Evidence map›Paper›PMID 35239686›Full record

ArticlePloS one2022

Do Hungarian multiple sclerosis care units fulfil international criteria?

Zsófia Kokas, Dániel Sandi, Zsanett Fricska-Nagy, Judit Füvesi, Tamás Biernacki, Ágnes Köves, Ferenc Fazekas, Adrienne Jóri Birkás, Gabriella Katona, Krisztina Kovács and 27 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Proteomics in Multiple Sclerosis: The Perspective of the Clinician.International journal of molecular sciences · 2022
    Review
  5. 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

37 authors at 19 institutions in 1 country.

Zsófia KokasFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Dániel SandiFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Zsanett Fricska-NagyFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Judit FüvesiFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Tamás BiernackiFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Ágnes KövesDepartment of Neurology, Bajcsy-Zsilinszky Hospital, Budapest, Hungary.
Ferenc FazekasDepartment of Neurology, Gyula Nyírő Hospital and National Institute of Psychiatry and Addictions, Budapest, Hungary.
Adrienne Jóri BirkásDepartment of Neurology, National Institute of Clinical Nerosciences, Budapest, Hungary.
Gabriella KatonaDepartment of Neurology, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary.
Krisztina KovácsDepartment of Neurology, Péterfy Hospital, Budapest, Hungary.
Dániel MilanovichDepartment of Neurology, Semmelweis University, Budapest, Hungary.
Enikő DobosDepartment of Neurology, Saint Imre Hospital and University Teaching Hospital, Budapest, Hungary.
István KapásDepartment of Neurology, Saint János Hospital, Budapest, Hungary.
Gábor JakabDepartment of Neurology, Uzsoki Hospital, Budapest, Hungary.
Tünde CsépányDivision of Neurology, University of Debrecen Clinical Center, Debrecen, Hungary.
Erzsébet BenseDepartment of Neurology, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Klotild MátyásDepartment of Neurology, Ferenc Markhot Teaching Hospital, Eger, Hungary.
Gábor RumDepartment of Neurology, Aladár Petz University Teaching Hospital, Győr, Hungary.
Zoltán SzolnokiDepartment of Neurology, Kálmán Pándy County Hospital, Gyula, Hungary.
István DemeDepartment of Neuology, Mór Kaposi Teaching Hospital, Kaposvár, Hungary.
Zita JobbágyDepartment of Neurology, Kecskemét County Hospital, Kecskemét, Hungary.
Dávid KristonDepartment of Neurology, Borsod-Abaúj-Zemplén County Central Hospital and University Teaching Hospital, Miskolc, Hungary.
Zsuzsanna GerócsDepartment of Neurology, Dorottya Kanizsai Hospital, Nagykanizsa, Hungary.
Péter DiószeghyDepartment of Neurology, Aladár Jósa Teaching Hospital, Nyíregyháza, Hungary.
László BorsDepartment of Neurology, University of Pécs Clinical Center Pécs, Pécs, Hungary.
Adrián VargaDepartment of Neurology, Saint Lázár County Hospital, Salgótarján, Hungary.
Levente KerényiDepartment of Neurology, Fejér County Saint György University Teaching Hospital, Székesfehérvár, Hungary.
Gabriella MolnárDepartment of Neurology, János Balassa Hospital, Szekszárd, Hungary.
Piroska KristófDepartment of Neurology, Jász-Nagykun-Szolnok County Géza Hetényi Hospital, Szolnok, Hungary.
Zsuzsanna Ágnes NagyDepartment of Neurology, Markusovszky University Teaching Hospital, Szombathely, Hungary.
Mária SátoriDepartment of Neurology, Saint Borbála Hospital, Tatabánya, Hungary.
Piroska ImreDepartment of Neurology, Ferenc Csolnoky Hospital, Veszprém, Hungary.
Szilvia PéntekDepartment of Neurology, Zala County Saint Rafael Hospital, Zalaegerszeg, Hungary.
Péter KlivényiFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Zsigmond Tamás KincsesFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
László VécseiFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.
Krisztina BencsikFaculty of General Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.ORCID 0000-0002-1400-1288
University of Szeged · HUSzent János Kórház · HUUniversity of Debrecen · HUBajcsy-Zsilinszky Kórház és Rendelőintézet · HUBékés Megyei Központi Kórház · HUBorsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház · HUFejér Megyei Szent György Egyetemi Oktató Kórház · HUJahn Ferenc Dél-Pesti Kórház és Rendelőintézet · HUJósa András Múzeum · HUMarkusovszky Egyetemi Oktatókórház · HUNational Institute of Menthal Health, Neurology and Neurosurgery - Nyírő Gyula Hospital · HUNational Institute of Oncology · HUPéterfy Sándor Utcai Kórház-Rendelőintézet és Baleseti Központ · HUPetz Aladár Megyei Oktató Kórház · HUSemmelweis University · HUSzent Borbála Kórház · HUSzent Imre Egyetemi Oktatókórház · HUUniversity of Pecs · HUUzsoki Hospital · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

a patientsBecause of the past 3 decades' extensive research, several disease modifying therapies became available, thus a paradigm change is multiple sclerosis care was necessary. In 2018 a therapeutic guideline was created recommending that treatment of persons with multiple sclerosis should take place in specified care units where the entire spectrum of disease modifying therapies is available, patient monitoring is ensured, and therapy side effects are detected and treated promptly. In 2019 multiple sclerosis care unit criteria were developed, emphasizing personnel and instrumental requirements to provide most professional care. However, no survey was conducted assessing the real-world adaptation of these criteria.

objectiveTo assess whether Hungarian care units fulfil international criteria.

methodsA self-report questionnaire was assembled based on international guidelines and sent to Hungarian care units focusing on 3 main aspects: personnel and instrumental background, disease-modifying therapy use, number of people living with multiple sclerosis receiving care in care units. Data on number of persons with multiple sclerosis were compared to Hungarian prevalence estimates. Descriptive statistics were used to analyse data.

resultsOut of 27 respondent care units, 3 fulfilled minimum requirements and 7 fulfilled minimum and recommended requirements. The least prevalent neighbouring specialties were spasticity and pain specialist, and neuro-ophthalmologist and oto-neurologist. Only 15 centres used all available disease modifying therapies. A total number of 7213 people with multiple sclerosis received care in 27 respondent centres. Compared to prevalence estimates, 2500 persons with multiple sclerosis did not receive multiple sclerosis specific care in Hungary.

conclusionLess than half of Hungarian care units provided sufficient care for people living with multiple sclerosis. Care units employing fewer neighbouring specialties, might have difficulties diagnosing and providing appropriate care for persons with multiple sclerosis, especially for people with progressive disease course, contributing to the reported low number of persons living with multiple sclerosis.

Indexed as

Multiple SclerosisHumansHungarySurveys and Questionnaires

Identifiers

PMID35239686
PMCPMC8893632
OpenAlexW4214880044

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.