Zhang, Y and Taylor, BV and Simpson Jr, S and Blizzard, L and van der Mei, I, Patient-reported outcomes are worse for progressive-onset multiple sclerosis than relapse-onset multiple sclerosis, particularly early in the disease process, European Journal of Neurology, 26, (1) pp. 155-161. ISSN 1351-5101 (2018) [Refereed Article]
Copyright 2018 EAN
Methods: A total of 1985 participants of the Australian Multiple Sclerosis Longitudinal Study were included. Associations between onset type and outcomes were assessed with negative binomial regression.
Results: The severity of 17 of the 19 outcomes was significantly higher for progressive-onset MS patients than relapse-onset MS patients, including perspectives from disability, progression over the last year, fatigue, sensory, walking difficulties, pain, balance, spasticity, sexual dysfunction, bladder, bowel, anxiety, depression and the European quality of life (EQ-5D) (P < 0.05; adjusted mean ratio ranged from 1.11 to 1.52). The differences between the two onset types were most pronounced early in the disease process and reduced with increasing MS duration, and the interaction was significant for disability, progression over the last year, walking difficulties, bladder problems, bowel problems and spasticity.
Conclusion: Participants with progressive-onset MS were significantly worse off on nearly all patient-reported outcomes than relapse-onset MS participants, and the differences were most pronounced early in the disease course, highlighting the importance of early intervention for those with progressive-onset MS.
|Item Type:||Refereed Article|
|Keywords:||disability, onset type, patient-reported outcome, phenotype, PPMS, progressive- onset, relapse-onset, symptoms|
|Research Division:||Medical and Health Sciences|
|Research Field:||Central Nervous System|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Nervous System and Disorders|
|UTAS Author:||Zhang, Y (Mr Ben Zhang)|
|UTAS Author:||Taylor, BV (Professor Bruce Taylor)|
|UTAS Author:||Simpson Jr, S (Dr Steve Simpson JR)|
|UTAS Author:||Blizzard, L (Professor Leigh Blizzard)|
|UTAS Author:||van der Mei, I (Associate Professor Ingrid van der Mei)|
|Deposited By:||Menzies Institute for Medical Research|
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