Evidence map›Paper›PMID 40629959›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2025

Unemployment, work hour reduction, and income loss: An international, multicentered, cross-sectional study of neuromyelitis optica spectrum disorder.

Andrew Siyoon Ham, Isabella Gomez Hjerthen, De-Cai Tian, Hongfei Gu, Wen Gao, Akshatha Sudhir, Lekha Pandit, Y Muralidhar Reddy, Jagarlapudi Muralikrishna Murthy, Sharareh Eskandarieh and 58 more

Abstract readMulticenter Study
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

68 authors.

Andrew Siyoon HamNeurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-9426-897X
Isabella Gomez HjerthenNeurology, Massachusetts General Hospital, Boston, MA, USA.
De-Cai TianDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0002-5153-2491
Hongfei GuNeuroimmunology, Beijing Tiantan Hospital, Beijing, China.
Wen GaoDUOSHEN (China MS, NMOSD and MOGAD Patient Group), Hongmian Cancers and Rare Disorders Charity Foundation, Guangzhou, China.
Akshatha SudhirCentre for Advanced Neurological Research, Nitte University, Mangalore, India.
Lekha PanditCentre for Advanced Neurological Research, Nitte University, Mangalore, India.ORCID 0000-0002-2269-5312
Y Muralidhar ReddyDepartment of Neurology, CARE Institute of Neurological Sciences, Hyderabad, India.ORCID 0000-0002-4805-6252
Jagarlapudi Muralikrishna MurthyDepartment of Neurology, CARE Institute of Neurological Sciences, Hyderabad, India.
Sharareh EskandariehMultiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-8942-9983
Mohammad Ali SahraianMultiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3224-8807
Saeideh AyoubiMultiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Roberto Rodríguez-RivasDepartment of Neuroimmunology, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
Francisco González-GonzálezDepartment of Neuroimmunology, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
José de Jesús Flores RiveraDepartment of Neuroimmunology, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
Enedina Maria Lobato OliveiraDepartment of Neurology, Universidade Federal de Sao Paulo, São Paulo, Brazil.
Raquel Paiva PortugalDepartment of Neurology, Universidade Federal de Sao Paulo, São Paulo, Brazil.
Paloma Peter Travassos ZaidanDepartment of Neurology, Universidade Federal de Sao Paulo, São Paulo, Brazil.
Shanthi ViswanathanNeurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.ORCID 0000-0002-0094-0540
Karina KohClinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Su-Yin LimSchool of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Kuala Lumpur, Malaysia.ORCID 0000-0001-8267-388X
Punchika KosiyakulDivision of Neurology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Jiraporn JitprapaikulsanDivision of Neurology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-3342-2755
Sasitorn SirithoDivision of Neurology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-2562-697X
Saúl ReyesDepartamento de Neurología, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Jaime ToroDepartamento de Neurología, Fundación Santa Fe de Bogotá, Bogotá, Colombia.ORCID 0000-0001-7129-0058
Jairo GaitánDepartamento de Neurología, Fundación Santa Fe de Bogotá, Bogotá, Colombia.ORCID 0000-0002-0530-4500
Deyanira Ramirez NavarroNeurology, Hospital Padre Billini, Santo Domingo, Dominican Republic.
Raúl Comme-DebrothNeurology, Hospital Padre Billini, Santo Domingo, Dominican Republic.
Josmarlin Patricia Medina BáezNeurology, Hospital Padre Billini, Santo Domingo, Dominican Republic.
Maria CastilloNeurology, Hospital Clinico de Maracaibo, Maracaibo, Venezuela.
Soto de Castillo IbisNeurology, Hospital Clinico de Maracaibo, Maracaibo, Venezuela.ORCID 0000-0003-1120-372X
Sandra Mendoza de SalazarDepartment of Neurology, Corporación Hospitalaria Juan Ciudad, Carabobo, Venezuela.ORCID 0000-0003-1154-8787
Omaira MolinaNeurology, Hospital Clinico de Maracaibo, Maracaibo, Venezuela.
Amany Hussein RagabDepartment of Neurology, Cairo University, Cairo, Egypt.
Amr Mohamed FouadDepartment of Neurology, Cairo University, Cairo, Egypt.
Nirmeen Adel KishkDepartment of Neurology, Cairo University, Cairo, Egypt.
Juan Ignacio RojasNeurology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Edgardo CristianoMultiple Sclerosis, Centro de Esclerosis Multiple de Buenos Aires, Buenos Aires, Argentina.
Liliana PatruccoNeurology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Bade GülecNeurology, Cerrahpasa School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.ORCID 0000-0002-2340-4409
Ugur UygunogluNeurology, Cerrahpasa School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.ORCID 0000-0003-2866-4004
Melih TutuncuNeurology, Cerrahpasa School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Aksel SivaNeurology, Cerrahpasa School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.ORCID 0000-0002-8340-6641
Amelia Yun Yi AwDepartment of Neurology, National Neuroscience Institute, Singapore, Singapore.
Kevin TanDepartment of Neurology, National Neuroscience Institute, Singapore, Singapore.
Tianrong YeoDepartment of Neurology, National Neuroscience Institute, Singapore, Singapore.ORCID 0000-0002-3648-0953
Raed AlroughaniNeurology, Department of Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
Samar Farouk AhmedNeurology, Ibn Sina Hospital, Kuwait, Kuwait.
Malak AlmojelMedicine, Faculty of Science, Kuwait University, Aljabrya, Kuwait.ORCID 0000-0001-7736-3270
Jera KrujaNeurology, UHC Mother Teresa, University of Medicine, Tirana, Albania.
Ariola VerlakuNeurology, UHC Mother Teresa, University of Medicine, Tirana, Albania.
Olga QirjakoNeurology, UHC Mother Teresa, University of Medicine, Tirana, Albania.
Riwanti EstiasariNeurology, Universitas Indonesia, Jakarta, Indonesia.
Kartika MaharaniNeurology, Universitas Indonesia, Jakarta, Indonesia.
Saif HudaNeurology, Walton Centre NHS Foundation Trust, Liverpool, United Kingdom.
Patricia KellyNeurology, Walton Centre NHS Foundation Trust, Liverpool, United Kingdom.
Raffaele IorioUOC Neurologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Eleonora SabatelliUOC Neurologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Álvaro Cobo-CalvoServei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (CEMCAT), Barcelona, Spain.ORCID 0000-0002-2574-0721
Georgina ArrambideServei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (CEMCAT), Barcelona, Spain.ORCID 0000-0002-2657-5510
Javier Villacieros ÁlvarezServei de Neurologia-Neuroimmunologia, Centre d'Esclerosi Múltiple de Catalunya (CEMCAT), Barcelona, Spain.
Simon BroadleySchool of Medicine and Dentistry, Griffith University, Gold Coast, Australia.ORCID 0000-0002-9429-4307
Unnah LeitnerSchool of Medicine and Dentistry, Griffith University, Gold Coast, Australia.
Fodé Abass CisséNeurology, University Gamal Abdel Nasser, Conakry, Guinea.
Mohamed Lamine TouréNeurology, University Gamal Abdel Nasser, Conakry, Guinea.
Kab CondeNeurology, University Gamal Abdel Nasser, Conakry, Guinea.
Farrah J MateenNeurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4293-8115

