Academic outcomes before and after clinical onset of acquired demyelinating syndromes in children: a matched cohort data linkage study

It is unknown if cognition is impaired before clinical onset of paediatric acquired demyelinating syndromes. We conducted a matched cohort study using prospectively collected educational data in multiple sclerosis (MS) and myelin oligodendrocyte glycoprotein antibody disease (MOGAD) patients (n = 60) and controls (pooled n = 449,553). Academic performance at ages 10-11 was impaired in MOGAD (-1.27 adjusted z-score [95% CI: -1.81 to -0.73], P < 0.001) and preclinical MS (-0.40 [-0.80 to -0.0003], P = 0.0498). Moderate/high-efficacy MS treatment was associated with better final academic performance (0.92 [0.28-1.57], P = 0.005). After clinical onset MS patients missed 8.7% of school (controls 2.9%, P < 0.001) and MOGAD patients 11.9% (controls 2.0%, P < 0.001).

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Publication Details

Journal
Annals of Clinical and Translational Neurology
Published
2024-10-02
DOI
https://doi.org/10.1002/acn3.52198
Citations
6
Primary Topic
Multiple Sclerosis Research Studies
Type
article
Field-Weighted Citation Impact
2.55

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article

Academic outcomes before and after clinical onset of acquired demyelinating syndromes in children: a matched cohort data linkage study

Sarah R. Rudebeck, Ming Lim, Omar Abdel‐Mannan, Yael Hacohen et al.
6 citations
Annals of Clinical and Translational Neurology
Multiple Sclerosis Research Studies
2.55
article

Academic outcomes before and after clinical onset of acquired demyelinating syndromes in children: a matched cohort data linkage study

Sarah R. Rudebeck, Ming Lim, Omar Abdel‐Mannan, Yael Hacohen, Sarah Crichton, Michael Absoud, Cheryl Hemingway, Thomas Rossor, Michael Eyre, Gavin Giovannoni
article en
6 citations

Abstract

It is unknown if cognition is impaired before clinical onset of paediatric acquired demyelinating syndromes. We conducted a matched cohort study using prospectively collected educational data in multiple sclerosis (MS) and myelin oligodendrocyte glycoprotein antibody disease (MOGAD) patients (n = 60) and controls (pooled n = 449,553). Academic performance at ages 10-11 was impaired in MOGAD (-1.27 adjusted z-score [95% CI: -1.81 to -0.73], P < 0.001) and preclinical MS (-0.40 [-0.80 to -0.0003], P = 0.0498). Moderate/high-efficacy MS treatment was associated with better final academic performance (0.92 [0.28-1.57], P = 0.005). After clinical onset MS patients missed 8.7% of school (controls 2.9%, P < 0.001) and MOGAD patients 11.9% (controls 2.0%, P < 0.001).

Annals of Clinical and Translational NeurologyVol. 11(11)
Queen Mary University of London (GB), King's College London (GB), Guy's and St Thomas' NHS Foundation Trust (GB), Great Ormond Street Hospital (GB), Evelina London Children's Healthcare (GB), National Hospital for Neurology and Neurosurgery (GB), King's College Hospital (GB), University College London (GB)
Action Medical Research, Medical Research Council
Quality Education
Openalex Percentile: Top 10%
Multiple Sclerosis Research Studies
2.55
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