Evidence map›Paper›PMID 37114235›Full record

ArticleFrontiers in neurology2023

A single relapse induces worsening of disability and health-related quality of life in patients with neuromyelitis optica spectrum disorder.

Achim Berthele, Michael Levy, Dean M Wingerchuk, Sean J Pittock, Shulian Shang, Adrian Kielhorn, Minying Royston, Guido Sabatella, Jacqueline Palace

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.9field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

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  11. Relapse-related outcomes in the Danish population-based AQP4- antibody seropositive neuromyelitis optica spectrum disorder cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

9 authors at 6 institutions in 3 countries.

Achim BertheleDepartment of Neurology, School of Medicine, Technical University Munich, Klinikum Rechts der Isar, München, Germany.
Michael LevyMassachusetts General Hospital and Harvard Medical School, Mass General Neurology, Boston, MA, United States.
Dean M WingerchukMayo Clinic, Scottsdale, AZ, United States.
Sean J PittockMayo Clinic, Rochester, MN, United States.
Shulian ShangAlexion, AstraZeneca Rare Disease, Boston, MA, United States.
Adrian KielhornAlexion, AstraZeneca Rare Disease, Boston, MA, United States.
Minying RoystonAlexion, AstraZeneca Rare Disease, Boston, MA, United States.
Guido SabatellaAlexion, AstraZeneca Rare Disease, Boston, MA, United States.
Jacqueline PalaceDepartment of Clinical Neurology, John Radcliffe Hospital, Oxford, United Kingdom.
Alexion Pharmaceuticals (United States) · USAstraZeneca (United States) · USMayo Clinic in Arizona · USHarvard University · USJohn Radcliffe Hospital · GBKlinikum rechts der Isar · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cumulative damage from multiple relapses in neuromyelitis optica spectrum disorder (NMOSD) is associated with poor health-related quality of life (HRQoL) and long-term disability in patients positive for anti-aquaporin 4 antibodies (AQP4+). This study assessed the effect of an individual relapse on HRQoL and disability outcomes in AQP4+ NMOSD. Methods: Post hoc analyses of data pooled from the PREVENT study and its open-label extension, which evaluated the efficacy and safety of eculizumab in AQP4+ NMOSD, examined the effect of a single relapse on 3 disability and 4 HRQoL outcome measures. Assuming the effect of 1 relapse extends to multiple relapses, an extrapolation was done to assess the effect of 2 relapses on these outcomes. Results: In 27 patients (placebo: Conclusion: Findings from these clinical trial data demonstrate that a single NMOSD relapse can worsen disability and HRQoL, underscoring the role of relapse prevention in improving long-term outcomes in patients with AQP4+ NMOSD.

Indexed as

AQP4eculizumabHRQoL – health-related quality of lifeneuromyelitis opticarelapse

Identifiers

PMID37114235
PMCPMC10126826
OpenAlexW4364382725

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.