Evidence mapPaperPMID 38664640Full record

ArticleBMC neurology2024

Clinical variables influencing the perception of fatigue in people with multiple sclerosis: a cross-sectional study using FSIQ-RMS.

Giovanni Sellitto, Ilaria Ruotolo, Antonio Ianniello, Federica Felicetti, Giorgia D'Ambrosi, Anna Berardi, Giovanni Galeoto, Antonella Conte, Carlo Pozzilli

Abstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
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 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Exploring an integrated group psychotherapy-exercise program for multiple sclerosis: a non-randomized pilot study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Article
  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

9 authors.

Giovanni SellittoMS Center, S. Andrea Hospital, Sapienza University, Rome, Italy. giovanni.sellitto@uniroma1.it.
Ilaria RuotoloMS Center, S. Andrea Hospital, Sapienza University, Rome, Italy.
Antonio IannielloMS Center, S. Andrea Hospital, Sapienza University, Rome, Italy.
Federica FelicettiMS Center, S. Andrea Hospital, Sapienza University, Rome, Italy.
Giorgia D'AmbrosiMS Center, S. Andrea Hospital, Sapienza University, Rome, Italy.
Anna BerardiDepartment of Human Neurosciences, Sapienza University, Rome, Italy.
Giovanni GaleotoIRCCS Neuromed, Pozzilli, Italy.
Antonella ConteIRCCS Neuromed, Pozzilli, Italy.
Carlo PozzilliMS Center, S. Andrea Hospital, Sapienza University, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical fatigue is one of the most disabling symptoms in people with Multiple Sclerosis (PwMS). Several factors might influence the development of fatigue, such as gender, education, body mass index (BMI), Expanded Disability Status Scale (EDSS), disease duration, working status (Ws), physiotherapy (Ph), and disease-modifying therapies (DMTs). Fatigue Symptoms and Impacts Questionnaire-Relapsing Multiple Sclerosis (FSIQ-RMS) is a patient-reported outcome (PRO) that allows one to define the impact of fatigue in PwMS clearly. This study aimed to assess fatigue impact on PwMS by using FSIQ-RMS.

methodsThe participants were enrolled from May to July 2021 in MS Centers of Sant'Andrea Hospital and Policlinico Umberto I Hospital in Rome. Fatigue was evaluated using the FSIQ-RMS, validated, and culturally adapted in Italian. Clinical and demographic data were collected at the same time.

resultsWe enrolled 178 PwMS [Female 74.16%; RMS 82.58%, SPMS 17.52%]. FSIQ-RMS scores were significantly correlated with EDSS (p-value < 0.01). Analysis of variance between means showed a statistically significant difference between the BMI groups at the 24hours_FSIQ-RMS score and the 7days_FSIQ-RMS score (p < 0.01), with the lower BMI group having the highest scores. Furthermore, perceived fatigue significantly improved both in subjects performing Ph (p < 0.05) and in those who actively work (p < 0.01).

conclusionsThe use of FSIQ-RMS in a real-world setting confirmed that underweight and high levels of disability are closely related to fatigue. In addition, Ph and active Ws are strongly correlated with fatigue in PwMS.

Indexed as

FatigueHealth SurveysMultiple SclerosisPerceptionAdultAnalysis of VarianceBody Mass IndexCorrelation of DataCross-Sectional StudiesDisability EvaluationFemaleHumansLanguageMaleMiddle AgedMultiple Sclerosis, Chronic ProgressiveDisabilityFatigueFSIQ-RMSMultiple sclerosis

Identifiers

PMID38664640
PMCPMC11044535

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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 Socratic graph.