Skip to main content
Erschienen in: Neurological Sciences 6/2020

20.01.2020 | Original Article

Multiple sclerosis and neuromyelitis optica spectrum disorders in Argentina: comparing baseline data from the Argentinean MS Registry (RelevarEM)

verfasst von: Juan Ignacio Rojas, Marina Alonso Serena, Orlando Garcea, Liliana Patrucco, Adriana Carrá, Jorge Correale, Carlos Vrech, Agustín Pappolla, Jimena Miguez, María L. Doldan, Facundo Silveira, Ricardo Alonso, Leila Cohen, Cecilia Pita, Berenice A. Silva, Marcela Fiol, María I. Gaitán, Mariano Marrodan, Laura Negrotto, María C. Ysrraelit, Norma Deri, Geraldine Luetic, Alejandro Caride, Edgar Carnero Contentti, Pablo A. Lopez, Juan Pablo Pettinicchi, Celeste Curbelo, Alejandra D. Martinez, Judith D. Steinberg, María E. Balbuena, Verónica Tkachuk, Marcos Burgos, Eduardo Knorre, Felisa Leguizamon, Raúl Piedrabuena, Susana del V. Liwacki, Andrés G. Barboza, Pedro Nofal, Gabriel Volman, Amelia Alvez Pinheiro, Javier Hryb, Dario Tavolini, Patricio A. Blaya, Emanuel Silva, Jorge Blanche, Santiago Tizio, Fernando Caceres, María Laura Saladino, Gisela Zanga, María E. Fracaro, Gustavo Sgrilli, Fátima Pagani Cassara, Guido Vazquez, Vladimiro Sinay, María Laura Menichini, Luciana Lazaro, Lorena M. Cabrera, Santiago Bestoso, Pablo Divi, Miguel Jacobo, Eduardo Kohler, Matías Kohler, Diego Giunta, Carolina Mainella, Ruben Manzi, Marcela Parada Marcilla, Juan Pablo Viglione, Ivan Martos, Edgardo Reich, Gustavo Jose, Edgardo Cristiano, Nora Fernández Liguori, on behalf RelevarEM investigators

Erschienen in: Neurological Sciences | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

The objective of this study was to describe and compare the baseline epidemiological data of multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) patients included in RelevarEM (Clinical Trials registry number NCT03375177).

Methods

RelevarEM is a longitudinal, strictly observational MS and NMOSD registry in Argentina. Epidemiological and comorbidity data from MS and NMOSD patients were described and compared. For comorbidities, the Charlson comorbidity index (CCI) was used to calculate the burden at entry. CCI was stratified in 0 and ≥ 1 and described for the entire cohort.

Results

A total of 1588 and 75 MS and NMOSD patients (respectively) were included. For MS patients, the mean age was 42 ± 7 years, female sex 65.3%, mean EDSS 2, and mean disease duration 8 ± 6 years. In NMOSD, the mean age was 40 ± 7 years, female sex 78.7%, mean disease duration 5 ± 3.5 years, and mean EDSS 2.5. The most frequent MS phenotype was RRMS in 82.4%. In MS, the CCI was 0 in 85.8.2% while ≥ 1 was in 14.2% of patients. Regarding phenotype stratification, CCI ≥ 1 was 3.9% in CIS, 13.5% in RRMS, 28.7% in SPMS, and 17.4% in PPMS (p < 0.001 between groups). In NMOSD, the CCI was 0 in 64% while ≥ 1 was in 36%. The MS/NMOSD ratio found was 21/1.

