Evidence map›Paper›PMID 42693759›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2026

Racial disparities in multiple sclerosis quality of care metrics.

Kimystian L Harrison, Victoria A Levasseur, Alexander P Conway, Kavya Bhattiprolu, Robert T Naismith, Kathryn C Fitzgerald, Meghan Beier, Yujie Wang, Chakra Budhathoki, Miranda R Jones and 5 more

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In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Kimystian L HarrisonDepartment of Neurology, Washington University in St. Louis School of Medicine, MO, USA.ORCID 0000-0003-2841-2800
Victoria A LevasseurMinneapolis Clinic of Neurology, Golden Valley, USA.ORCID 0000-0001-9460-6772
Alexander P ConwaySchool of Medicine, Washington University in St. Louis School of Medicine, MO, USA.ORCID 0000-0002-4955-9230
Kavya BhattiproluDepartment of Psychology, University of Virginia, Charlottesville, USA.ORCID 0009-0006-2098-8919
Robert T NaismithDepartment of Neurology, Washington University in St. Louis School of Medicine, MO, USA.ORCID 0000-0003-0520-4283
Kathryn C FitzgeraldDepartment of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-3137-0322
Meghan BeierDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Yujie WangDepartment of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Chakra BudhathokiThe Johns Hopkins University School of Nursing, Baltimore, MD, USA.ORCID 0000-0002-1886-7847
Miranda R JonesDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-4863-104X
Mary C BeachDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Abbey J HughesDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lisa A CooperThe Johns Hopkins University School of Nursing, Baltimore, MD, USA.ORCID 0000-0001-6707-6390
Ellen M MowryDepartment of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-0623-5188
Jagriti Jackie BhattaraiDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-0536-4204

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
Racial Disparities in Multiple Sclerosis: Quality of Care and Patient ExperiencesK23MD014176 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI BHATTARAI, JAGRITI JACKIE · 2019 to 2023
$953k
NCATS NIH HHS UL1 TR002345NCATS NIH HHS UL1 TR003098NIMHD NIH HHS K23 MD014176
6 · The paper itself

Abstract

backgroundModifiable factors that contribute to racial disparities in healthcare have been highlighted in multiple clinical settings; however, the role of these factors in individuals with multiple sclerosis has not been well examined.

objectivesIn this study, we quantify disparities in multiple sclerosis care among non-Hispanic Black and non-Hispanic White patients.

methodsLongitudinal data across four encounters obtained via retrospective chart review were analyzed for non-Hispanic Black and non-Hispanic White patients across two multiple sclerosis centers. Variables included demographics, multiple sclerosis characteristics, and clinical care factors.

resultsIn total, 150 non-Hispanic Black and 150 non-Hispanic White patients were included (mean age = 49.3 vs 53.6). Non-Hispanic Black patients had longer time gaps between encounters with their multiple sclerosis clinician versus non-Hispanic White (mean months = 10.3 vs 8.8; adjusted mean difference = 1.53 months (95% confidence interval = 0.59, 2.47;

conclusionsGaps in multiple sclerosis care metrics, including lower levels of care and greater time between encounters, were observed for non-Hispanic Black compared to non-Hispanic White patients with multiple sclerosis, all of which may contribute to disparities in multiple sclerosis. Further research is needed to assess contributing clinician, patient, and systemic factors.

Indexed as

disparitiesmultiple sclerosisquality of care

Identifiers

PMID42693759
PMCPMC13552205

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.