Evidence map›Paper›PMID 33090599›Full record

ReviewEuropean journal of neurology2021

Immunology of COVID-19 and disease-modifying therapies: The good, the bad and the unknown.

Tobias Zrzavy, Isabella Wimmer, Paulus S Rommer, Thomas Berger

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
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  7. Review
  8. MS and COVID-19 challenge: asymptomatic COVID-19 infection during treatment with cladribine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Outcome of COVID-19 infection in multiple sclerosis patients receiving disease-modifying therapies.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021
    Article
  14. Article
  15. 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

4 authors at 1 institution in 1 country.

Tobias ZrzavyDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-8909-1591
Isabella WimmerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Paulus S RommerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5209-6647
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe outbreak of the SARS-CoV-2 pandemic, caused by a previously unknown infectious agent, posed unprecedented challenges to healthcare systems and unmasked their vulnerability and limitations worldwide. Patients with long-term immunomodulatory/suppressive therapies, as well as their physicians, were and are concerned about balancing the risk of infection and effects of disease-modifying therapy. Over the last few months, knowledge regarding SARS-CoV-2 has been growing tremendously, and the first experiences of infections in patients with multiple sclerosis (MS) have been reported.

methodsThis review summarizes the currently still limited knowledge about SARS-CoV-2 immunology and the commonly agreed modes of action of approved drugs in immune-mediated diseases of the central nervous system (MS and neuromyelitis optica spectrum disorder). Specifically, we discuss whether immunosuppressive/immunomodulatory drugs may increase the risk of SARS-CoV-2 infection and, conversely, may decrease the severity of a COVID-19 disease course.

resultsAt present, it can be recommended in general that none of those therapies with a definite indication needs to be stopped per se. A possibly increased risk of infection for most medications is accompanied by the possibility to reduce the severity of COVID-19.

conclusionsDespite the knowledge gain over the last few months, current evidence remains limited, and, thus, further clinical vigilance and systematic documentation is essential.

Indexed as

COVID-19Multiple SclerosisNeuromyelitis OpticaHumansPandemicsSARS-CoV-2COVID-19DMTimmunosuppressionMSNMOSDSARS-CoV-2

Identifiers

PMID33090599
PMCPMC7675490
OpenAlexW3092307577

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.