Conclusions

This is the first analysis of the longitudinal Argentinean registry of MS and NMOSD describing and comparing conditions that contributes to provide reliable real-world data in the country.
Literatur
1.
Zurück zum Zitat Cristiano E, Patrucco L, Rojas JI (2008) A systematic review of the epidemiology of multiple sclerosis in South America. Eur J Neurol 15(12):1273–1278CrossRef Cristiano E, Patrucco L, Rojas JI (2008) A systematic review of the epidemiology of multiple sclerosis in South America. Eur J Neurol 15(12):1273–1278CrossRef
2.
Zurück zum Zitat Cristiano E, Rojas J, Romano M, Frider N, Machnicki G, Giunta D, Calegaro D, Corona T, Flores J, Gracia F, Macias-Islas M, Correale J (2013) The epidemiology of multiple sclerosis in Latin America and the Caribbean: a systematic review. Mult Scler 19(7):844–854CrossRef Cristiano E, Rojas J, Romano M, Frider N, Machnicki G, Giunta D, Calegaro D, Corona T, Flores J, Gracia F, Macias-Islas M, Correale J (2013) The epidemiology of multiple sclerosis in Latin America and the Caribbean: a systematic review. Mult Scler 19(7):844–854CrossRef
3.
Zurück zum Zitat Kurtzke JF (2000) Epidemiology of multiple sclerosis. Does this really point toward an etiology? Lectio Doctoralis. Neurol Sci 21(6):383–403CrossRef Kurtzke JF (2000) Epidemiology of multiple sclerosis. Does this really point toward an etiology? Lectio Doctoralis. Neurol Sci 21(6):383–403CrossRef
4.
Zurück zum Zitat Kurtzke JF (2005) Epidemiology and etiology of multiple sclerosis. Phys Med Rehabil Clin N Am 16(2):327–349CrossRef Kurtzke JF (2005) Epidemiology and etiology of multiple sclerosis. Phys Med Rehabil Clin N Am 16(2):327–349CrossRef
5.
Zurück zum Zitat Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, Correale J, Fazekas F, Filippi M, Freedman MS, Fujihara K, Galetta SL, Hartung HP, Kappos L, Lublin FD, Marrie RA, Miller AE, Miller DH, Montalban X, Mowry EM, Sorensen PS, Tintoré M, Traboulsee AL, Trojano M, Uitdehaag BMJ, Vukusic S, Waubant E, Weinshenker BG, Reingold SC, Cohen JA (2018) Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol 17(2):162–173CrossRef Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, Correale J, Fazekas F, Filippi M, Freedman MS, Fujihara K, Galetta SL, Hartung HP, Kappos L, Lublin FD, Marrie RA, Miller AE, Miller DH, Montalban X, Mowry EM, Sorensen PS, Tintoré M, Traboulsee AL, Trojano M, Uitdehaag BMJ, Vukusic S, Waubant E, Weinshenker BG, Reingold SC, Cohen JA (2018) Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol 17(2):162–173CrossRef
6.
Zurück zum Zitat Wingerchuk DM, Banwell B, Bennett JL et al (2015) International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology 85(2):177–189CrossRef Wingerchuk DM, Banwell B, Bennett JL et al (2015) International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology 85(2):177–189CrossRef
7.
Zurück zum Zitat Rojas JI, Carra A, Correale J et al (2019) The Argentinean multiple sclerosis registry (RelevarEM): methodological aspects and directions. Mult Scler Relat Disord 32:133–137CrossRef Rojas JI, Carra A, Correale J et al (2019) The Argentinean multiple sclerosis registry (RelevarEM): methodological aspects and directions. Mult Scler Relat Disord 32:133–137CrossRef
