Evidence map›Paper›PMID 35296261›Full record

ArticleBMC neurology2022

Clinical and prognostic aspects of patients with the Neuromyelitis Optica Spectrum Disorder (NMOSD) from a cohort in Northeast Brazil.

Thiago Gonçalves Fukuda, Ivã Taiuan Fialho Silva, Tayla Samanta Silva Dos Santos, Marcos Baruch Portela Filho, Fernanda Ferreira de Abreu, Jamary Oliveira-Filho

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
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  7. Review
  8. 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

6 authors at 3 institutions in 1 country.

Thiago Gonçalves FukudaPost-Graduate Program in Health Sciences, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil. thiagofukuda@gmail.com.
Ivã Taiuan Fialho SilvaNeurology Service, Professor Edgar Santos University Hospital, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil.
Tayla Samanta Silva Dos SantosNeurology Service, Professor Edgar Santos University Hospital, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil.
Marcos Baruch Portela FilhoState University of Bahia (UNEB), Salvador, Bahia, Brazil.
Fernanda Ferreira de AbreuNeurology Service, Professor Edgar Santos University Hospital, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil.
Jamary Oliveira-FilhoPost-Graduate Program in Health Sciences, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil.
Universidade Federal da Bahia · BRComplexo Hospitalar Universitário Professor Edgard Santos · BRUniversidade do Estado da Bahia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeuromyelitis optica spectrum disorders (NMOSD) is a rare inflammatory and demyelinating disease of the central nervous system (CNS) more frequent in women and Afro-descendants. No previous epidemiological or prognostic study has been conducted in the region of the state of Bahia, Brazilian Northeast.

objectiveTo evaluate clinical and prognostic aspects in patients with NMOSD from a cohort in northeastern Brazil. MATERIAL AND

methodsA single-center retrospective study was conducted with consecutive patients diagnosed with NMOSD. Clinical and epidemiological characteristics were described. The degree of disability was expressed by the Expanded Disability Status Scale (EDSS). Worsening disability were analyzed through negative binomial regression adjusted for disease duration.

resultsNinety-one patients were included, 72 (79.1%) female and 67 (73.6%) afro descendants. Mean age at onset was 36 (± 14) years and 73.3% were anti-aquaporin-4 antibody positive. Isolated transverse myelitis (32.9%) and isolated optic neuritis (22.4%) were the most frequent initial clinical syndromes. After multivariate analysis, optic neuritis (RR = 0.45; 95% CI = 0.23 - 0.88; p = 0.020) and dyslipidemia (RR = 0.40; 95% CI = 0.20 - 0.83; p = 0.014) were associated with slower disease progression. Area postrema involvement (RR = 6.70; 95% CI = 3.31 - 13.54; p < 0.001) and age at onset (RR = 1.03; 95% CI = 1.01 - 1.05; p = 0.003) were associated with faster disease progression.

conclusionsIn the first clinical and prognostic study in northeastern Brazil, we identified area postrema involvement, age at onset, optic neuritis at fist syndrome and dyslipidemia as the main prognostic factors associated with disease progression.

Indexed as

Neuromyelitis OpticaAdultAquaporin 4BrazilFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesYoung AdultAquaporin 4Aquaporin-4Brazilian NortheastNeuromyelitis optica spectrum disordersPrognostic factors

Identifiers

PMID35296261
PMCPMC8925163
OpenAlexW4220668080

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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.