Evidence map›Paper›PMID 40292040›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Diagnostic delay and misdiagnosis of symptoms reported by patients with multiple sclerosis participating in a research registry.

Andrew J Solomon, Sarah M Weinstein, Russell T Shinohara, Samar M Aoun, Hollie Schmidt, Alessandra Solari

Abstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

6 authors.

Andrew J SolomonLarner College of Medicine at the University of Vermont, Department of Neurological Sciences, Burlington, VT, USA.ORCID https://orcid.org/0000-0003-1602-1554
Sarah M WeinsteinDepartment of Epidemiology and Biostatistics, College of Public Health, Temple University, Philadelphia, PA, USA.
Russell T ShinoharaPenn Statistics in Imaging and Visualization Center, Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0001-8627-8203
Samar M AounUniversity of Western Australia, Perron Institute for Neurological and Translational Science, La Trobe University, Melbourne, Australia.
Hollie SchmidtAccelerated Cure Project, Waltham, MA, USA.
Alessandra SolariUnit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0001-9930-7579

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Research cohort data suggest diagnostic delay in multiple sclerosis (MS) has diminished in tandem with MS diagnostic criteria revisions, yet other studies have not replicated this finding. Recent data indicate misdiagnosis of initial symptoms of MS is a frequent contributor to diagnostic delay. Objectives: This survey study assessed diagnostic delay and misdiagnosis in an MS patient registry. Methods: Participants completed the survey study between November 12, 2021, through December 22, 2021. Results: There were 428 participants. Diagnostic delay was a median of 2.0 months (mean of 22.8 months, range: 0-32.9 years); 173/428 (40.4%) reported misdiagnosis of symptoms later attributed to MS, and this was associated with longer diagnostic delay ( Conclusions: Diagnostic delay was prevalent and associated with frequent misdiagnosis of initial symptoms of MS and earlier unevaluated symptoms later attributed to MS. Studies tracing the diagnostic journey of patients with MS are needed to understand and prevent causes of diagnostic delay.

Indexed as

diagnosisdiagnostic delaydifferential diagnosismisdiagnosismultiple sclerosis

Identifiers

PMID40292040
PMCPMC12033781

What OpenQuestion holds

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Registered trials

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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.