8.
Zurück zum Zitat Polman CH, Reingold SC, Edan G, Filippi M, Hartung HP, Kappos L, Lublin FD, Metz LM, McFarland H, O’Connor PW, Sandberg-Wollheim M, Thompson AJ, Weinshenker BG, Wolinsky JS (2005) Diagnostic criteria for multiple sclerosis: 2005 revisions to the “McDonald criteria”. Ann Neurol 58(6):840–846CrossRef Polman CH, Reingold SC, Edan G, Filippi M, Hartung HP, Kappos L, Lublin FD, Metz LM, McFarland H, O’Connor PW, Sandberg-Wollheim M, Thompson AJ, Weinshenker BG, Wolinsky JS (2005) Diagnostic criteria for multiple sclerosis: 2005 revisions to the “McDonald criteria”. Ann Neurol 58(6):840–846CrossRef
9.
Zurück zum Zitat Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, Fujihara K, Havrdova E, Hutchinson M, Kappos L, Lublin FD, Montalban X, O’Connor P, Sandberg-Wollheim M, Thompson AJ, Waubant E, Weinshenker B, Wolinsky JS (2011) Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 69(2):292–302CrossRef Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, Fujihara K, Havrdova E, Hutchinson M, Kappos L, Lublin FD, Montalban X, O’Connor P, Sandberg-Wollheim M, Thompson AJ, Waubant E, Weinshenker B, Wolinsky JS (2011) Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 69(2):292–302CrossRef
10.
Zurück zum Zitat Drucker E, Vermund SH (1989) Estimating population prevalence of human immunodeficiency virus infection in urban areas with high rates of intravenous drug use: a model of the Bronx in 1988. Am J Epidemiol 130(1):133–142CrossRef Drucker E, Vermund SH (1989) Estimating population prevalence of human immunodeficiency virus infection in urban areas with high rates of intravenous drug use: a model of the Bronx in 1988. Am J Epidemiol 130(1):133–142CrossRef
11.
Zurück zum Zitat Levy M, Mealy M, Jarius S et al (2015) New acute severity scale for neuromyelitis optica relapses (P5.249). Neurology 84(14 Supplement):P5.249 Levy M, Mealy M, Jarius S et al (2015) New acute severity scale for neuromyelitis optica relapses (P5.249). Neurology 84(14 Supplement):P5.249
12.
Zurück zum Zitat Mellinger S, Dias D, Flores N et al (2018) Multiple sclerosis prevalence in Salta City, Argentina. Mult Scler Relat Disord 25:212–215CrossRef Mellinger S, Dias D, Flores N et al (2018) Multiple sclerosis prevalence in Salta City, Argentina. Mult Scler Relat Disord 25:212–215CrossRef
13.
Zurück zum Zitat Cristiano E, Patrucco L, Miguez J, Giunta D, Peroni J, Rojas JI (2016) Increasing incidence of multiple sclerosis among women in Buenos Aires: a 22 year health maintenance organization based study. Neurol Sci 37(10):1621–1626CrossRef Cristiano E, Patrucco L, Miguez J, Giunta D, Peroni J, Rojas JI (2016) Increasing incidence of multiple sclerosis among women in Buenos Aires: a 22 year health maintenance organization based study. Neurol Sci 37(10):1621–1626CrossRef
14.
Zurück zum Zitat Cristiano E, Patrucco L, Miguez J, Giunta D, Correale J, Fiol M, Ysrraelit MC, Cáceres F, Liguori NF, Saladino ML, Garcea O, Silva B, Alonso R, Carrá A, Curbelo MC, Martinez A, Steinberg J, Giachello S, Melcom MO, Rojas JI (2016) Increasing prevalence of multiple sclerosis in Buenos Aires, Argentina. Mult Scler Relat Disord 9:91–94CrossRef Cristiano E, Patrucco L, Miguez J, Giunta D, Correale J, Fiol M, Ysrraelit MC, Cáceres F, Liguori NF, Saladino ML, Garcea O, Silva B, Alonso R, Carrá A, Curbelo MC, Martinez A, Steinberg J, Giachello S, Melcom MO, Rojas JI (2016) Increasing prevalence of multiple sclerosis in Buenos Aires, Argentina. Mult Scler Relat Disord 9:91–94CrossRef
