Research Article

Neurofilament and Brain Atrophy and Their Association with Cognition in Multiple Sclerosis: A 10-Year Follow-Up Study

Table 1

Demographic and clinical characteristics at baseline and follow-up visits of multiple sclerosis patients.

Baseline ()5 years ()10 years ()

Age in years at baseline, mean (SD)41.6 (9.8)41.0 (9.7)41.0 (9.2)
Female, (%)30 (68)24 (69)19 (73)
cNfL at baseline in ng/mL310 (102, 1144)302 (103, 1086)284 (91, 1115)
sNfL at baseline in pg/mL11.8 (8.1, 17.3)a11.7 (8.1, 17.5)b11.2 (7.8, 17.1)b
Disease duration in months at baseline60 (42, 174)60 (36, 108)60 (48, 108)
Months since the last attack at baseline9 (1, 18)b10 (1, 18)10 (1, 22)
EDSS3.5 (2.0, 4.0)3.5 (2.0, 4.0)3.0 (2.0, 5.0)
SDMT, mean (SD)41.0 (12.3)b41.5 (15.3)45.5 (17.8)
Cognitive impairment, (%)33 (83)b28 (80)19 (73)
Highest education level, (%)
(i) Primary school3 (7)2 (6)2 (8)
(ii) High school22 (54)20 (57)13 (50)
(iii) College/university16 (39)13 (37)11 (42)

Disease course, (%)
(i) RRMS34 (83)26 (74)14 (54)
(ii) SPMS7 (17)9 (26)8 (31)
(iii) PPMS0 (0)0 (0)4 (15)

Patients on DMT, (%)6 (15)17 (49)17 (68)
(i) Interferons5117
(ii) Glatiramer acetate153
(iii) Mitoxantrone11
(iv) Natalizumab3
(v) Fingolimod1

Descriptives are presented as median (IQR) unless otherwise specified. a2 missing; b1 missing. Reclassified at 10 years examination. Abbreviation: SD: standard deviation; IQR: interquartile range; sNfL: serum neurofilament light chain; cNfL: cerebrospinal neurofilament light chain; EDSS: expanded disability status scale; SDMT: symbol digit modalities test; RRMS: relapsing-remitting multiple sclerosis; SPMS: secondary progressive multiple sclerosis; PPMS: primary progressive multiple sclerosis; DMT: disease modifying therapy.