Evidence map›Paper›PMID 39420575›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2024

Multiple sclerosis subgroups: Data-driven clusters based on patient-reported outcomes and a large clinical sample.

Alessandro S De Nadai, Ryan J Zamora, Alyse Finch, Deborah M Miller, Daniel Ontaneda, Douglas D Gunzler, Farren S Briggs

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Improving Survival Prediction of Head and Neck Cancer Patients by Modeling Long-term Symptom Burden.Proceedings. IEEE International Conference on Healthcare Informatics · 2026
    Article
  3. 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

7 authors.

Alessandro S De NadaiMcLean Hospital, Harvard Medical School, Belmont, MA, USA.ORCID 0000-0002-7280-576X
Ryan J ZamoraMcLean Hospital, Harvard Medical School, Belmont, MA, USA.
Alyse FinchMcLean Hospital, Harvard Medical School, Belmont, MA, USA.
Deborah M MillerThe Mellen Center for Multiple Sclerosis and Research, Department of Neurology, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-8026-1854
Daniel OntanedaThe Mellen Center for Multiple Sclerosis and Research, Department of Neurology, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-2838-9148
Douglas D GunzlerDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Farren S BriggsDepartment of Public Health Sciences, Division of Epidemiology, Miller School of Medicine, University of Miami, Miami, FL, USA.

Funding

Impact of prescription stimulants on the drug overdose epidemicR01DA058315 · NIDA · MCLEAN HOSPITAL · PI Alessandro Stevens De Nadai · 2023 to 2026
$3.0M
Personalized Quality of Life MeasurementR01MH137075 · NIMH · MCLEAN HOSPITAL · PI Alessandro Stevens De Nadai · 2024 to 2026
$1.6M
Elucidating symptoms clusters in multiple sclerosis using patient reported outcomes and unsupervised machine learningR56NR019306 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI BRIGGS, FARREN B. S., DE NADAI, ALESSANDRO STEVENS · 2021 to 2022
$297k
NIDA NIH HHS R01 DA058315NIMH NIH HHS R01 MH137075NINR NIH HHS R56 NR019306
6 · The paper itself

Abstract

backgroundWhile standard clinical assessments provide great value for people with multiple sclerosis (PwMS), they are limited in their ability to characterize patient perspectives and individual-level symptom heterogeneity.

objectivesTo identify PwMS subgroups based on patient-reported outcomes (PROs) of physical, cognitive, and emotional symptoms. We also sought to connect PRO-based subgroups with demographic variables, functional impairment, hypertension and smoking status, traditional qualitative multiple sclerosis (MS) symptom groupings, and neuroperformance measurements.

methodsUsing a cross-sectional design, we applied latent profile analysis (LPA) to a large database of PROs; analytic sample

resultsWe identified nine distinct MS subtypes based on PRO patterns. The subtypes were primarily categorized into low, moderate, and high mobility impairment clusters. Approximately 70% of participants were classified in a low mobility impairment group, 10% in a moderate mobility impairment group, and 20% in a high mobility impairment group. Within these subgroups, several unexpected patterns were observed, such as high mobility impairment clusters reporting low non-mobility impairment.

conclusionsThe present study highlights an opportunity to advance precision medicine approaches in MS. Combining PROs with data-driven methodology allows for a cost-effective and personalized characterization of symptom presentations. that can inform clinical practice and future research designs.

Indexed as

Multiple SclerosisPatient Reported Outcome MeasuresAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedMobility Limitationhealth disparitieslatent profile analysis (LPA)Multiple sclerosis (MS)patient-reported outcomes (PROs)

Identifiers

PMID39420575
PMCPMC11568927

What OpenQuestion holds

Textmetadata
LicenceTDM
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.