Evidence map›Paper›PMID 38495364›Full record

ArticleTherapeutic advances in neurological disorders2024

Disease-modifying therapy initiation patterns in multiple sclerosis in three large MS populations.

Alexander Stahmann, Elaine Craig, David Ellenberger, Firas Fneish, Niklas Frahm, Ruth Ann Marrie, Rod Middleton, Richard Nicholas, Jeff Rodgers, Clemens Warnke and 1 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Factors associated with delays in multiple sclerosis disease-modifying therapy initiation.Multiple sclerosis journal - experimental, translational and clinical
    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

11 authors at 4 institutions in 4 countries.

Alexander StahmannMS Forschungs- und Projektentwicklungs-gGmbH, German MS-Registry by the German MS Society, Krausenstr. 50, Hanover 30171, Germany.
Elaine CraigSwansea University Medical School, UK MS-Registry, Swansea, UK.
David EllenbergerMS Forschungs- und Projektentwicklungs-gGmbH, German MS-Registry by the German MS Society, Hanover, Germany.
Firas FneishMS Forschungs- und Projektentwicklungs-gGmbH, German MS-Registry by the German MS Society, Hanover, Germany.
Niklas FrahmMS Forschungs- und Projektentwicklungs-gGmbH, German MS-Registry by the German MS Society, Hanover, Germany.ORCID https://orcid.org/0000-0002-4655-774X
Ruth Ann MarrieMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0002-1855-5595
Rod MiddletonSwansea University Medical School, UK MS-Registry, Swansea, UK.ORCID https://orcid.org/0000-0002-2130-4420
Richard NicholasSwansea University Medical School, UK MS-Registry, Swansea, UK.
Jeff RodgersSwansea University Medical School, UK MS-Registry, Swansea, UK.
Clemens WarnkeDepartment of Neurology, University Hospital of Cologne, Cologne, Germany.
Amber SalterUT Southwestern Medical Center, Dallas, TX, USA.ORCID https://orcid.org/0000-0002-1088-110X
Swansea University · GBSouthwestern Medical Center · USUniversity Hospital Cologne · DEUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Treatment guidelines recommend early disease-modifying therapy (DMT) initiation after diagnosis of multiple sclerosis (MS). Multinational comparative studies that assess time to DMT initiation in MS may allow detection of barriers inherent to healthcare systems to explain potential adverse systematic delays in commencing DMTs. Objectives: To investigate and compare the time to first DMT and its association with sociodemographic and clinical variables after MS diagnosis in three large MS registries. Design: This observational study was conducted using data from the German MS Registry (GMSR), the North American Research Committee on MS Registry (NARCOMS, US data only), and the United Kingdom MS Registry (UKMSR, both self- and clinician-reported). Methods: Data from relapsing people with MS (PwMS), with a diagnosis of MS between 2014 and 2019, and available DMT and disability status were pooled using a meta-analytic approach. Results: A total of 5395 PwMS were included in the analysis (GMSR: Conclusion: Time to DMT initiation differs across the populations studied, indicating that barriers may exist in early access to DMT, particularly in the United Kingdom. However, a consistent decrease in time to DMT initiation was noted since 2017 across all registries. Further studies are warranted comparing the effects of time to DMT and time to higher-efficacy DMT on long-term outcome.

Indexed as

disease-modifying therapyhealthcaremultiple sclerosistherapy initiation

Identifiers

PMID38495364
PMCPMC10943712
OpenAlexW4392848466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.