Evidence map›Paper›PMID 37303099›Full record

Observational studyRevista de neurologia2023

[Family planning in men and women with multiple sclerosis. Analysis of the Andalusian Registry (2018-2022)].

D Vidal-de Francisco, C Rosa-Garrido, M Ruiz-de Arcos, A Romero-Villarrubia, M Romero-Tellado, A M Alonso-Torres, V Delgado-Gil, E Agüera-Morales, M Díaz-Sánchez, R Piñar-Morales and 6 more

Open access · greenAbstract readObservational StudyMulticenter StudyEnglish Abstract
In one paragraph

Observational study in Revista de neurologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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

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

  1. Pooled it
  2. Impact of sex on multiple sclerosis therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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

16 authors at 14 institutions in 1 country.

D Vidal-de FranciscoComplejo Asistencial Universitario de León, 24001 León, España.
C Rosa-GarridoFIBAO-Hospital de Jaén, Jaén, España.
M Ruiz-de ArcosHospital Universitario Virgen Macarena, 41003 Sevilla, España.
A Romero-VillarrubiaHospital Universitario Virgen de las Nieves, 18013 Granada, España.
M Romero-TelladoHospital Universitario Virgen de Valme, 41014 Sevilla, España.
A M Alonso-TorresHospital Regional Universitario de Málaga, Málaga, España.
V Delgado-GilHospital Universitario Virgen de la Victoria, 29010 Málaga, España.
E Agüera-MoralesHospital Universitario Reina Sofía, 14004 Córdoba, España.
M Díaz-SánchezHospital Universitario Virgen del Rocío, Sevilla, España.
R Piñar-MoralesHospital Universitario San Cecilio, Granada, España.
C Muñoz-FernándezHospital Universitario Torrecárdenas, Almería, España.
E M Pacheco-CorteganaHospital Universitario Juan Ramón Jiménez, Huelva, España.
E Durán-FerrerasHospital Universitario Virgen del Rocío, Sevilla, España.
M C Arnal-GarcíaHospital Universitario Virgen de las Nieves, 18013 Granada, España.
M M Mendibe-BilbaoHospital Universitario Cruces, Baracaldo, España.
A Rodríguez-AntigüedadHospital Universitario Basurto, Bilbao, España.
Hospital Universitario Virgen de las Nieves · ESHospital Universitario Virgen del Rocío · ESComplejo Asistencial Universitario de Palencia · ESComplejo Hospitalario de Jaén · ESComplejo Hospitalario Torrecárdenas · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital de Basurto · ESHospital de Cruces · ESHospital Juan Ramón Jiménez · ESHospital Regional Universitario de Málaga · ESHospital Universitario de Valme · ESHospital Universitario Reina Sofía · ESHospital Universitario Virgen Macarena · ESInstituto de Investigación Biosanitaria de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Andalusian Registry of Pregnancies in patients with multiple sclerosis is the largest Spanish registry on multiple sclerosis (MS) and family planning. For the first time, it includes information on the fertility of men with MS. The influence of the use of a disease-modifying treatment (DMT) on the health of the foetus/newborn and the impact of breastfeeding on MS are also analysed. SUBJECTS AND

methodsThis is a multicentre, prospective and observational study. Recruitment of patients took place between December 2018 and December 2020. Women were followed up for one year after delivery. Altogether 100 women and 16 men were included, with a total of 103 newborn infants.

resultsThe annualised relapse rate of the women with MS decreased significantly during pregnancy (from 0.23 to 0.065). A total of 11.2% of patients resorted to assisted reproductive techniques in order to conceive a child. No association was found between the use of a DMT at conception and/or pregnancy and the risk of miscarriage, prematurity or low birth weight. Over half the women with MS (54.2%) chose to breastfeed (26.7% of them while on a DMT).

conclusionsMS does not affect the fertility of men. Neither does the use of a DMT at the time of conception affect their fertility or their children's health. Assisted reproductive techniques did not have a negative impact on the course of MS. Breastfeeding is a common practice among women with MS and there is no evidence of positive or negative effects on disease progression.

Indexed as

Family Planning ServicesMultiple SclerosisBreast FeedingChildFemaleHumansInfantInfant, NewbornMalePregnancyProspective StudiesRegistries

Identifiers

PMID37303099
PMCPMC10478123
OpenAlexW4380290776

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.