Portal de Periódicos da CAPES

Increasing age at disability milestones among MS patients in the MSBase Registry

2012; Elsevier BV; Volume: 318; Issue: 1-2 Linguagem: Inglês

10.1016/j.jns.2012.03.017

1878-5883

Ilya Kister, Eric Chamot, Gary Cutter, Tamar Bacon, Vilija Jokubaitis, Stella E. Hughes, Orla Gray, Maria Trojano, Guillermo Izquierdo, François Grand’Maison, Pierre Duquette, Alessandra Lugaresi, Pierre Grammond, Cavit Boz, Raymond Hupperts, Thor Petersen, Giorgio Giuliani, Celia Oreja‐Guevara, Gerardo Iuliano, Jeannette Lechner‐Scott, Roberto Bergamaschi, Maria Edite Rio, Freek Verheul, Marcela Fiol, Vincent Van Pesch, Mark Slee, Helmut Butzkueven, Joseph Herbert,

Systemic Lupus Erythematosus Research

Abstract Objective To analyze time-trends in age at disability milestones among MS patients who were enrolled into the MSBase International Registry during 1996–2010 period. Methods We used linear regression to describe the relationship between mean age at major EDSS benchmarks and calendar time. We then assessed time-trend in age at initial EDSS rating with a three level linear growth model specifying that patients were nested within each of 20 participating countries. The model estimated the average of time-trends in mean age at initial clinical assessment within each country while controlling for patients' EDSS and sex in each country. Analyses were repeated in subsamples of patients diagnosed according to Poser or McDonald criteria. Results The MSBase Registry contained data on 11,108 MS patients enrolled between 1996 and 2010 who fulfilled our inclusion criteria. During the 1996–2010 period, enrollment age for patients with EDSS 4/4.5 increased by 7.9years, from 43 to 51years (p<0.001), and for EDSS 6/6.5 — by 4.9years, from 48 to 53year (p<0.001). These trends were consistent across 20 investigator countries and were observed in Poser-diagnosed as well as McDonald-diagnosed patient subsets. Conclusions The more recent MSBase enrollees in each of the mild-to-moderate disability strata were significantly older than earlier enrollees. Possible explanations for this phenomenon are discussed.