Evidence map›Paper›PMID 38097800›Full record

ArticleJournal of neurology2024

Increasing age of multiple sclerosis onset from 1920 to 2022: a population-based study.

A Habbestad, J S Willumsen, J H Aarseth, N Grytten, R Midgard, S Wergeland, K M Myhr, Ø Torkildsen

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07230015 (The Effectiveness of Combination of Motor Imagery and Vestibular Rehabilitation on Balance, Cognition, and Quality of Life in Patients With Multiple Sclerosis), which is not on this map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

NCT07230015 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effectiveness of Combination of Motor Imagery and Vestibular Rehabilitation on Balance, Cognition, and Quality of Life in Patients With Multiple Sclerosis

TypeinterventionalSponsorMedipol UniversityRan2025 to 2026Enrolled30ConditionsMultiple Sclerosis (MS) - Relapsing-remittingArmsMotor Imagery + Vestibular Rehabilitation group, Conventional therapy group
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Immune reconstitution and tolerance-inducing therapies as promising therapeutic approaches in multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

8 authors.

A HabbestadNeuro-SysMed, Department of Neurology, Haukeland University Hospital, 5021, Bergen, Norway.
J S WillumsenDepartment of Neurology, Molde Hospital, Molde, Norway.
J H AarsethNeuro-SysMed, Department of Neurology, Haukeland University Hospital, 5021, Bergen, Norway.
N GryttenNeuro-SysMed, Department of Neurology, Haukeland University Hospital, 5021, Bergen, Norway.
R MidgardDepartment of Neurology, Molde Hospital, Molde, Norway.
S WergelandNeuro-SysMed, Department of Neurology, Haukeland University Hospital, 5021, Bergen, Norway.
K M MyhrNeuro-SysMed, Department of Neurology, Haukeland University Hospital, 5021, Bergen, Norway.
Ø TorkildsenNeuro-SysMed, Department of Neurology, Haukeland University Hospital, 5021, Bergen, Norway. oivind.torkildsen@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the age at onset of relapsing-remitting multiple sclerosis (RRMS) during the past century.

methodsThis is a population-based cohort study of persons diagnosed with RRMS in Hordaland, Møre, and Romsdal counties, Western Norway, from 1920 to 2022. Individual patient data were available and assessed from previously conducted prevalence and incidence studies in addition to hospital records up until October 31, 2022. Participants were categorized according to onset period and analyzed for temporal trends in age at onset, time from onset to diagnosis, and distribution of onset over time.

resultsWe identified 3364 persons with confirmed RRMS. The mean age at onset significantly increased (p < 0.001) throughout the study period, despite a decrease in time from symptom onset to diagnosis (p < 0.001). The proportion of persons with MS onset after 50 years of age increased from 2.6% before 1970 to 11.9% after 2010. We also found a trend toward a bimodal distribution of age at onset that peaked at around 30 years and 40-45 years of age in the latest period.

conclusionAge at onset of MS significantly increased throughout the study period. This was mainly due to an increasing number of persons with MS, predominantly female, experiencing onset after 40-45 years of age. This bimodal distribution could indicate different susceptibility periods of MS or changes in exposure to risk factors during the observation period.

Indexed as

Multiple SclerosisMultiple Sclerosis, Relapsing-RemittingAge of OnsetCohort StudiesFemaleHumansMaleNorwayPrevalenceAgeCohortMultiple sclerosisPrevalenceSex-difference

Identifiers

PMID38097800
PMCPMC10973050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.