Evidence map›Paper›PMID 34104471›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Relapse recovery in multiple sclerosis: Effect of treatment and contribution to long-term disability.

Marinos G Sotiropoulos, Hrishikesh Lokhande, Brian C Healy, Mariann Polgar-Turcsanyi, Bonnie I Glanz, Rohit Bakshi, Howard L Weiner, Tanuja Chitnis

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Neurodegeneration in multiple sclerosis.WIREs mechanisms of disease · 2023
    Review
  8. Observational
  9. How patients with multiple sclerosis acquire disability.Brain : a journal of neurology · 2022
    Article
  10. Review
  11. Article
  12. 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

8 authors at 1 institution in 1 country.

Marinos G SotiropoulosAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-3032-7069
Hrishikesh LokhandeAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA, USA.
Brian C HealyHarvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0001-5272-2425
Mariann Polgar-TurcsanyiAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA, USA.
Bonnie I GlanzHarvard Medical School, Boston, MA, USA.
Rohit BakshiAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0001-8601-5534
Howard L WeinerAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA, USA.
Tanuja ChitnisAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-9897-4422
Brigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough recovery from relapses in MS appears to contribute to disability, it has largely been ignored as a treatment endpoint and disability predictor.

objectiveTo identify demographic and clinical predictors of relapse recovery in the first 3 years and examine its contribution to 10-year disability and MRI outcomes.

methodsRelapse recovery was retrospectively assessed in 360 patients with MS using the return of the Expanded Disability Status Scale (EDSS), Functional System Scale and neurologic signs to baseline at least 6 months after onset. Univariate and multivariable models were used to associate recovery with demographic and clinical factors and predict 10-year outcomes.

resultsRecovery from relapses in the first 3 years was better in patients who were younger, on disease-modifying treatment, with a longer disease duration and without bowel or bladder symptoms. For every incomplete recovery, 10-year EDSS increased by 0.6 and 10-year timed 25-foot walk increased by 0.5 s. These outcomes were also higher with older age and higher baseline BMI. Ten-year MRI brain atrophy was associated only with older age, and MRI lesion volume was only associated with smoking.

conclusionsEarly initiation of disease-modifying treatment in MS was associated with improved relapse recovery, which in turn prevented long-term disability.

Indexed as

cohort studydisabilitydisease-modifying treatmentMultiple sclerosisprognosisrecoveryrelapse

Identifiers

PMID34104471
PMCPMC8165535
OpenAlexW3168177144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.