Preventing long-term disability in CIDP: the role of timely diagnosis and treatment monitoring in a multicenter CIDP cohort Article Swipe
Paula Quint
,
Christina B. Schroeter
,
Felix Kohle
,
Menekse Öztürk
,
Andreas Meisel
,
G Tamburrino
,
Anne K. Mausberg
,
Fabian Szepanowski
,
Ali Maisam Afzali
,
Katinka Fischer
,
Christopher Nelke
,
Saskia Räuber
,
Jan Voth
,
Lars Masanneck
,
Alice Willison
,
Anna Vogelsang
,
Bernhard Hemmer
,
Achim Berthele
,
Michael Schroeter
,
Hans‐Peter Hartung
,
Marc Pawlitzki
,
Stefanie Schreiber
,
Mark Stettner
,
Uwe Maus
,
Sven G. Meuth
,
Frauke Stascheit
,
Tobias Ruck
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00415-024-12548-1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00415-024-12548-1
Background Chronic inflammatory demyelinating polyneuropathy (CIDP) is an inflammatory disease affecting the peripheral nerves and the most frequent autoimmune polyneuropathy. Given the lack of established biomarkers or risk factors for the development of CIDP and patients’ treatment response, this research effort seeks to identify potential clinical factors that may influence disease progression and overall treatment efficacy. Methods In this multicenter, retrospective analysis, we have screened 197 CIDP patients who presented to the University Hospitals in Düsseldorf, Berlin, Cologne, Essen, Magdeburg and Munich between 2018 and 2022. We utilized the respective hospital information system and examined baseline data with clinical examination, medical letters, laboratory results, antibody status, nerve conduction studies, imaging and biopsy findings. Aside from clinical baseline data, we analyzed treatment outcomes using the Standard of Care (SOC) definition, as well as a comparison of an early (within the first 12 months after manifestation) versus late (more than 12 months after manifestation) onset of therapy. Results In terms of treatment, most patients received intravenous immunoglobulin (56%) or prednisolone (39%) as their first therapy. Patients who started their initial treatment later experienced a worsening disease course, as reflected by a significant deterioration in their Inflammatory Neuropathy Cause and Treatment (INCAT) leg disability score. SOC-refractory patients had worse clinical outcomes than SOC-responders. Associated factors for SOC-refractory status included the presence of fatigue as a symptom and alcohol dependence. Conclusion Timely diagnosis, prompt initiation of treatment and careful monitoring of treatment response are essential for the prevention of long-term disability in CIDP and suggest a “hit hard and early” treatment paradigm.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00415-024-12548-1
- https://link.springer.com/content/pdf/10.1007/s00415-024-12548-1.pdf
- OA Status
- hybrid
- Cited By
- 9
- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W4400546916
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- OpenAlex ID
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https://openalex.org/W4400546916Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00415-024-12548-1Digital Object Identifier
- Title
-
Preventing long-term disability in CIDP: the role of timely diagnosis and treatment monitoring in a multicenter CIDP cohortWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-07-11Full publication date if available
- Authors
-
Paula Quint, Christina B. Schroeter, Felix Kohle, Menekse Öztürk, Andreas Meisel, G Tamburrino, Anne K. Mausberg, Fabian Szepanowski, Ali Maisam Afzali, Katinka Fischer, Christopher Nelke, Saskia Räuber, Jan Voth, Lars Masanneck, Alice Willison, Anna Vogelsang, Bernhard Hemmer, Achim Berthele, Michael Schroeter, Hans‐Peter Hartung, Marc Pawlitzki, Stefanie Schreiber, Mark Stettner, Uwe Maus, Sven G. Meuth, Frauke Stascheit, Tobias RuckList of authors in order
- Landing page
-
https://doi.org/10.1007/s00415-024-12548-1Publisher landing page
- PDF URL
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https://link.springer.com/content/pdf/10.1007/s00415-024-12548-1.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://link.springer.com/content/pdf/10.1007/s00415-024-12548-1.pdfDirect OA link when available
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Medicine, Neuroradiology, Neurology, Cohort, Pediatrics, Cohort study, Multicenter study, Term (time), Intensive care medicine, Internal medicine, Randomized controlled trial, Psychiatry, Quantum mechanics, PhysicsTop concepts (fields/topics) attached by OpenAlex
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9Total citation count in OpenAlex
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2025: 8, 2024: 1Per-year citation counts (last 5 years)
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37Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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