0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Breastfeeding and Disease-Modifying Therapy for Multiple Sclerosis

Aditya Choudhary, MD1; Wilson Pulikottil Vinny, MD1
[+] Author Affiliations
1Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
JAMA Neurol. 2016;73(4):480. doi:10.1001/jamaneurol.2015.4818.
Text Size: A A A
Published online

Extract

To the Editor In their article, “Exclusive breastfeeding and the effect on postpartum multiple sclerosis relapses,” Hellwig et al1 reiterated the beneficial effects of exclusive breastfeeding on women with multiple sclerosis.

Disease-modifying therapy (DMT) for multiple sclerosis has significantly changed the quality of life for patients by reducing relapse rates.2 However, it is pertinent to mention that different DMTs affect the relapse rates differently.3 The annual relapse rates vary with the use of different DMTs and, in the absence of these data, it is difficult to compare the women who exclusively breastfed with those who did not.4 We are concerned that lack of data regarding the use of DMTs in the study population may have introduced bias into the results of the study. It is possible that one cohort may have inadvertently received more efficacious DMTs than the other. In the article,1 we were not able to determine how many patients continued the use of DMT into their pregnancy, which may have a bearing on the time to first relapse.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

October 1, 2015
Kerstin Hellwig, MD; Milena Rockhoff, MD; Sandra Herbstritt, PharmD; Nadja Borisow, MD; Aiden Haghikia, MD; Birte Elias-Hamp, MD; Sylvia Menck, MD; Ralf Gold, MD; Annette Langer-Gould, MD, PhD
1Department of Neurology, St Josef Hospital, Ruhr-University Bochum, Bochum, Germany
1Department of Neurology, St Josef Hospital, Ruhr-University Bochum, Bochum, Germany2Institute of Clinical Pharmacy and Pharmacotherapy, Heinrich Heine University, Duesseldorf, Germany
3NeuroCure Clinical Research Center, University Clinic Berlin, Berlin, Germany4Clinical and Experimental Multiple Sclerosis Research Center, Department of Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany
5private neurologic practice, Hamburg, Germany
6private neurologic practice, Barsinghausen, Germany
7Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena
JAMA Neurol. 2015;72(10):. doi:10.1001/jamaneurol.2015.1806.
April 1, 2016
Kerstin Hellwig, MD; Annette M. Langer-Gould, MD, PhD
1Department of Neurology, St Josef Hospital, Bochum, Germany
2Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena
JAMA Neurol. 2016;73(4):480-481. doi:10.1001/jamaneurol.2015.4821.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

291 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();