15.
Zurück zum Zitat Rojas JI, Patrucco L, Cristiano E (2012) Multiple sclerosis in Argentina. Systematic review and meta-analysis. Medicina (B Aires) 72(6):449–454 Rojas JI, Patrucco L, Cristiano E (2012) Multiple sclerosis in Argentina. Systematic review and meta-analysis. Medicina (B Aires) 72(6):449–454
16.
Zurück zum Zitat Ebers GC (2008) Environmental factors and multiple sclerosis. Lancet Neurol 7(3):268–277CrossRef Ebers GC (2008) Environmental factors and multiple sclerosis. Lancet Neurol 7(3):268–277CrossRef
17.
Zurück zum Zitat Ascherio A, Munger KL (2007) Environmental risk factors for multiple sclerosis. Part I: the role of infection. Ann Neurol 61(4):288–299CrossRef Ascherio A, Munger KL (2007) Environmental risk factors for multiple sclerosis. Part I: the role of infection. Ann Neurol 61(4):288–299CrossRef
18.
Zurück zum Zitat Bach JF (2002) The effect of infections on susceptibility to autoimmune and allergic diseases. N Engl J Med 347(12):911–920CrossRef Bach JF (2002) The effect of infections on susceptibility to autoimmune and allergic diseases. N Engl J Med 347(12):911–920CrossRef
19.
Zurück zum Zitat Strachan DP (1989) Hay fever, hygiene, and household size. BMJ 299(6710):1259–1260CrossRef Strachan DP (1989) Hay fever, hygiene, and household size. BMJ 299(6710):1259–1260CrossRef
20.
Zurück zum Zitat Rivera JF, Kurtzke JF, Booth VJ, Corona VT (2008) Characteristics of Devic’s disease (neuromyelitis optica) in Mexico. J Neurol 255(5):710–715CrossRef Rivera JF, Kurtzke JF, Booth VJ, Corona VT (2008) Characteristics of Devic’s disease (neuromyelitis optica) in Mexico. J Neurol 255(5):710–715CrossRef
21.
Zurück zum Zitat Correale J, Farez M (2007) Association between parasite infection and immune responses in multiple sclerosis. Ann Neurol 61(2):97–108CrossRef Correale J, Farez M (2007) Association between parasite infection and immune responses in multiple sclerosis. Ann Neurol 61(2):97–108CrossRef
22.
Zurück zum Zitat Melcon M, Gold L, Carra A et al (2008) Argentine Patagonia: prevalence and clinical features of multiple sclerosis. Mult Scler 14(5):656–662CrossRef Melcon M, Gold L, Carra A et al (2008) Argentine Patagonia: prevalence and clinical features of multiple sclerosis. Mult Scler 14(5):656–662CrossRef
23.
Zurück zum Zitat Trojano M, Tintore M, Montalban X et al (2017) Treatment decisions in multiple sclerosis - insights from real-world observational studies. Nat Rev Neurol 13(2):105–118CrossRef Trojano M, Tintore M, Montalban X et al (2017) Treatment decisions in multiple sclerosis - insights from real-world observational studies. Nat Rev Neurol 13(2):105–118CrossRef
24.
Zurück zum Zitat Kalincik T, Butzkueven H (2016) Observational data: understanding the real MS world. Mult Scler 22(13):1642–1648CrossRef Kalincik T, Butzkueven H (2016) Observational data: understanding the real MS world. Mult Scler 22(13):1642–1648CrossRef
25.
