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Related Experiment Video

Updated: Mar 18, 2026

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
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Defining secondary progressive multiple sclerosis.

Johannes Lorscheider1, Katherine Buzzard2, Vilija Jokubaitis1

  • 11 Department of Medicine, University of Melbourne, Melbourne, Australia 2 Department of Neurology, Royal Melbourne Hospital, Melbourne, Australia.

Brain : a Journal of Neurology
|July 13, 2016
PubMed
Summary
This summary is machine-generated.

A new objective definition for secondary progressive multiple sclerosis (SPMS) improves diagnostic accuracy and timeliness. This standardized approach aids research comparability and clinical trial design for SPMS patients.

Keywords:
MSBasedefinitiondisabilitysecondary progressive multiple sclerosisstudy design

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Area of Science:

  • Neurology
  • Clinical Research Methodology
  • Biostatistics

Background:

  • Secondary progressive multiple sclerosis (SPMS) diagnosis lacks standardization, hindering research.
  • Objective criteria are needed for accurate and comparable SPMS studies.

Purpose of the Study:

  • To develop and validate an objective definition for SPMS onset.
  • To improve the accuracy, feasibility, and timeliness of SPMS diagnosis.

Main Methods:

  • Analyzed 576 data-derived SPMS onset definitions using the MSBase cohort (17,356 patients).
  • Validated definitions against neurologist consensus and 5-year disease outcomes.
  • Evaluated timeliness and disability burden of top-performing definitions.

Main Results:

  • The best definition: 3-strata progression, no relapse, 3-month confirmation, Expanded Disability Status Scale (EDSS) ≥4, pyramidal score ≥2.
  • Achieved 87% accuracy versus consensus; identified patients had positive disability trajectories (78%) and significant disability (70%) within 5 years.
  • Diagnosis occurred earlier (32.6 years) than physician diagnosis (36 years), with greater disease burden.

Conclusions:

  • A novel, objective SPMS definition based on EDSS and relapse history offers reproducible, accurate, and timely diagnosis.
  • This definition can enhance clinical trial design and comparability in SPMS research.