Update on the diagnosis and management of SPMS
October 1, 2020…nd EDSS score at last visit (Ramanujam et al. medRxiv 2020.07.09.20149674; free full text at www.medrxiv.org/content/10.1101/2020.07.09.20149674v1.full.pdf). For example, the probability of SPMS was 93% for any patient with EDSS >6; 76% if EDSS >4.5 in a patient aged >45 years (38% if younger than 45 years); and so on. Applying this algorithm to five MS registries in Europe increased the proportion of patients diagnosed as SPMS from 17% to 31% (Hi…