Zurück zum Zitat Jacobs LD, Wende KE, Brownscheidle CM et al (1999) A profile of multiple sclerosis: the New York State Multiple Sclerosis Consortium. Mult Scler 5(5):369–376CrossRef Jacobs LD, Wende KE, Brownscheidle CM et al (1999) A profile of multiple sclerosis: the New York State Multiple Sclerosis Consortium. Mult Scler 5(5):369–376CrossRef
26.
Zurück zum Zitat Vukusic S, Casey R, Rollot F, et al. (2018) Observatoire Francais de la Sclerose en Plaques (OFSEP): a unique multimodal nationwide MS registry in France. Mult Scler 1352458518815602 Vukusic S, Casey R, Rollot F, et al. (2018) Observatoire Francais de la Sclerose en Plaques (OFSEP): a unique multimodal nationwide MS registry in France. Mult Scler 1352458518815602
27.
Zurück zum Zitat Koch-Henriksen N (1999) The Danish Multiple Sclerosis Registry: a 50-year follow-up. Mult Scler 5(4):293–296CrossRef Koch-Henriksen N (1999) The Danish Multiple Sclerosis Registry: a 50-year follow-up. Mult Scler 5(4):293–296CrossRef
28.
Zurück zum Zitat Murley C, Friberg E, Hillert J, Alexanderson K, Yang F (2019) Validation of multiple sclerosis diagnoses in the Swedish National Patient Register. Eur J Epidemiol Murley C, Friberg E, Hillert J, Alexanderson K, Yang F (2019) Validation of multiple sclerosis diagnoses in the Swedish National Patient Register. Eur J Epidemiol
29.
Zurück zum Zitat Tremlett H, Yousefi M, Devonshire V, Rieckmann P, Zhao Y, Neurologists UBC (2009) Impact of multiple sclerosis relapses on progression diminishes with time. Neurology 73(20):1616–1623CrossRef Tremlett H, Yousefi M, Devonshire V, Rieckmann P, Zhao Y, Neurologists UBC (2009) Impact of multiple sclerosis relapses on progression diminishes with time. Neurology 73(20):1616–1623CrossRef
30.
Zurück zum Zitat Trojano M, Bergamaschi R, Amato MP et al (2019) The Italian multiple sclerosis register. Neurol Sci 40(1):155–165CrossRef Trojano M, Bergamaschi R, Amato MP et al (2019) The Italian multiple sclerosis register. Neurol Sci 40(1):155–165CrossRef
31.
Zurück zum Zitat Glaser A, Stahmann A, Meissner T, Flachenecker P, Horáková D, Zaratin P, Brichetto G, Pugliatti M, Rienhoff O, Vukusic S, de Giacomoni AC, Battaglia MA, Brola W, Butzkueven H, Casey R, Drulovic J, Eichstädt K, Hellwig K, Iaffaldano P, Ioannidou E, Kuhle J, Lycke K, Magyari M, Malbaša T, Middleton R, Myhr KM, Notas K, Orologas A, Otero-Romero S, Pekmezovic T, Sastre-Garriga J, Seeldrayers P, Soilu-Hänninen M, Stawiarz L, Trojano M, Ziemssen T, Hillert J, Thalheim C (2019) Multiple sclerosis registries in Europe - an updated mapping survey. Mult Scler Relat Disord 27:171–178CrossRef Glaser A, Stahmann A, Meissner T, Flachenecker P, Horáková D, Zaratin P, Brichetto G, Pugliatti M, Rienhoff O, Vukusic S, de Giacomoni AC, Battaglia MA, Brola W, Butzkueven H, Casey R, Drulovic J, Eichstädt K, Hellwig K, Iaffaldano P, Ioannidou E, Kuhle J, Lycke K, Magyari M, Malbaša T, Middleton R, Myhr KM, Notas K, Orologas A, Otero-Romero S, Pekmezovic T, Sastre-Garriga J, Seeldrayers P, Soilu-Hänninen M, Stawiarz L, Trojano M, Ziemssen T, Hillert J, Thalheim C (2019) Multiple sclerosis registries in Europe - an updated mapping survey. Mult Scler Relat Disord 27:171–178CrossRef
32.
