Evidence map›Paper›PMID 40088045›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2025

Smoking status and vascular risk factors as predictors of disability in AQP4-NMOSD and MOGAD.

Fiona Chan, David Berhanu, Sara Samadzadeh, Anna Francis, Nasrin Asgari, Friedemann Paul, M Isabel Leite, Ruth Geraldes, Jacqueline Palace

Abstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

9 authors.

Fiona ChanNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0002-7380-7783
David BerhanuNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0003-1851-7182
Sara SamadzadehNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Anna FrancisNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Nasrin AsgariInstitute of Regional Health Research, and Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark.
Friedemann PaulCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Experimental and Clinical Research Center, Berlin, Germany.
M Isabel LeiteNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Ruth GeraldesNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0001-5829-808X
Jacqueline PalaceNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmoking and vascular risk factors (VRFs) are reported to have adverse effects in multiple sclerosis but data are limited in aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder (AQP4-NMOSD) and myelin oligodendrocyte glycoprotein antibody disease (MOGAD). This study aimed to measure their impact on disability.

methodsSmoking status was defined as never, past or current smokers and VRF comprised of ⩾1: hypertension, dyslipidemia, high body mass index or diabetes. Logistic regression models were fitted to predict their influence on recovery from

resultsA total of 442 patients were included. Current MOGAD smokers had a higher risk of disability from onset attack and first ON attack than never smokers (odds ratio (OR) 2.9, 95% confidence interval (CI) 1.3-6.9; OR 3.3, 95% CI 1.4-7.8). VRF in MOGAD was not predictive of disability. Current AQP4-NMOSD smokers and VRFs had a higher risk of residual disability from onset attacks (OR 7.5, 95% CI 2.1-27.7; OR 1.9, 95% CI 1.0-3.4). VRF was associated with higher risk of visual disability (OR 2.6, 95% CI 1.08-6.46) while smoking status was not.

conclusionsCurrent smoking status detrimentally influenced onset attack recovery in AQP4-NMOSD and MOGAD patients, including visual recovery in MOGAD. Non-smoking VRFs influenced clinical and visual outcomes in AQP4-NMOSD.

Indexed as

Aquaporin 4Demyelinating Autoimmune Diseases, CNSMyelin-Oligodendrocyte GlycoproteinNeuromyelitis OpticaSmokingAdultAutoantibodiesFemaleHumansMaleMiddle AgedMyelin Oligodendrocyte Glycoprotein Antibody-Associated DiseaseRisk FactorsAQP4 protein, humanAquaporin 4AutoantibodiesMyelin-Oligodendrocyte Glycoproteinaquaporin-4 antibody-positive neuromyelitis optica spectrum disordercomorbiditiesdisabilitymyelin oligodendrocyte glycoprotein antibody diseaseSmokingvascular risk factors

Identifiers

PMID40088045
PMCPMC12092943

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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.