Evidence map›Paper›PMID 35158446›Full record

ArticleMultiple sclerosis and related disorders2022

Temporal trends of multiple sclerosis disease activity: Electronic health records indicators.

Liang Liang, Nicole Kim, Jue Hou, Tianrun Cai, Kumar Dahal, Chen Lin, Sean Finan, Guergana Savovoa, Mattia Rosso, Mariann Polgar-Tucsanyi and 4 more

Open access · greenAbstract read
In one paragraph

Article in Multiple sclerosis and related disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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  4. Clustering Sequence Data with Mixture Markov Chains with Covariates Using Multiple Simplex Constrained Optimization Routine (MSiCOR).Journal of computational and graphical statistics : a joint publication of American Statistical Association, Institute of Mathematical Statistics, Interface Foundation of North America · 2024
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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

14 authors at 4 institutions in 1 country.

Liang LiangDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America.
Nicole KimDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America.
Jue HouDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America.
Tianrun CaiDivision of Rheumatology, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.
Kumar DahalDivision of Rheumatology, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.
Chen LinClinical Natural Language Processing Program, Boston Children's Hospital, Boston, MA, United States of America.
Sean FinanClinical Natural Language Processing Program, Boston Children's Hospital, Boston, MA, United States of America.
Guergana SavovoaClinical Natural Language Processing Program, Boston Children's Hospital, Boston, MA, United States of America.
Mattia RossoDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, United States of America.
Mariann Polgar-TucsanyiDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, United States of America.
Howard WeinerDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, United States of America.
Tanuja ChitnisDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, United States of America.
Tianxi CaiDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, United States of America; Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States of America.
Zongqi XiaDepartment of Neurology and Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, United States of America. Electronic address: zxia1@post.harvard.edu.
Brigham and Women's Hospital · USBoston Children's Hospital · USHarvard University · USUniversity of Pittsburgh · US

Funding

Leveraging electronic health records to optimize treatment selection and response in multiple sclerosisR01NS098023 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Zongqi Xia · 2016 to 2026
$4.6M
Real-world impact of the COVID-19 pandemic in people with multiple sclerosisR01NS124882 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI XIA, ZONGQI · 2022 to 2024
$1.2M
NINDS NIH HHS R01 NS098023NINDS NIH HHS R01 NS124882
6 · The paper itself

Abstract

backgroundLong-term data on multiple sclerosis (MS) inflammatory disease activity are limited. We examined electronic health records (EHR) indicators of disease activity in people with MS.

methodsWe analyzed prospectively collected research registry data and linked EHR data in a clinic-based cohort from 2000 to 2016. We used the trend of the yearly incident relapse rate from the registry data as benchmark. We then calculated the temporal trends of potentially relevant EHR measures, including mean count of the MS diagnostic code, mentions of MS-related concepts, MS-related health utilizations and selected prescriptions.

results1,555 MS patients had both registry and EHR data. Between 2000 and 2016, the registry data showed a declining trend in the yearly incident relapse rate, parallel to an increasing trend of DMT usage. Among the EHR measures, covariate-adjusted frequency of diagnostic code of MS, procedure codes of MS-related imaging studies and emergency room visits, and electronic prescription for steroids declined over time, mirroring the temporal trend of the benchmark yearly incident relapse rate.

conclusionThis study highlights EHR indicators of MS relapse that could enable large-scale examination of long-term disease activities or inform individual patient monitoring in clinical settings where EHR data are available.

Indexed as

Multiple SclerosisCohort StudiesElectronic Health RecordsHumansRecurrenceRegistriesDisease activityElectronic health recordsElectronic medical recordsMultiple sclerosisRelapse

Identifiers

PMID35158446
PMCPMC8849591
OpenAlexW3208184425

What OpenQuestion holds

Textmetadata
LicenceTDM
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.