Evidence map›Paper›PMID 39971812›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Treatment Adherence in a Large Cohort of Turkish Multiple Sclerosis Population.

Meral Seferoğlu, Bilge Piri Çınar, Ülgen Yalaz Tekan, Fatma Avşar, Pınar Yiğit, Ali Özhan Sıvacı, Serkan Demir, Melih Tütüncü, Haluk Gümüş, Cihat Uzunköprü and 4 more

Abstract read
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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Meral SeferoğluDepartment of Neurology, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey. meralbozseferoglu@gmail.com.ORCID http://orcid.org/0000-0003-3858-0306
Bilge Piri ÇınarDepartment of Neurology, Faculty of Medicine, Samsun University, Samsun, Turkey.
Ülgen Yalaz TekanDepartment of Neurology, Şişli Hamidiye Etfal Research and Training Hospital, Istanbul, Turkey.
Fatma AvşarDepartment of Neurology, Ankara City Hospital, Ankara, Turkey.
Pınar YiğitGraduate School of Health Sciences, Dokuz Eylül University, Izmir, Turkey.
Ali Özhan SıvacıDepartment of Neurology, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Serkan DemirDepartment of Neurology, University of Health Sciences, Şehit Prof.Dr. İlhan Varank Sancaktepe Training and Research Hospital, Istanbul, Turkey.
Melih TütüncüDepartment of Neurology, İstanbul Cerrahpaşa Medical Faculty, Istanbul, Turkey.
Haluk GümüşDepartment of Neurology, Selçuk University School of Medicine, Konya, Turkey.
Cihat UzunköprüDepartment of Neurology, Katip Çelebi University School of Medicine, Izmir, Turkey.
Yeşim BeckmannDepartment of Neurology, Katip Çelebi University School of Medicine, Izmir, Turkey.
Gülşen Akman DemirDepartment of Neurology, İstanbul Bezmialem University Medical Faculty, Istanbul, Turkey.
Ayşe Sağduyu KocamanDepartment of Neurology, Acıbadem University Medical Faculty, Istanbul, Turkey.
Aksel SivaDepartment of Neurology, İstanbul Cerrahpaşa Medical Faculty, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to evaluate adherence to disease-modifying therapies (DMTs) among patients with multiple sclerosis (MS) and to identify factors influencing compliance, based on perceptions and preferences of both patients and neurologists.

methodsQuestionnaires were designed by a team of experts, including MS specialists, psychologists, and statisticians, to capture data on treatment adherence and related factors. A total of 1021 MS patients and their neurologists participated. Patients' adherence to oral, injectable, and infusion DMTs was assessed alongside demographic and disease-related characteristics.

resultsThe study included 1021 MS patients with a mean age of 35.69 ± 9.07 years. Infusion therapies demonstrated the highest adherence rates (96.6%). Among all patients, 78.9% maintained treatment without interruption, while 56.7% of those who interrupted therapy informed their physicians. Patients with a disease duration of less than one year or more than 10 years exhibited lower rates of treatment interruption compared to those with a disease duration of 1-10 years (p = 0.032). In the injectable DMT group, significant differences in adherence were noted (p < 0.001). The lowest interruption rate (13.5%) was seen in patients with a disease duration of less than one year, whereas interruption rates were markedly higher (83%) in those with a duration exceeding 16 years.

conclusionImproving adherence requires a patient-centered, collaborative approach emphasizing shared decision-making between physicians and patients. Addressing factors that contribute to non-compliance is essential for optimizing treatment outcomes and enhancing long-term disease management in MS.

Indexed as

Immunologic FactorsMultiple SclerosisAdultCohort StudiesFemaleHumansMaleMiddle AgedNeurologistsSurveys and QuestionnairesTurkeyImmunologic FactorsMultiple sclerosisPatient-reported outcomesTreatment adherence

Identifiers

PMID39971812

What Socratic holds

Textmetadata
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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 Socratic graph.