A contemporary profile of primary progressive multiple sclerosis participants from the NARCOMS Registry

Amber Salter, Nina P. Thomas, Tuula Tyry, Gary R. Cutter, Ruth Ann Marrie

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Primary progressive multiple sclerosis (PPMS) represents 10%–15% of all multiple sclerosis (MS) diagnoses. Information regarding socio-demographic and clinical characteristics of persons with PPMS is limited. Objective: To characterize persons with PPMS in the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry. Methods: We compared demographic and health-related characteristics of NARCOMS Registry participants reporting PPMS in the spring 2015 update survey with those reporting relapsing-remitting multiple sclerosis (RRMS) and secondary progressive multiple sclerosis (SPMS), with characteristics of published PPMS cohorts. Results: Of 8004 responders, 6774 self-reported a clinical course of PPMS, SPMS, or RRMS. The PPMS cohort (n = 632, 9.3%) reported a mean (standard deviation (SD)) age of 64.3 (8.9) years; 62.7% were female; the SPMS and RRMS cohorts were younger and had a higher proportion of females. The NARCOMS PPMS cohort differed in age, time from onset and diagnosis, and proportion of females compared to population-based and clinical trial cohorts. Median (25%, 75%) number of comorbidities was 2 (1, 2) for each cohort with vascular comorbidities being most frequently reported. Conclusion: The NARCOMS population provides a different perspective on persons with PPMS than clinical trials. A better understanding of the characteristics of persons with PPMS may help address unmet needs in this population.

Original languageEnglish (US)
Pages (from-to)951-962
Number of pages12
JournalMultiple Sclerosis Journal
Volume24
Issue number7
DOIs
StatePublished - Jun 1 2018
Externally publishedYes

Keywords

  • comorbidities
  • disease attributes
  • health care utilization
  • NARCOMS
  • Primary progressive multiple sclerosis
  • survey

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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