Evidence map›Paper›PMID 34418735›Full record

ArticleMultiple sclerosis and related disorders2021

COVID-19 severity and outcome in multiple sclerosis: Results of a national, registry-based, matched cohort study.

Carlos A Pérez, Guo-Qiang Zhang, Xiaojin Li, Yan Huang, John A Lincoln, Rohini D Samudralwar, Rajesh K Gupta, John W Lindsey

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, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.9field-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, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Quantitatively assessing the impact of the quality of SNOMED CT subtype hierarchy on cohort queries.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
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  10. Observational
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  12. Review
  13. Temporal Cohort Logic.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
  14. Keep your eyes on the prize: Tackling breakthrough COVID-19 in MS patients.Multiple sclerosis (Houndmills, Basingstoke, England) · 2021
    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 2 institutions in 1 country.

Carlos A PérezDepartment of Neurology, Maxine Mesinger Multiple Sclerosis Comprehensive Care Center, Baylor College of Medicine, Houston, TX, United States. Electronic address: Carlos.Perez@bcm.edu.
Guo-Qiang ZhangDepartment of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
Xiaojin LiDepartment of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
Yan HuangDepartment of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
John A LincolnDivision of Multiple Sclerosis ad Neuroimmunology, Department of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
Rohini D SamudralwarDivision of Multiple Sclerosis ad Neuroimmunology, Department of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
Rajesh K GuptaDivision of Multiple Sclerosis ad Neuroimmunology, Department of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
John W LindseyDivision of Multiple Sclerosis ad Neuroimmunology, Department of Neurology, University of Texas Health Science Center at Houston, Houston, TX, United States.
The University of Texas Health Science Center at Houston · USBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRisk factors associated with coronavirus disease 2019 (COVID-19) severity in patients with multiple sclerosis (MS) have been described. Recent improvements in supportive care measures and increased testing capacity may modify the risk of severe COVID-19 outcome in MS patients. This retrospective study evaluates the severity and outcome of COVID-19 in MS and characterizes temporal trends over the course of the pandemic in the United States.

methodsWe conducted a comparative cohort study using de-identified electronic health record (EHR) claims-based data. MS patients diagnosed with COVID-19 between February 2, 2020 and October 13, 2020 were matched (1:2) to a control group using propensity score analysis. The primary outcome was a composite of intensive care unit (ICU) admission, mechanical ventilation, and/or death.

resultsA total of 2,529 patients (843 MS and 1,686 matched controls) were included. Non-ambulatory and pre-existing comorbidities were independent risk factors for COVID-19 severity. The risk for the severe composite outcome was lower in the late cohorts compared with the early cohorts.

conclusionsThe majority of MS patients actively treated with a disease-modifying therapy (DMT) had mild disease. The observed trend toward a reduction in severity risk in recent months suggests an improvement in COVID-19 outcome.

Indexed as

COVID-19Multiple SclerosisCohort StudiesHumansRegistriesRetrospective StudiesSARS-CoV-2United StatesCOVID-19Disease-modifying therapyMultiple sclerosisOutcomeSARS-CoV-2

Identifiers

PMID34418735
PMCPMC8366056
OpenAlexW3193754770

What OpenQuestion holds

Textmetadata
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.