Richard Macdonell
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View article: Subjective neuropsychological deficits in autoimmune encephalitis: Patient-informant discrepancies and cognitive test outcomes
Subjective neuropsychological deficits in autoimmune encephalitis: Patient-informant discrepancies and cognitive test outcomes Open
Both patients and caregivers reported considerable neuropsychological impairments following AE, emphasising the ongoing burden of disease. Importantly, discrepancies between patient and informant perspectives illustrate the limitations of …
View article: YI6 MS outcomes in breast cancer survivors and the influence of chemotherapy
YI6 MS outcomes in breast cancer survivors and the influence of chemotherapy Open
View article: 3617 Acute and longitudinal magnetic resonance imaging abnormalities in antibody-mediated encephalitis
3617 Acute and longitudinal magnetic resonance imaging abnormalities in antibody-mediated encephalitis Open
View article: 3614 Preserving neurological function in people at high and low risk of aggressive multiple sclerosis
3614 Preserving neurological function in people at high and low risk of aggressive multiple sclerosis Open
View article: 3563 Real-world use of ofatumumab in relapsing MS: interim analysis of patient-reported and clinical outcomes from EAFToS part II
3563 Real-world use of ofatumumab in relapsing MS: interim analysis of patient-reported and clinical outcomes from EAFToS part II Open
View article: Subjective psychiatric symptoms in post-acute autoimmune encephalitis: findings from the Australian autoimmune encephalitis consortium
Subjective psychiatric symptoms in post-acute autoimmune encephalitis: findings from the Australian autoimmune encephalitis consortium Open
View article: Pregnancy-Related Disease Outcomes in Women With Moderate to Severe Multiple Sclerosis Disability
Pregnancy-Related Disease Outcomes in Women With Moderate to Severe Multiple Sclerosis Disability Open
Importance Understanding the association between pregnancy and clinical outcomes in women with moderate to severe multiple sclerosis (MS) disability is crucial for guiding family planning and management strategies. Objective To assess peri…
View article: The relationship between patient-reported quality of life and clinician-rated outcome scores in patients with autoimmune encephalitis: a study of the Australian Autoimmune Encephalitis Consortium
The relationship between patient-reported quality of life and clinician-rated outcome scores in patients with autoimmune encephalitis: a study of the Australian Autoimmune Encephalitis Consortium Open
Background Patients with Autoimmune Encephalitis (AE) commonly report poor quality of life. There is a lack of evidence on whether clinician-rated outcome measures adequately capture patient-reported experiences. This study aimed to charac…
View article: Four years on: Pregnancy and birth outcomes reported in the MSBase pregnancy, neonatal outcomes, and Women’s Health Registry (2020–2024)
Four years on: Pregnancy and birth outcomes reported in the MSBase pregnancy, neonatal outcomes, and Women’s Health Registry (2020–2024) Open
Background: Family planning is an important aspect of multiple sclerosis (MS), and neuromyelitis optica spectrum disorder (NMOSD) management. Knowledge gaps remain, including optimal perinatal management strategies, and fetal risks associa…
View article: Acute and Long-Term Immune-Treatment Strategies in Anti-LGI1 Antibody–Mediated Encephalitis
Acute and Long-Term Immune-Treatment Strategies in Anti-LGI1 Antibody–Mediated Encephalitis Open
This study provides Class IV evidence that for patients with anti-LGI1 Ab-mediated encephalitis, rituximab prevents relapses and acute methylprednisolone is associated with favorable outcomes at 12 months.
View article: Rituximab Use for Relapse Prevention in Anti-NMDAR Antibody-Mediated Encephalitis
Rituximab Use for Relapse Prevention in Anti-NMDAR Antibody-Mediated Encephalitis Open
This study provides Class IV evidence that rituximab delays relapses in patients with anti-NMDAR antibody-mediated encephalitis.
