Evidence map›Paper›PMID 34646362›Full record

ArticleTherapeutic advances in neurological disorders2021

Treatment patterns in pediatric patients with multiple sclerosis in Germany-a nationwide claim-based analysis.

Niklas Frahm, Melanie Peters, Jörg Bätzing, David Ellenberger, Manas K Akmatov, Judith Haas, Paulus S Rommer, Alexander Stahmann, Uwe K Zettl, Jakob Holstiege

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

10 authors at 3 institutions in 1 country.

Niklas FrahmMS Forschungs- und Projektentwicklungs- gGmbH (MS Research and Project Development gGmbH [MSFP]), Krausenstr. 50, Hannover, 30171, Germany.ORCID https://orcid.org/0000-0002-4655-774X
Melanie PetersGesellschaft für Versorgungsforschung mbH (Society for Health Care Research [GfV]), Hannover, Germany.
Jörg BätzingDepartment 5, Epidemiology & Health Care Atlas, Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (Zi), Berlin, Germany.
David EllenbergerMS Forschungs- und Projektentwicklungs- gGmbH (MS Research and Project Development gGmbH [MSFP]), Hannover, Germany.
Manas K AkmatovDepartment 5, Epidemiology & Health Care Atlas, Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (Zi), Berlin, Germany.
Judith HaasDeutsche Multiple Sklerose Gesellschaft, Bundesverband e.V. (German Multiple Sclerosis Society [DMSG]), Hannover, Germany.
Paulus S RommerDepartment of Neurology, Medical University of Vienna, Vienna, AustriaNeuroimmunological Section, Department of Neurology, University Medical Center of Rostock, Rostock, Germany.ORCID https://orcid.org/0000-0001-5209-6647
Alexander StahmannMS Forschungs- und Projektentwicklungs- gGmbH (MS Research and Project Development gGmbH [MSFP]), Hannover, Germany.
Uwe K ZettlNeuroimmunological Section, Department of Neurology, University Medical Center of Rostock, Rostock, Germany.
Jakob HolstiegeDepartment 5, Epidemiology & Health Care Atlas, Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (Zi), Berlin, Germany.
L3S Research Center · DEUniversity of Rostock · DEDeutsche Multiple Sklerose Gesellschaft · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe manifestation of multiple sclerosis (MS) in childhood and adolescence occurs in 3%-5% of all MS cases. However, the immunomodulatory and symptomatic treatment options in this population group are still limited.

objectiveWe aimed to elucidate the prescription frequency of medications used in pediatric patients with multiple sclerosis (PwMS) compared with the general population, considering the entire spectrum of medications prescribed.

methodsBased on nationwide outpatient drug prescription data and statutory health insurance (SHI) physicians' claims data from 2018, we conducted a population-based cross-sectional study in Germany. Children and adolescents aged ⩽17 years (

resultsOf the 613 pediatric PwMS with a median age of 16 years, 403 (65.7%) were female. For 15 out of the 18 different active agents analyzed, PwMS had a significantly higher prescription prevalence than the control group (Fisher's exact test:

conclusionOur study analyzing real-world medication data showed that interferon beta, anti-inflammatory drugs, and vitamins play an essential role in the treatment of pediatric PwMS. Future research should evaluate longitudinal treatment patterns of pediatric PwMS, paying particular attention to the time of diagnosis, time of first DMD initiation, and therapy switches.

Indexed as

disease-modifying drugmultiple sclerosispediatricsprescriptiontreatment

Identifiers

PMID34646362
PMCPMC8504210
OpenAlexW3205362777

What OpenQuestion holds

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LicenceCC BY-NC
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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.