Table 2.
Patients with MS who showed clinically important difference in EDSS score in the first 5 years.
Improved group | Deteriorated group | p | |
---|---|---|---|
n (male:female) | 12 (4:8) | 7 (2:5) | – |
Follow-up year | 5.6 ± 2.1 | 5.9 ± 1.6 | 0.77 |
Onset age | 28.8 ± 7.8 | 22.7 ± 6.0 | 0.0911 |
OB positivity | 6/8 (75%) | 6/6 (100%) | 0.47 |
IgG-index | 0.93 ± 0.30 | 0.80 ± 0.17 | 0.34 |
Findings at 5 years from the onset (*median, IQR) | |||
Relapses in the first 5 years* | 0 (0–1) | 1 (0–3) | 0.26 |
Number of cerebral lesions* | 2 (1–7) | 14 (13–18) | 0.0003 |
WML volume (cc) | 3.8 ± 3.1 | 27.4 ± 8.7 | 0.0004 |
Grey matter volume (cc) | 892 ± 62 | 899 ± 29 | 0.84 |
EDSS* | 1.0 (1.0–2.0) | 1.0 (1.0–4.0) | 0.70 |
Primarily responsible site of lesion for neurological disability (n) | |||
Cerebral | 2/12 (16.7%) | 6/7 (85.7%) | 0.0063 |
Optic nerves | 0/12 (0.0%) | 1/7 (14.3%) | 0.37 |
Brainstem | 0/12 (0.0%) | 4/7 (57.1%) | 0.0090 |
Myelitis | 10/12 (83.3%) | 2/7 (28.6%) | 0.0449 |
Relapse preventive therapies (n; allowing duplication) | |||
IFN-beta | 10/12 (83.3%) | 7/7 (100.0%) | 0.51 |
Fingolimod | 8/12 (66.7%) | 4/7 (57.1%) | 1.00 |
Clinical data between the MS patients who showed clinically important improvement in EDSS over 5 years follow-up (i.e. improved group) and those who showed clinically important deterioration in EDSS over 5 years follow-up (i.e. deteriorated group) was compared. Minimal clinically important difference in EDSS score was defined as 1.0 point change when the EDSS score was < 5.5, and as 0.5 point change when it was 5.5–8.5. Brain volumetry was performed using a volumetric program offered by Icometrix (Leuven, Belgium).
EDSS expanded disability status scale, IFN interferon, IgG immunoglobulin-G, IQR interquartile range (25–75 percentile), OB oligoclonal band, WML white matter lesion.
*median (interquartile range [IQR]).