Evidence map›Paper›PMID 34434560›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Assessing attacks and treatment response rates among adult patients with NMOSD and MOGAD: Data from a nationwide registry in Argentina.

Edgar Carnero Contentti, Pablo A Lopez, Juan Pablo Pettinicchi, Juan Criniti, Agustín Pappolla, Jimena Miguez, Liliana Patrucco, Edgardo Carnero Contentti, Susana Liwacki, Verónica Tkachuk and 24 more

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-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

9 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Advances in the treatment of neuromyelitis optic spectrum disorder.Therapeutic advances in neurological disorders · 2025
    Review
  3. Article
  4. NMOSD and MOGAD: an evolving disease spectrum.Nature reviews. Neurology · 2024
    Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. 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

34 authors at 18 institutions in 2 countries.

Pablo A Lopez
Juan Pablo Pettinicchi
Juan CrinitiNeuroimmunology Unit, Department of Neurosciences, Hospital Alemán, Buenos Aires, Argentina.
Agustín Pappolla
Jimena Miguez
Liliana PatruccoServicio de Neurología, Hospital Italiano de Buenos Aires, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Edgardo Carnero ContenttiCentro de Esclerosis Múltiple de Buenos Aires, CABA, Buenos Aires, Argentina.
Susana LiwackiClínica Universitaria Reina Fabiola, Córdoba, Argentina.
Verónica Tkachuk
María E BalbuenaSección de Neuroinmunología y Enfermedades Desmielinizantes, Servicio de Neurología, Hospital de Clínicas José de San Martín, CABA, Buenos Aires, Argentina.
Carlos VrechDepartamento de Enfermedades desmielinizantes, Sanatorio Allende, Córdoba, Argentina.
Norma DeriCentro de Investigaciones Diabaid, CABA, Buenos Aires, Argentina.
Jorge Correale
María C YsrraelitDepartamento de Neurología, FLENI, CABA, Buenos Aires, Argentina.
Felisa LeguizamonHospital de Agudos, Dr. Teodoro Álvarez, CABA, Buenos Aires, Argentina.
Geraldine LueticInstituto de Neurociencias de Rosario, Santa Fe, Argentina.ORCID https://orcid.org/0000-0002-5716-6082
María L MenichiniSanatorio Británico, Rosario, Santa Fe, Argentina.
Darío TavoliniINECO Neurociencias Oroño, Rosario, Santa Fe, Argentina.
Carolina MainellaHospital Español de Rosario, Santa Fe, Argentina.
Gisela ZangaUnidad Asistencial César Milstein, CABA, Buenos Aires, Argentina.
Marcos BurgosServicio de Neurología, Hospital San Bernardo, Salta, Argentina.
Javier HrybServicio de Neurología, Hospital Carlos G. Durand, CABA, Buenos Aires, Argentina.
Andrés BarbozaHospital Central de Mendoza, Mendoza, Argentina.
Luciana Lazaro
Nora Fernández LiguoriSanatorio Güemes, CABA, Buenos Aires, Argentina.
Débora NadurSección de Neuroinmunología y Enfermedades Desmielinizantes, Servicio de Neurología, Hospital de Clínicas José de San Martín, CABA, Buenos Aires, Argentina.
Aníbal ChercoffSección de Enfermedades Desmielinizantes, Hospital Británico, CABA, Buenos Aires, Argentina.ORCID https://orcid.org/0000-0002-8645-6134
Marina Alonso SerenaServicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Buenos Aires, Argentina.
Alejandro CarideNeuroimmunology Unit, Department of Neurosciences, Hospital Alemán, Buenos Aires, Argentina.
Friedemann PaulNeuroCure Clinical Research Center, Charité, Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Juan I RojasCentro de Esclerosis Múltiple de Buenos Aires, CABA, Buenos Aires, Argentina.
Hospital Alemán · ARHospital de Clínicas "José de San Martín" · ARHospital Italiano de Buenos Aires · ARCentro Científico Tecnólogico - Rosario · ARCentro de Investigaciones Cardiovasculares · AREl Hospital General de Agudos Carlos G. Durand · ARFundacion Allende · ARFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARHelios Salud · ARHospital Británico de Buenos Aires · ARHospital César Milstein · ARHospital General de Agudos Dr. TEODORO ALVAREZ · ARHospital Provincial de Rosario · ARHospital Universitario Austral · ARInstituto de Neurología Cognitiva · ARMax Delbrück Center · DEServicio Diabetología Hospital Córdoba · ARUniversity of Mendoza · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to examine treatment interventions implemented in patients experiencing neuromyelitis optica spectrum disorders (NMOSD) attacks (frequency, types, and response).

methodsRetrospective study. Data on patient demographic, clinical and radiological findings, and administered treatments were collected. Remission status (complete [CR], partial [PR], no remission [NR]), based on changes in the EDSS score was evaluated before treatment, during attack, and at 6 months. CR was analyzed with a generalized estimating equations (GEEs) model.

resultsA total of 131 patients (120 NMOSD and 11 myelin oligodendrocyte glycoprotein-antibody-associated diseases [MOGAD]), experiencing 262 NMOSD-related attacks and receiving 270 treatments were included. High-dose steroids (81.4%) was the most frequent treatment followed by plasmapheresis (15.5%). CR from attacks was observed in 47% (105/223) of all treated patients. During the first attack, we observed CR:71.2%, PR:16.3% and NR:12.5% after the first course of treatment. For second, third, fourth, and fifth attacks, CR was observed in 31.1%, 10.7%, 27.3%, and 33.3%, respectively. Remission rates were higher for optic neuritis vs. myelitis (p < 0.001). Predictor of CR in multivariate GEE analysis was age in both NMOSD (OR = 2.27, p = 0.002) and MOGAD (OR = 1.53, p = 0.03).

conclusionsThis study suggests individualization of treatment according to age and attack manifestation. The outcome of attacks was generally poor.

Indexed as

attacksdisabilityLatin AmericaNeuromyelitis optica spectrum disorderstreatment response

Identifiers

PMID34434560
PMCPMC8381444
OpenAlexW3193281259

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.