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203379

Disability status among multiple sclerosis patients in relation to clinical features and switched drugs

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

Neurology

Abstract

Background: Multiple sclerosis (MS) is a progressive neurodegenerative disease that causes irreversible disability. The main cause of switching between disease modifying therapies (DMTs) in MS is the suboptimal response in which relapses and disability progression are the main clinical outcome measures. Objective: This study aims to identify the baseline clinical features of disability among MS patients who underwent switching between two or more DMTs. Methodology: This is a cross-sectional study based on records of MS patients who had been actively receiving available DMTs at the MS unit of Nasser Institute Hospital for Research and Treatment. The data was reviewed and collected using local database registry of the unit in the duration between the year 2016 and 2020. Patients whose records had missing data were excluded from the study. Results: A total of 274 MS patients' records were included. There was no significant correlation between the Expanded Disability Status Scale (EDSS) score and the number of relapses in the first 2 years of disease duration. Also the correlation between the EDSS score and the time from the first presenting symptom to the start of DMT treatment showed weak positive correlation. There was a significant difference when comparing the EDSS across the different first presenting symptoms. The mean EDSS with sensory symptoms was lower than the mean EDSS with motor symptoms. Conclusion: The results of this study revealed that there is no relation between early relapse rate and later EDSS. Other clinical characteristics as time to start treatment and first presenting symptom showed significant relation to the current disability score.

DOI

10.21608/jram.2021.85291.1128

Keywords

Multiple sclerosis, Expanded Disability Status Scale, MS progression, disease modifying therapies, drug switching

Authors

First Name

Asmaa

Last Name

Eissa

MiddleName

M

Affiliation

Neurology Department, Nasser Institute Hospital For Research and Treatment, Cairo, Egypt

Email

asmaa.eissa88@gmail.com

City

-

Orcid

-

First Name

Tarek

Last Name

Menecie

MiddleName

I

Affiliation

Neurology Department, Faculty of Medicine For boys, Cairo, Al-Azhar University, Egypt

Email

menecietimn@yahoo.com

City

-

Orcid

-

First Name

Hoda

Last Name

Massoud

MiddleName

M

Affiliation

Neurology Department, Al-Azhar University For Girls, Cairo, Al-Azhar University, Egypt

Email

hodamassoud12@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abboud

MiddleName

A

Affiliation

Radiology Department, Faculty of Medicine For boys, Cairo, Al-Azhar University, Egypt

Email

drmabboud@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Rashad

MiddleName

H

Affiliation

Neurology Department, Faculty of Medicine For boys, Cairo, Al-Azhar University, Egypt

Email

dr.mohamedhamed29@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

30606

Issue Date

2022-01-01

Receive Date

2021-07-29

Publish Date

2022-01-01

Page Start

60

Page End

66

Print ISSN

2636-252X

Online ISSN

2636-2538

Link

https://jram.journals.ekb.eg/article_203379.html

Detail API

https://jram.journals.ekb.eg/service?article_code=203379

Order

8

Type

Original Article

Type Code

676

Publication Type

Journal

Publication Title

Journal of Recent Advances in Medicine

Publication Link

https://jram.journals.ekb.eg/

MainTitle

Disability status among multiple sclerosis patients in relation to clinical features and switched drugs

Details

Type

Article

Created At

22 Jan 2023