Evidence map›Paper›PMID 34760002›Full record

ArticleJournal of research in medical sciences : the official journal of Isfahan University of Medical Sciences2021

Outcome of COVID-19 infection in multiple sclerosis patients receiving disease-modifying therapies.

Masoud Etemadifar, Ramin Sami, Mehri Salari, Nahad Sedaghat, Amirhossein Akhavan Sigari, Ali Aghababaei, Mohammadreza Najafi, Donya Sheibani Tehrani

Open access · goldAbstract read
In one paragraph

Article in Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2021. 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
0.6field-weighted citation impact, top 33% 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

0 citing papers in PubMed, 4 citations in OpenAlex.

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

8 authors at 4 institutions in 1 country.

Masoud EtemadifarDepartment of Neurosurgery, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Ramin SamiDepartment of Internal Medicine, Khorshid University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Mehri SalariDepartment of Neurology, Shahid Beheshti University, Tehran, Iran.
Nahad SedaghatAlzahra Research Institute, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Amirhossein Akhavan SigariAlzahra Research Institute, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Ali AghababaeiSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammadreza NajafiDepartment of Neurology, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Donya Sheibani TehraniFaculty of Computer Science and Engineering, Shahid Beheshti University, Tehran, Iran.
Isfahan University of Medical Sciences · IRShahid Beheshti University · IRAlzahra Medical and Education Center · IRAlzahra University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the spread of COVID-19, treatment of diseases such as multiple sclerosis (MS) should be resumed with caution due to the disease-modifying therapies (DMTs) used in this subset of patients and the immunoregulatory effects of these drugs. We aim to assess the outcome of COVID-19 infection in MS patients receiving DMTs. MATERIALS AND

methodsThis is a cross-sectional study involving 45 COVID-19-infected patients previously diagnosed with MS. The data regarding their MS status and the type of DMT taken by the patients were extracted from the Isfahan MS Institute registry and were summarized. Diagnosis of MS was based on the 2017 McDonald Criteria, and the diagnosis of COVID-19 was based on computed tomography scan and polymerase chain reaction of nasopharyngeal swabs.

resultsOut of the 45 MS patients infected with COVID-19, 5 had unfavorable outcomes. Two patients deceased and the other three had persistent respiratory complications on the 4-week follow-up visit. Hypertension, diabetes, seizures, and rheumatoid arthritis were among the comorbidities that the patients reported. Both patients who died received rituximab as part of their MS treatment. All other patients recovered completely.

conclusionEach different drug category may possess a distinct risk for infection, therefore until robust evidence are available, the safest drug should be utilized or the therapy should be postponed, if possible, to minimize patient risk. Disease-modifying therapy use in MS patients should be cautiously applied as their effect on COVID-19 infection prognosis is not yet studied.

Indexed as

COVID-19disease-modifying therapiesmultiple sclerosisrituximab

Identifiers

PMID34760002
PMCPMC8548892
OpenAlexW3204505117

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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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.