View article: First-year treatment response predicts the following 5-year disease course in patients with relapsing-remitting multiple sclerosis
First-year treatment response predicts the following 5-year disease course in patients with relapsing-remitting multiple sclerosis Open
View article: Persistent progression independent of relapse activity in multiple sclerosis
Persistent progression independent of relapse activity in multiple sclerosis Open
Patients with relapsing-remitting multiple sclerosis (RRMS) may experience disability progression independent of relapse activity (PIRA), which can be an early sign of secondary progressive MS (SPMS). We defined persistent PIRA as ongoing …
View article: Correction: Estimation of Transition Probabilities from a Large Cohort (> 6000) of Australians Living with Multiple Sclerosis (MS) for Changing Disability Severity Classifications, MS Phenotype, and Disease-Modifying Therapy Classifications
Correction: Estimation of Transition Probabilities from a Large Cohort (> 6000) of Australians Living with Multiple Sclerosis (MS) for Changing Disability Severity Classifications, MS Phenotype, and Disease-Modifying Therapy Classifications Open
View article: Long-Term Safety and Effectiveness of Dimethyl Fumarate in Patients with Multiple Sclerosis Treated in Routine Medical Practice: Final Analysis of the ESTEEM Study
Long-Term Safety and Effectiveness of Dimethyl Fumarate in Patients with Multiple Sclerosis Treated in Routine Medical Practice: Final Analysis of the ESTEEM Study Open
View article: Disease Activity in Pregnant and Postpartum Women With Multiple Sclerosis Receiving Ocrelizumab or Other Disease-Modifying Therapies
Disease Activity in Pregnant and Postpartum Women With Multiple Sclerosis Receiving Ocrelizumab or Other Disease-Modifying Therapies Open
This study provides Class III evidence that for women with relapsing-remitting MS or clinically isolated syndrome who become pregnant, ocrelizumab, rituximab, and natalizumab (continued ≥28 weeks of gestation and restarted ≤1 month postpar…
View article: The safety and efficacy of dual biological therapy: Dupilumab and fremanezumab
The safety and efficacy of dual biological therapy: Dupilumab and fremanezumab Open
Prescription of biological disease-modifying agents for inflammatory cutaneous disease has become increasingly popular given their favourable safety profile and high rates of efficacy. Patients with multiple medical comorbidities may requi…
View article: Vitamin D did not reduce multiple sclerosis disease activity after a clinically isolated syndrome
Vitamin D did not reduce multiple sclerosis disease activity after a clinically isolated syndrome Open
Low serum levels of 25-hydroxyvitamin D [25(OH)D] and low sunlight exposure are known risk factors for the development of multiple sclerosis. Add-on vitamin D supplementation trials in established multiple sclerosis have been inconclusive.…
View article: 2608 COVID-19 in a single-centre cohort of patients with multiple sclerosis: no deaths and one admission
2608 COVID-19 in a single-centre cohort of patients with multiple sclerosis: no deaths and one admission Open
Objectives An understanding of the outcome of patients with multiple sclerosis (MS) who contract COVID-19 is evolving. They may be at higher risk of more severe infection as they are frequently immunosuppressed due to treatment with diseas…
View article: 2799 A longitudinal study of patients with chronic inflammatory demyelinating polyneuropathy (CIDP): identifying ultrasonographic features for prognosis
2799 A longitudinal study of patients with chronic inflammatory demyelinating polyneuropathy (CIDP): identifying ultrasonographic features for prognosis Open
Objectives Diagnosis and treatment monitoring in CIDP is primarily based on clinical parameters. High-frequency ultrasound reflects nerve pathophysiology non-invasive and painlessly, and has been demonstrated as a useful additional diagnos…
View article: The risk of secondary progressive multiple sclerosis is geographically determined but modifiable
The risk of secondary progressive multiple sclerosis is geographically determined but modifiable Open
Geographical variations in the incidence and prevalence of multiple sclerosis have been reported globally. Latitude as a surrogate for exposure to ultraviolet radiation but also other lifestyle and environmental factors are regarded as dri…
View article: Rituximab vs Ocrelizumab in Relapsing-Remitting Multiple Sclerosis
Rituximab vs Ocrelizumab in Relapsing-Remitting Multiple Sclerosis Open
Importance Ocrelizumab, a humanized monoclonal antibody targeted against CD20+ B cells, reduces the frequency of relapses by 46% and disability worsening by 40% compared with interferon beta 1a in relapsing-remitting multiple sclerosis (MS…
View article: A Plain Language Summary On the Effectiveness of Cladribine Tablets Compared With Other Oral Treatments for Multiple Sclerosis: Results From the Msbase Registry
A Plain Language Summary On the Effectiveness of Cladribine Tablets Compared With Other Oral Treatments for Multiple Sclerosis: Results From the Msbase Registry Open
The results provide evidence that, compared with other oral treatments for MS, cladribine tablets are an effective medicine for people living with MS.
