Evidence map›Paper›PMID 38744459›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2024

Oral corticosteroid dosage and taper duration at onset in myelin oligodendrocyte glycoprotein antibody-associated disease influences time to first relapse.

Benjamin P Trewin, Russell C Dale, Jessica Qiu, Melissa Chu, Niroshan Jeyakumar, Fionna Dela Cruz, Jane Andersen, Pakeeran Siriratnam, Kit Kwan M Ma, Todd A Hardy and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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.

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

28 citing papers in PubMed.

  1. Article
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  5. Review
  6. Article
  7. Article
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  11. Treatment of post-vaccination optic neuritis: implications from the global SARS-CoV-2 vaccination effort.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  12. Validation of the MOG-AR Score: A Retrospective Multicenter Study.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Neuroglial markers of damage in autoimmune neurology.Therapeutic advances in neurological disorders · 2026
    Review
  19. Article
  20. Observational
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

20 authors.

Benjamin P TrewinTranslational Neuroimmunology Group, Kids Neuroscience Centre and Brain and Mind Centre, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-6452-6229
Russell C DaleClinical Neuroimmunology Group, Institute for Neuroscience and Muscle Research, Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-2495-1826
Jessica QiuTranslational Neuroimmunology Group, Kids Neuroscience Centre and Brain and Mind Centre, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Melissa ChuDepartment of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Niroshan JeyakumarTranslational Neuroimmunology Group, Kids Neuroscience Centre and Brain and Mind Centre, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Fionna Dela CruzDepartment of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Jane AndersenTranslational Neuroimmunology Group, Kids Neuroscience Centre and Brain and Mind Centre, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Pakeeran SiriratnamDepartment of Neuroscience, Monash University Central Clinical School, Melbourne, Victoria, Australia.
Kit Kwan M MaDepartment of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Todd A HardySydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-4145-3172
Anneke van der WaltDepartment of Neuroscience, Monash University Central Clinical School, Melbourne, Victoria, Australia.ORCID 0000-0002-4278-7003
Jeanette Lechner-ScottThe University of Newcastle, Newcastle, New South Wales, Australia.
Helmut ButzkuevenDepartment of Neuroscience, Monash University Central Clinical School, Melbourne, Victoria, Australia.
Simon A BroadleySchool of Medicine, Griffith University, Nathan, Queensland, Australia.ORCID 0000-0002-9429-4307
Michael H BarnettSydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-2156-8864
Stephen W ReddelSydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-0169-3350
Fabienne BrilotBrain Autoimmunity, Kids Neuroscience Centre, Kids Research at the Children's Hospital at Westmead, Sydney, New South Wales, Australia.ORCID 0000-0002-7025-2276
Tomas Kalincik *Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-3778-1376
Sudarshini Ramanathan *Translational Neuroimmunology Group, Kids Neuroscience Centre and Brain and Mind Centre, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia sudarshini.ramanathan@sydney.edu.au.ORCID 0000-0002-0294-9768
Australasian MOGAD Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to identify an optimal oral corticosteroid regimen at the onset of myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), which would delay time to first relapse while minimising cumulative corticosteroid exposure.

methodsIn a retrospective multicentre cohort study, Cox proportional hazards models examined the relationship between corticosteroid course as a time-varying covariate and time to first relapse. Simon-Makuch and Kaplan-Meier plots identified an optimal dosing strategy.

resultsWe evaluated 109 patients (62 female, 57%; 41 paediatric, 38%; median age at onset 26 years, (IQR 8-38); median follow-up 6.2 years (IQR 2.6-9.6)). 76/109 (70%) experienced a relapse (median time to first relapse 13.7 months; 95% CI 8.2 to 37.9). In a multivariable model, higher doses of oral prednisone delayed time to first relapse with an effect estimate of 3.7% (95% CI 0.8% to 6.6%; p

conclusionsThe optimal dose of 12.5 mg of prednisone daily in adults (0.16 mg/kg/day for children) for a minimum of 3 months at the onset of MOGAD delays time to first relapse.

Indexed as

Myelin-Oligodendrocyte GlycoproteinRecurrenceAdministration, OralAdolescentAdrenal Cortex HormonesAdultAutoantibodiesChildDemyelinating Autoimmune Diseases, CNSFemaleHumansMalePrednisoneProportional Hazards ModelsRetrospective StudiesTime FactorsAdrenal Cortex HormonesAutoantibodiesMyelin-Oligodendrocyte GlycoproteinPrednisoneimmunologymyelinneuroimmunologysteroids

Identifiers

PMID38744459
PMCPMC11503134

What OpenQuestion holds

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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.