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07 July 2026 : Clinical Research  

Presence and Impact of Fatigue in Patients With Multiple Sclerosis

Meheroz H. Rabadi ORCID logo ADEF 1,2*, Kimberly A. Russell B 1, Chao Xu ORCID logo CD 3

DOI: 10.12659/MSM.953344

Med Sci Monit 2026; 32:e953344

Table 3 Secondary outcomes in multiple sclerosis patients with fatigue by medication status (mean ± SD or median [Q1, Q3]).

Total (n =1 34)No (n = 77)Yes (n = 57)P value
Initial EQ-5D9.00 [8.00, 10.0]9.00 [7.75, 11.0]9.00 [8.00, 10.0]0.591**
12-month EQ-5D9.00 [7.50, 10.0]9.00 [8.00, 10.0]8.50 [6.25, 10.0]0.343**
Change EQ-5D0 [−1.00, 1.00]0 [−1.00, 1.00]0 [−1.00, 1.00]0.818**
Initial EQ-VAS70.0 [55.0, 84.0]60.0 [50.0, 80.0]75.0 [65.0, 86.0]0.018**
12-month EQ-VAS67.8 (± 16.2)67.4 (± 13.1)68.0 (± 18.7)0.886
Change EQ-VAS−1.08 (± 20.0)3.76 (± 21.3)−5.77 (± 17.8)0.068
Initial TFIM120 [113, 124]120 [113, 124]121 [114, 125]0.404**
12-month TFIM119 [106, 123]116 [106, 123]120 [109, 123]0.427**
Change TFIM−2.00 [−5.50, 1.00]−3.00 [−9.00, 0]−1.00 [−4.00, 3.00]0.044**
Initial EDSS2.00 [1.00, 6.00]1.50 [1.00, 6.00]2.00 [1.00, 6.00]0.484**
12-month EDSS6.00 [2.00, 6.50]6.00 [2.00, 6.50]6.00 [2.00, 6.00]0.447**
Change EDSS1.00 [0, 2.50]1.00 [0, 4.00]1.00 [0, 2.00]0.810**
Initial ambulation 2MWT in feet390 [260, 390]346 [260, 390]390 [260, 390]0.997**
12-month ambulation 2MWT in feet363 [180, 461]330 [133, 438]410 [260, 470]0.095**
Change ambulation 2MWT in feet0 [−50.0, 60.0]−15.5 [−60.0, 25.0]40.0 [−22.5, 113]0.020**
* Fisher exact test due to small cell counts.
** Wilcoxon rank test due to non-normally distributed data, according to the Shapiro normality test.
Abbreviations: EQ-5D, EuroQol 5 Domain; VAS, visual analog scale; EDSS, Expanded Disability Scale Score; TFIM, Total Functional Independence Measure; 2MWT, 2-Meter Walk Test.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750