Evidence map›Paper›PMID 39307881›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Renal function's impact on serum neurofilament levels in patients with multiple sclerosis: an exploratory analysis.

Jordi Tortosa-Carreres, Laura Cubas-Núñez, Maria Teresa Sanz, Jessica Castillo-Villalba, Raquel Gasqué-Rubio, Sara Carratalá-Boscá, Carmen Alcalá-Vicente, Carlos Quintanilla-Bordás, David Gorriz, Bonaventura Casanova and 2 more

Abstract read
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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  5. Article
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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

12 authors.

Jordi Tortosa-CarreresClinical Laboratory Department, University and Polytechnic Hospital La Fe, Avinguda de Fernando Abril Martorell, 106, Quatre Carreres, Valencia, 46026, Spain. jorditc95@outlook.com.ORCID http://orcid.org/0000-0002-4622-2173
Laura Cubas-NúñezNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.
Maria Teresa SanzDepartment of Didactic of Mathematics, University of Valencia, Valencia, Spain.ORCID http://orcid.org/0000-0001-5794-9004
Jessica Castillo-VillalbaNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.
Raquel Gasqué-RubioNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.
Sara Carratalá-BoscáNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-0021-3041
Carmen Alcalá-VicenteNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.
Carlos Quintanilla-BordásNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-4681-2456
David GorrizNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.
Bonaventura CasanovaNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-3806-925X
Begoña Laiz-MarroClinical Laboratory Department, University and Polytechnic Hospital La Fe, Avinguda de Fernando Abril Martorell, 106, Quatre Carreres, Valencia, 46026, Spain.
Francisco Pérez-MirallesNeuroimmunology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-3767-3738

Funding

Instituto de Salud Carlos III PI20/01446
6 · The paper itself

Abstract

backgroundsNfL, a promising biomarker for neuroaxonal damage in Multiple Sclerosis (MS), requires cautious interpretation due to several comorbidity influences.

objectivesTo investigate the impact of renal function on sNfL levels in MS patients.

methodsThis retrospective study stratified patients by MS clinical phenotype, acute inflammatory activity (AIA) status-defined as relapse or gadolinium-enhancing lesions within 90 days of sample collection-renal function, assessed by estimated glomerular filtration rate (eGFR), and age (< 40 years, 40-60 years, > 60 years). Comparative analysis of sNfL levels across these groups was performed. The sNfL-eGFR relationship was examined using linear and non-linear regression models, with the best fit determined by R

resultsData from 2933 determinations across 800 patients were analyzed. Patients with renal insufficiency (RI) (eGFR < 60 mL/min/1.73 m DISCUSSION: Caution is advised when interpreting sNfL levels for monitoring MS in patients with impaired renal function.

Indexed as

Multiple SclerosisNeurofilament ProteinsRenal InsufficiencyAdultBiomarkersFemaleGlomerular Filtration RateHumansMaleMiddle AgedRetrospective StudiesBiomarkersneurofilament protein LNeurofilament ProteinsConfounding FactorMultiple SclerosisNeuroaxonal DamageRenal FunctionsNfL

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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.