Evidence map›Paper›PMID 40869076›Full record

ReviewInternational journal of molecular sciences2025

Refining Prognostic Factors in Adult-Onset Multiple Sclerosis: A Narrative Review of Current Insights.

Tommaso Guerra, Massimiliano Copetti, Mariaclara Achille, Caterina Ferri, Marta Simone, Sandra D'Alfonso, Maura Pugliatti, Pietro Iaffaldano

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Observational
  4. Article
  5. Review
  6. Article
  7. 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

8 authors.

Tommaso GuerraDepartment of Translational Biomedicine and Neurosciences-DiBraiN, University of Bari "Aldo Moro", Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari, 70100 Bari, Italy.ORCID 0000-0002-5248-5981
Massimiliano CopettiUnit of Biostatistics, Fondazione IRCCS "Casa Sollievo della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Mariaclara AchilleDepartment of Translational Biomedicine and Neurosciences-DiBraiN, University of Bari "Aldo Moro", Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari, 70100 Bari, Italy.
Caterina FerriDepartment of Neuroscience, S. Anna University Hospital, 44100 Ferrara, Italy.ORCID 0000-0001-8699-7283
Marta SimoneChild Neuropsychiatry Unit, Department of Precision and Regenerative Medicine, Jonic Area University of Bari "Aldo Moro", 70100 Bari, Italy.ORCID 0000-0003-4381-4613
Sandra D'AlfonsoDepartment of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy.
Maura PugliattiDepartment of Neuroscience, S. Anna University Hospital, 44100 Ferrara, Italy.ORCID 0000-0001-9396-8683
Pietro IaffaldanoDepartment of Translational Biomedicine and Neurosciences-DiBraiN, University of Bari "Aldo Moro", Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari, 70100 Bari, Italy.

Funding

Next Generation EU; Ministero della Salute - Repubblica Italiana; PNRR "Italia Domani". Soggetto attuatore: Azienda Ospedaliero-Universitaria Policlinico of Bari Next Generation EU - NRRP M6C2 - Investment 2.1 Enhancement and Strengthening of Biomedical Research in the NHS - PNRR-MAD-2022-12376868the source of the PNRR funds as follows: PROMISING STUDY, (CUP MASTER J73C22000710003 - CUP DERIVATO B93C22001800007 - CHIAVE CONTABILE PNRR-2022-MULTIPLE SCLEROSIS) the source of the PNRR funds as follows: PROMISING STUDY, (CUP MASTER J73C22000710003 - CUP DERIVATO B93C22001800007 - CHIAVE CONTABILE PNRR-2022-MULTIPLE SCLEROSIS)
6 · The paper itself

Abstract

Multiple sclerosis (MS) is characterized by a continuum of diverse neuroinflammatory and neurodegenerative processes that contribute to disease progression from the earliest stages. This leads to a highly heterogeneous clinical course, requiring early and accurate prognostic assessment: the identification of reliable prognostic biomarkers is crucial to support therapeutic decision-making and guide personalized disease management. In this narrative review, we critically examined the current MS literature, investigating prognostic factors associated with disease progression and irreversible disability in adult-onset MS, with a focus on different clinical, radiological, and molecular biomarkers. Particular attention is directed toward the prognostic value of baseline clinical and neuroimaging factors, emerging biomarkers of smoldering disease, and progression independent of relapse activity (PIRA) events. Additionally, we discussed the role of integrated prognostic tools and risk scores, as well as their potential impact on clinical practice. We aim to provide a comprehensive and clinically oriented synthesis of available evidence in the MS biomarkers field, supporting multifaceted prognostication strategies to improve long-term outcomes in people with MS.

Indexed as

Multiple SclerosisAdultAge of OnsetBiomarkersDisease ProgressionHumansPrognosisBiomarkersbiomarkersmultiple sclerosisprognosisprogression

Identifiers

PMID40869076
PMCPMC12386494

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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.