View article: Comparison Between Dimethyl Fumarate, Fingolimod, and Ocrelizumab After Natalizumab Cessation
Comparison Between Dimethyl Fumarate, Fingolimod, and Ocrelizumab After Natalizumab Cessation Open
Importance Natalizumab cessation is associated with a risk of rebound disease activity. It is important to identify the optimal switch disease-modifying therapy strategy after natalizumab to limit the risk of severe relapses. Objectives To…
View article: Comparative Effectiveness of Autologous Hematopoietic Stem Cell Transplant vs Fingolimod, Natalizumab, and Ocrelizumab in Highly Active Relapsing-Remitting Multiple Sclerosis
Comparative Effectiveness of Autologous Hematopoietic Stem Cell Transplant vs Fingolimod, Natalizumab, and Ocrelizumab in Highly Active Relapsing-Remitting Multiple Sclerosis Open
Importance Autologous hematopoietic stem cell transplant (AHSCT) is available for treatment of highly active multiple sclerosis (MS). Objective To compare the effectiveness of AHSCT vs fingolimod, natalizumab, and ocrelizumab in relapsing-…
View article: Disability accrual in primary and secondary progressive multiple sclerosis
Disability accrual in primary and secondary progressive multiple sclerosis Open
Background Some studies comparing primary and secondary progressive multiple sclerosis (PPMS, SPMS) report similar ages at onset of the progressive phase and similar rates of subsequent disability accrual. Others report later onset and/or …
View article: Comparative effectiveness of cladribine tablets versus other oral disease-modifying treatments for multiple sclerosis: Results from MSBase registry
Comparative effectiveness of cladribine tablets versus other oral disease-modifying treatments for multiple sclerosis: Results from MSBase registry Open
Background: Effectiveness of cladribine tablets, an oral disease-modifying treatment (DMT) for multiple sclerosis (MS), was established in clinical trials and confirmed with real-world experience. Objectives: Use real-world data to compare…
View article: Comparing switch to ocrelizumab, cladribine or natalizumab after fingolimod treatment cessation in multiple sclerosis
Comparing switch to ocrelizumab, cladribine or natalizumab after fingolimod treatment cessation in multiple sclerosis Open
Background To compare the effectiveness and treatment persistence of ocrelizumab, cladribine and natalizumab in patients with relapsing–remitting multiple sclerosis switching from fingolimod. Methods Using data from MSBase registry, this m…
View article: Disease Reactivation After Cessation of Disease-Modifying Therapy in Patients With Relapsing-Remitting Multiple Sclerosis
Disease Reactivation After Cessation of Disease-Modifying Therapy in Patients With Relapsing-Remitting Multiple Sclerosis Open
This study provides Class III that disease reactivation occurs within months of discontinuation of MS disease-modifying therapies. The risk of disease activity is reduced by commencement of a subsequent therapy.
View article: 2327 Latitude, UVR and multiple sclerosis severity
2327 Latitude, UVR and multiple sclerosis severity Open
Objectives This study aimed to investigate the association between latitude of residence, ultraviolet B radiation exposure (UVB) and MS severity. Methods This observational study used MSBase registry data. Included patients met the 2005 or…