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).
Authors
- Sarah R. Rudebeck (ORCID: https://orcid.org/0000-0003-2923-3177)
- Ming Lim (ORCID: https://orcid.org/0000-0001-7738-8910)
- Omar Abdel‐Mannan (ORCID: https://orcid.org/0000-0002-0796-9645)
- Yael Hacohen (ORCID: https://orcid.org/0000-0001-8490-9657)
- Sarah Crichton
- Michael Absoud (ORCID: https://orcid.org/0000-0002-0577-1897)
- Cheryl Hemingway (ORCID: https://orcid.org/0000-0002-3899-3015)
- Thomas Rossor (ORCID: https://orcid.org/0000-0001-5472-1813)
- Michael Eyre (ORCID: https://orcid.org/0000-0002-6704-5727)
- Gavin Giovannoni
Institutions
- 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)
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
Funders
- Action Medical Research
- Medical Research Council