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess loss of employment, work hours, and wages of people with aquaporin-4 antibody-positive or double-seronegative/antibody status unknown neuromyelitis optica spectrum disorder (NMOSD) internationally.

methodsAn investigator-designed survey was administered to adults ages 18-70 years with NMOSD and distributed by neurologists in 23 countries, July 2022 to September 2023.

resultsThere were 897 participants (635 aquaporin-4 antibody positive, 262 double-seronegative/untested; 81.4% female, average age 42.5 years, average disease duration 7.6 years, median 2 disease attacks since diagnosis). NMOSD impact was visual loss (34.0% unilateral; 28.2% bilateral), 61.8% with spinal cord disease, 55.6% with pain, 43.6% with fatigue, 38.2% with depressed mood, and 25.0% with gait aid use. In total, 92.6% took immunosuppressive therapy. Employment rates were 62.6% before and 36.3% after NMOSD diagnosis. In a multivariable model, statistically significant independent associations with unemployment in NMOSD were older age (odds ratio (OR) = 0.97, DISCUSSION: Approximately 1/3 of people living with NMOSD of potential working age are in the workforce. Unemployment in NMOSD is associated with previously recognized factors but also self-reported low mood, gait aid use, and bilateral visual loss.

Indexed as

IncomeNeuromyelitis OpticaUnemploymentAdolescentAdultAgedCross-Sectional StudiesEmploymentFemaleHumansMaleMiddle AgedYoung AdultEmploymentincomeneurologyneuromyelitis opticaoutcomessocioeconomic factors

Identifiers

PMID40629959
PMCPMC12501392

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.