Evidence map›Paper›PMID 33940495›Full record

ArticleMultiple sclerosis and related disorders2021

The outcome of a national MS-Covid-19 study: What the Turkish MS cohort reveals?

S Sen, R Karabudak, I Schiavetti, S Demir, S Ozakbas, M Tutuncu, B Petek Balci, O F Turan, C Uzunkopru, M Koseoglu and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Multiple sclerosis and related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Systematic review of risk of SARS-CoV-2 infection and severity of COVID-19 with therapies approved to treat multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  9. Prevalence, severity, outcomes, and risk factors of COVID-19 in multiple sclerosis: An observational study in the Middle East.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Observational
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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

25 authors at 14 institutions in 2 countries.

S SenOndokuz Mayis University School of Medicine Samsun, Turkey. Electronic address: sedat.sen@omu.edu.tr.
R KarabudakHacettepe University School of Medicine Ankara, Turkey.
I SchiavettiDepartment of Health Sciences, Section of Biostatistics, University of Genova, Italy.
S DemirSancaktepe Sehit Prof. Dr. Ilhan Varank Research and Training Hospital, Neurology Clinic, Istanbul, Turkey.
S OzakbasDokuz Eylül University School of Medicine Izmir, Turkey.
M TutuncuIstanbul University Cerrahpasa School of Medicine Istanbul, Turkey.
B Petek BalciHaseki Research and Training Hospital, Neurology Clinic, Istanbul, Turkey.
O F TuranUludag University School of Medicine Bursa, Turkey.
C UzunkopruKatip Celebi University School of Medicine Izmir, Turkey.
M KoseogluBakırköy Prof. Dr. Mashar Osman Research and Training Hospital, Neurology Clinic, Istanbul, Turkey.
M F YetkinErciyes University School of Medicine Kayseri, Turkey.
T GunduzIstanbul University Istanbul School of Medicine Istanbul, Turkey.
H GumusSelcuk University School of Medicine Konya, Turkey.
N Kale IcenBagcılar Research and Training Hospital, Neurology Clinic, Istanbul, Turkey.
L CarmiscianoDepartment of Health Sciences, Section of Biostatistics, University of Genova, Italy.
M TerziOndokuz Mayis University School of Medicine Samsun, Turkey.
P AcarHacettepe University School of Medicine Ankara, Turkey.
I Gungor DoganSancaktepe Sehit Prof. Dr. Ilhan Varank Research and Training Hospital, Neurology Clinic, Istanbul, Turkey.
C BabaDokuz Eylül University School of Medicine Izmir, Turkey.
A TuncerHacettepe University School of Medicine Ankara, Turkey.
U UygunogluIstanbul University Cerrahpasa School of Medicine Istanbul, Turkey.
M P SormaniDepartment of Health Sciences, Section of Biostatistics, University of Genova, Italy.
H EfendiKocaeli University School of Medicine Kocaeli, Turkey.
A SivaIstanbul University Cerrahpasa School of Medicine Istanbul, Turkey.
Turkish MS Study Group
Hacettepe University · TRIstanbul University-Cerrahpaşa · TRUniversity of Genoa · ITDokuz Eylül University · TROndokuz Mayıs University · TRBağcılar Eğitim ve Araştırma Hastanesi · TRBakırköy Psychiatric Hospital · TRBursa Uludağ Üni̇versi̇tesi̇ · TRErciyes University · TRHaseki Eğitim ve Araştırma Hastanesi · TRIstanbul University · TRIzmir Kâtip Çelebi University · TRKocaeli Üniversitesi · TRSelçuk University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe pandemic of the new type of corona virus infection 2019 [Covid-19] also affect people with Multiple Sclerosis (pwMS). Currently, the accumulating information on the effects of the infection regarding the demographic and clinical characteristics of the disease, as well as outcomes within different DMTs¸ enable us to have better practices on the management of the Covid-19 infection in pwMS.

objectiveTo investigate the incidence of coronavirus disease 2019 (Covid-19) and to reveal the relationship between the demographic-clinical and therapeutic features and the outcome of Covid-19 infection in a multi-center national cohort of pwMS.

methodsThe Turkish Neurological Society-MS Study Group in association with the Italian MuSC-19 Study Group initiated this study. A web-based electronic Case Report Form (eCRF) of Study-MuSC-19 were used to collect the data. The demographic data and MS histories of the patients were obtained from the file tracking forms of the relevant clinics.

results309 MS patients with confirmed Covid-19 infection were included in this study. Two hundred nineteen (219) were females (70.9%). The mean age was 36.9, ranging from 18 to 66, 194 of them (62.8%) were under 40. The clinical phenotype was relapsing-remitting in 277 (89.6%) and progressive in 32 (10.4%). Disease duration ranged from 0.2 years to 31.4 years. The median EDSS was 1.5, ranging from 0 to 8.5. The EDSS score was<= 1 in 134 (43%) of the patients. 91.6% of the patients were on a DMT, Fingolimod was the most frequently used drug (22.0%), followed by Interferon (20.1%). The comorbidity rate is 11.7%. We were not able to detect any significant association of DMTs with Covid-19 severity.

conclusionThe Turkish MS-Covid-19 cohort had confirmed that pwMS are not at risk of having a more severe COVID-19 outcome irrespective of the DMT that they are treated. In addition, due to being a younger population with less comorbidities most had a mild disease further highlight that the only associated risk factors for having a moderate to severe COVID-19 course are similar with the general population such as having comorbid conditions and being older.

Indexed as

COVID-19Multiple SclerosisAdultCohort StudiesFemaleFingolimod HydrochlorideHumansSARS-CoV-2Fingolimod HydrochlorideCoronavirusDisease modifying treatmentDisease severityMultiple Sclerosis

Identifiers

PMID33940495
PMCPMC8053402
OpenAlexW3154821744

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.