurología Hospital Universitari i Politècnic La Fe de Valencia, Valencia, Spain.
Hospital Universitari i Politècnic La Fe · ESHospital Clínico San Carlos · ESHospital Clínico Universitario de Valencia · ESHospital Clínico Universitario de Valladolid · ESHospital General Universitario Gregorio Marañón · ESHospital Regional Universitario de Málaga · ESHospital Universitario de La Princesa · ESHospital Universitario Virgen Macarena · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCognitive impairment (CI) has a prevalence of 45-70% in people with multiple sclerosis (MS), producing a negative impact on their quality of life, personal life, and work. Early detection of CI has become an important aspect to be considered for an adequate follow-up, to optimize social adaptation and to implement specific cognitive rehabilitation strategies. The aim of this work is to propose a suitable cognitive evaluation of patients with MS based on available and efficient tools for diagnosis and monitoring purposes well supported by literature review and clinical experience.

methodsA multidisciplinary panel of professionals from the field of neurology, neuropsychology, and neuroimaging performed a literature review of the topic of cognitive impairment assessment. This was combined and completed with their clinical experience to produce a set of recommendations.

resultsSome limitations to cognitive evaluation are described: shortage of time and resources during the neurology consultation, scarceness or absence of specialized professionals' availability, importance of tests adaptation, and doubts about its use to define therapeutic efficiency. We recommend a baseline and annual screening evaluation, and we suggest a baseline and periodic neuropsychological assessment. The latter ought to change to a recommendation with the presence of either positive screening test, or subjective to cognitive complaints, screening-test results and patient or family report mismatch, or in specific social/work situations.

conclusionsCognitive evaluation should be performed on all patients diagnosed with MS and throughout follow-up. It is necessary to support the creation of multidisciplinary MS teams to optimize the evaluation and follow-up of MS patients.

Indexed as

Cognitive DysfunctionMultiple SclerosisHumansNeuropsychological TestsNeuropsychologyQuality of LifeCognitive dysfunctionMultiple sclerosisNeurophysiological monitoringNeuropsychological tests

Identifiers

PMID33796947
PMCPMC8642331
OpenAlexW3150171687

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.