Defining reliable disability outcomes in multiple sclerosis

T Kalincik, G Cutter, T Spelman, V Jokubaitis… - Brain, 2015 - academic.oup.com
Prevention of irreversible disability is currently the most important goal of disease modifying
therapy for multiple sclerosis. The disability outcomes used in most clinical trials rely on …

Long-term and short-term outcome of multiple sclerosis: a 3-year follow-up study

BG Weinshenker, M Issa, J Baskerville - Archives of neurology, 1996 - jamanetwork.com
Background: The anticipated rate of short-term worsening of disability scores is the basis of
power estimations in clinical trials of progressive multiple sclerosis (MS). While the clinician …

Disability outcome measures in therapeutic trials of relapsing-remitting multiple sclerosis: effects of heterogeneity of disease course in placebo cohorts

C Liu, LD Blumhardt - Journal of Neurology, Neurosurgery & …, 2000 - jnnp.bmj.com
OBJECTIVES Recent phase III clinical trials of immunomodulatory therapies in relapsing-
remitting multiple sclerosis have shown significant benefits of active treatment on relapse …

Evidence for a two-stage disability progression in multiple sclerosis

E Leray, J Yaouanq, E Le Page, M Coustans… - Brain, 2010 - academic.oup.com
It is well documented that disability accumulation in multiple sclerosis is correlated with
axonal injury and that the extent of axonal injury is correlated with the degree of …

Disability outcome measures in multiple sclerosis clinical trials: current status and future prospects

JA Cohen, SC Reingold, CH Polman… - The Lancet …, 2012 - thelancet.com
Many of the available disability outcome measures used in clinical trials of multiple sclerosis
are insensitive to change over time, inadequately validated, or insensitive to patient …

Changes in the risk of reaching multiple sclerosis disability milestones in recent decades: a nationwide population-based cohort study in Sweden

O Beiki, P Frumento, M Bottai… - JAMA …, 2019 - jamanetwork.com
Importance Clinicians' experience and findings from recent natural history studies suggest
that multiple sclerosis (MS) may now be running a more slowly progressing course than …

Change in disability in patients with multiple sclerosis: a 20-year prospective population-based analysis

C Hirst, G Ingram, R Swingler… - Journal of Neurology …, 2008 - jnnp.bmj.com
Background: In patients with multiple sclerosis (MS), the natural history of the disease is of
considerable importance to predict and understand long-term outcome and inform choices …

Multiple Sclerosis Severity Score: using disability and disease duration to rate disease severity

R Roxburgh, SR Seaman, T Masterman, AE Hensiek… - Neurology, 2005 - AAN Enterprises
Background: There is no consensus method for determining progression of disability in
patients with multiple sclerosis (MS) when each patient has had only a single assessment in …

Predictors of long‐term disability accrual in relapse‐onset multiple sclerosis

VG Jokubaitis, T Spelman, T Kalincik… - Annals of …, 2016 - Wiley Online Library
Objective To identify predictors of 10‐year Expanded Disability Status Scale (EDSS) change
after treatment initiation in patients with relapse‐onset multiple sclerosis. Methods Using …

Disease steps in multiple sclerosis: a longitudinal study comparing disease steps and EDSS to evaluate disease progression

MJ Hohol, EJ Orav, HL Weiner - Multiple Sclerosis Journal, 1999 - journals.sagepub.com
Clinical assessment of outcome in Multiple Sclerosis (MS) patients is problematic since the
disease can affect different aspects of the central nervous system and follow a variable …