From: Cost analysis of multiple sclerosis in Brazil: a cross-sectional multicenter study
 | Mild (EDSS 0–3) (N = 84) | Moderate (EDSS 4–6.5) (N = 91) | Severe (EDSS 7–9) (N = 33) | TOTAL (N = 210)a | p-values* |
---|---|---|---|---|---|
 | N (%) | N (%) | N (%) | N (%) |  |
Age (years) (Mean [SD]) | 36.8 (10.1) | 41.2 (11.4) | 49.2 (10.9) | 40.7 (11.5) | <0.001 |
Gender | Â | Â | Â | Â | 0.056 |
 Male | 18 (21) | 30 (33) | 14 (42) | 62 (29) | |
 Female | 66 (79) | 61 (67) | 19 (58) | 148 (70) | |
Educational level | Â | Â | Â | Â | 0.044 |
 Never been to school | – | – | – | – | |
 Elementary schoolb | 11 (13) | 14 (16) | 10 (30) | 35 (16) | |
 High schoolb | 34 (41) | 53 (58) | 13 (39) | 100 (48) | |
 Higher educationb | 31 (37) | 21 (23) | 8 (24) | 61 (29) | |
 Post-Graduationb | 8 (10) | 3 (3) | 1 (3) | 12 (6) | |
 No information | – | – | 1 (3) | 1 (1) | |
Living | Â | Â | Â | Â | 0.004 |
 Alone | – | 8 (9) | 2 (6) | 11 (5) | |
 Family/Spouse | 84 (100) | 83 (91) | 30 (91) | 198 (94) | |
 Home support or asylum | – | – | 1 (3) | 1 (1) | |
Monthly income (USD$) (Mean [SD]) | 817.96 (899.18) | 748.93 (790.96) | 904.50 (994.75) | 806.47 (869.39) | 0.8925 |
MS type | Â | Â | Â | Â | <0.001 |
 Relapse-remitting | 84 (100) | 75 (82) | 5 (15) | 166 (79) | |
 Secondary progressive | – | 16 (18) | 28 (85) | 44 (21) | |
Diagnosis time (years) (Mean [SD]) | 5.2 (4.4) | 8.2 (5.8) | n.a. | 7.9 (6.2) | Â |
Comorbities | 64 (76) | 79 (87) | 30 (91) | 173 (82) | 0.074 |
Relapses (Y/N) | 41 (49) | 52 (57) | 8 (24) | 102 (49) | 0.004 |
 Number of relapses in the last year (Mean [SD]) | 1.5 (1.0) | 1.7 (1.0) | 1.4 (0.5) | 1.6 (1.0) |  |
Employed/Self-employed | 51 (31) | 17 (19) | 0 (0) | 70 (34) | <0.001 |
Sick leave due to Multiple Sclerosisc | 15 (29) | 11 (65) | n.a. | 26 (37) | 0.089 |
 Sick leave duration (days) (Mean [SD]) | 170.5 (258.4) | 90.9 (75.0) | n.a. | 141.7 (198.7) |  |
Early retirement by disease or disablement | 9 (11) | 48 (53) | 21 (64) | 78 (37) | <0.001 |
 Time between diagnosis and retirement (years) (Mean [SD]) | 4.9 (5.1) | 3.5 (3.9) | 4.2 (4.2) | 3.9 (4.1) |  |
 Age at retirement (years) (Mean [SD]) | 42 (12.0) | 38 (8.9) | 39 (9.9) | 39 (9.5) |  |
Health-related Quality of Life (EQ-5D) | Â | Â | Â | Â | Â |
Mobility | Â | Â | Â | Â | <0.001 |
 no problem | 56 (66.7) | 7 (7.7) | – | 64 (30) | |
 some problem | 28 (33.3) | 83 (91.2) | 22 (66.7) | 134 (64) | |
 serious problem | – | 1 (1.1) | 11 (33.3) | 12 (6) | |
Self-care | Â | Â | Â | Â | <0.001 |
 no problem | 77 (91.7) | 51 (56.0) | 4 (12.1) | 133 (63) | |
 some problem | 7 (8.3) | 40 (44.0) | 18 (54.5) | 66 (31) | |
 serious problem | – | – | 11 (33.3) | 11 (5) | |
Usual activities | Â | Â | Â | Â | <0.001 |
 no problem | 52 (61.9) | 17 (18.7) | 2 (6.1) | 72 (34) | |
 some problem | 31 (36.9) | 68 (74.7) | 15 (45.5) | 115 (55) | |
 serious problem | 1 (1.2) | 6 (6.6) | 16 (48.5) | 23 (11) | |
Pain/discomfort | Â | Â | Â | Â | 0.001 |
 no problem | 39 (46.4) | 21 (23.1) | 7 (21.2) | 68 (32) | |
 some problem | 43 (51.2) | 57 (62.6) | 26 (78.8) | 126 (60) | |
 serious problem | 2 (2.4) | 12 (13.2) | – | 15 (7) | |
 no information | – | 1 (1.1) | – | 1 (1) | |
Anxiety/depression | Â | Â | Â | Â | 0.148 |
 no problem | 35 (41.7) | 30 (33.0) | 15 (45.5) | 80 (38) | |
 some problem | 42 (50.0) | 45 (49.5) | 17 (51.5) | 106 (51) | |
 serious problem | 7 (8.3) | 16 (17.6) | 1 (3.0) | 24 (11) | |
 EQ-VAS (Mean [SD]) | 82.5 (13.7) | 65.8 (18.5) | 59.1 (17.5) | 71.6 (18.9) | <0.001 |
Impact of fatigue on daily living (MFIS-BR) | Â | Â | Â | Â | <0.001 |
 Absent | 56 (67) | 33 (36) | 11 (33) | 102 (49) | |
 Present - Low | 17 (20) | 34 (37) | 16 (48) | 67 (32) | |
 Present - High | 11 (13) | 24 (26) | 6 (18) | 41 (19) |