Evidence map›Paper›PMID 34624643›Full record

ArticleMultiple sclerosis and related disorders2021

Current international trends in the treatment of multiple sclerosis in children-Impact of the COVID-19 pandemic.

Fredrik Sandesjö, Evangeline Wassmer, Kumaran Deiva, Maria Pia Amato, Tanuja Chitnis, Cheryl Hemingway, Lauren Krupp, Daniela Pohl, Kevin Rostasy, Emanuelle Waubant and 2 more

Open access · hybridAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 26% 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, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Therapeutic Advances in Pediatric Multiple Sclerosis.Children (Basel, Switzerland) · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
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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

12 authors at 10 institutions in 7 countries.

Fredrik SandesjöNeuropediatric Unit, Department of Women´s and Children´s Health, Karolinska Institutet, Sweden.
Evangeline WassmerBirmingham Women and Children's Hospital, School of Life and Health Sciences, Aston University, Birmingham, United Kingdom.
Kumaran DeivaAssistance Publique des Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Bicêtre Hospital, Pediatric Neurology Departement, and National Referral Center for rare inflammatory brain and spinal diseases, Le Kremlin-Bicêtre, France.
Maria Pia AmatoDepartment NEUROFARBA, University of Florence, Italy, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Tanuja ChitnisDepartment of Neurology, Division of Child Neurology, Massachusetts General Hospital, Boston, MA, USA.
Cheryl HemingwayDepartment of Paediatric Neurology, Great Ormond Street Hospital for Children NHS Trust, London, UK.
Lauren KruppNYU MS Comprehensive Care Center, Grossman School of Medicine, New York University, New York City, NY, USA.
Daniela PohlDivision of Neurology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Canada.
Kevin RostasyDepartment of Pediatric Neurology, Children's Hospital Datteln, University Witten/Herdecke, Germany.
Emanuelle WaubantUCSF Regional Pediatric MS clinic, Department of Neurology, San Francisco, CA 94158, USA.
Brenda BanwellThe Children's Hospital of Philadelphia, Division of Neurology, Philadelphia, PA, USA; University of Pennsylvania, Departments of Neurology and Pediatrics, Perelman School of Medicine, Philadelphia, PA, USA.
Ronny WickströmNeuropediatric Unit, Department of Women´s and Children´s Health, Karolinska Institutet, Sweden. Electronic address: ronny.wickstrom@ki.se.
Karolinska Institutet · SEAston University · GBBicêtre Hospital · FRChildren's Hospital of Eastern Ontario · CAChildren's Hospital of Philadelphia · USGreat Ormond Street Hospital · GBMassachusetts General Hospital · USNew York University · USUniversity of Florence · ITWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnly recently has the first disease-modifying therapy been approved for children with multiple sclerosis (MS) and practice patterns including substantial off-label use have evolved. Understanding attitudes towards treatment of paediatric MS and whether this has changed due to the ongoing COVID-19 pandemic is vital to guide future therapeutic trials and for developing guidelines that reflect practice.

methodsWe performed an online survey within the International Paediatric Multiple Sclerosis Study Group between July and September 2020. The survey was sent to 130 members from 25 countries and consisted of five sections: demographic data, treatment, disease modifying therapies and COVID-19, outcome and three patient cases.

resultsThe survey was completed by 66 members (51%), both paediatric neurologists and adult neurologists. Fingolimod and β-interferons were the most frequently used disease-modifying therapies, especially among paediatric neurologists. Almost a third (31%) of respondents had altered their prescribing practice due to COVID-19, in particular at the beginning of the pandemic.

conclusionsThe survey results indicate a tendency of moving from the traditional escalation therapy starting with injectables towards an early start with newer, highly effective disease modifying therapies. The COVID-19 pandemic only slightly affected prescribing patterns and treatment choices in paediatric MS.

Indexed as

COVID-19Multiple SclerosisAdultChildFingolimod HydrochlorideHumansPandemicsSARS-CoV-2Fingolimod HydrochlorideCOVID-19Disease modifying therapyMSPaediatric

Identifiers

PMID34624643
PMCPMC8474759
OpenAlexW3203041565

What OpenQuestion holds

Textmetadata
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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.