Zurück zum Zitat Flachenecker P, Buckow K, Pugliatti M, Kes VB, Battaglia MA, Boyko A, Confavreux C, Ellenberger D, Eskic D, Ford D, Friede T, Fuge J, Glaser A, Hillert J, Holloway E, Ioannidou E, Kappos L, Kasilingam E, Koch-Henriksen N, Kuhle J, Lepore V, Middleton R, Myhr KM, Orologas A, Otero S, Pitschnau-Michel D, Rienhoff O, Sastre-Garriga J, Schyns-Liharska T, Sutovic D, Thalheim C, Trojano M, Vlasov YV, Yaldizli O, EUReMS Consortium (2014) Multiple sclerosis registries in Europe - results of a systematic survey. Mult Scler 20(11):1523–1532CrossRef Flachenecker P, Buckow K, Pugliatti M, Kes VB, Battaglia MA, Boyko A, Confavreux C, Ellenberger D, Eskic D, Ford D, Friede T, Fuge J, Glaser A, Hillert J, Holloway E, Ioannidou E, Kappos L, Kasilingam E, Koch-Henriksen N, Kuhle J, Lepore V, Middleton R, Myhr KM, Orologas A, Otero S, Pitschnau-Michel D, Rienhoff O, Sastre-Garriga J, Schyns-Liharska T, Sutovic D, Thalheim C, Trojano M, Vlasov YV, Yaldizli O, EUReMS Consortium (2014) Multiple sclerosis registries in Europe - results of a systematic survey. Mult Scler 20(11):1523–1532CrossRef
33.
Zurück zum Zitat Rojas JI, Patrucco L, Trojano M et al (2015) Multiple sclerosis in Latin America: a different disease course severity? A collaborative study from the MSBase Registry. Mult Scler J Exp Transl Clin 1:2055217315600193PubMedPubMedCentral Rojas JI, Patrucco L, Trojano M et al (2015) Multiple sclerosis in Latin America: a different disease course severity? A collaborative study from the MSBase Registry. Mult Scler J Exp Transl Clin 1:2055217315600193PubMedPubMedCentral
Metadaten
Titel
Multiple sclerosis and neuromyelitis optica spectrum disorders in Argentina: comparing baseline data from the Argentinean MS Registry (RelevarEM)
verfasst von
Juan Ignacio Rojas
Marina Alonso Serena
Orlando Garcea
Liliana Patrucco
Adriana Carrá
Jorge Correale
Carlos Vrech
Agustín Pappolla
Jimena Miguez
María L. Doldan
Facundo Silveira
Ricardo Alonso
Leila Cohen
Cecilia Pita
Berenice A. Silva
Marcela Fiol
María I. Gaitán
Mariano Marrodan
Laura Negrotto
María C. Ysrraelit
Norma Deri
Geraldine Luetic
Alejandro Caride
Edgar Carnero Contentti
Pablo A. Lopez
Juan Pablo Pettinicchi
Celeste Curbelo
Alejandra D. Martinez
Judith D. Steinberg
María E. Balbuena
Verónica Tkachuk
Marcos Burgos
Eduardo Knorre
Felisa Leguizamon
Raúl Piedrabuena
Susana del V. Liwacki
Andrés G. Barboza
Pedro Nofal
Gabriel Volman
Amelia Alvez Pinheiro
Javier Hryb
Dario Tavolini
Patricio A. Blaya
Emanuel Silva
Jorge Blanche
Santiago Tizio
Fernando Caceres
María Laura Saladino
Gisela Zanga
María E. Fracaro
Gustavo Sgrilli
Fátima Pagani Cassara
Guido Vazquez
Vladimiro Sinay
María Laura Menichini
Luciana Lazaro
Lorena M. Cabrera
Santiago Bestoso
Pablo Divi
Miguel Jacobo
Eduardo Kohler
Matías Kohler
Diego Giunta
Carolina Mainella
Ruben Manzi
Marcela Parada Marcilla
Juan Pablo Viglione
Ivan Martos
Edgardo Reich
Gustavo Jose
Edgardo Cristiano
Nora Fernández Liguori
on behalf RelevarEM investigators
Publikationsdatum
20.01.2020
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 6/2020
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-04230-6

Weitere Artikel der Ausgabe 6/2020

Neurological Sciences 6/2020 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.