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Table 2 Summary of included studies (n = 41)

From: Systematic review of the patient burden of generalised myasthenia gravis in Europe, the Middle East, and Africa

Author (date)

Country

Study design

gMG data type (n/N)

gMG classification tool

PROMs

Akkan Suzan 2022 [1]

Turkey

Case–control

gMG subgroup data (30/53)

MGFA IIA

Symptom-specific (FAS, FIS, BDI, ESS)

Alanazy 2019 [3]

Saudi Arabia

Cross-sectional

gMG subgroup data (82/104)

Author reported

Symptom-specific (PHQ-9)

Ambrogi 2012 [4]

Italy

Retrospective cohort

All gMG (59/59)

MGFA III

Generic (SF-36)

Andersen 2021 [5]

Denmark

Cross-sectional

All gMG (100/100)

Author reported

Generic (EQ-5D-3L, EQ-5D-VAS, PASS)

Symptom-specific (MFI-20, MDI)

Disease-specific (MG-ADL, MG-QoL 15)

Aysal 2013 [6]

Turkey

Cross-sectional

gMG subgroup data (QoL by MG stage) and > 80% gMG (QoL by treatment) (36/42)

Osserman IIA-IIB

Symptom-specific (BDI, BAI, HAM-D, HAM-A)

Bachmann 2008 [7]

Germany

Prospective cohort

All gMG (106/106)

Osserman II-IV

Generic (EORTC QLQ)

Baram 2021 [8]

Iraq

Retrospective cohort

 > 80% gMG with no subgroup data (44/48)

MGFA IIA-IVB

Disease-specific (MG-ADL)

Bartel 1995 [9]

South Africa

Case–control

 > 80% gMG with no subgroup data (15/16)

Author reported

Generic (POMS)

Symptom-specific (IPAT anxiety scale)

Basta 2012 [10]

Serbia

Cross-sectional

gMG subgroup data (120/230)

MGFA IIA-IIIB

Generic (SF-36)

Birnbaum 2021 [11]

France

Case–control

All gMG (33/33)

MGFA II-III

Disease-specific (MG-ADL, MG-QoL 15)

Busch 1996 [13]

Germany

Retrospective cohort

 > 80% gMG with no subgroup data (61/65)

Modified Osserman II-IV

Generic (EORTC)

Cioncoloni 2016 [15]

Italy

Cross-sectional

gMG subgroup data (29/41)

MGFA IIA-IVB

Disease-specific (subjective patient evaluation [first item of the IMGQ])

De Freitas Fregonezi 2006 [16]

Spain

Prospective cohort

All gMG (20/20)

Osserman IIA-IIB

Generic (SF-36)

De Lapiscina 2012 [17]

Spain

Cross-sectional

gMG subgroup data (23/54)

Author reported

Symptom-specific (ESS, PSQI)

Disease-specific (MG-QoL 15)

Dewilde 2022 [18]

Belgium, Canada, Germany, Italy, Japan, Spain, UK, USA

Prospective cohort

gMG subgroup data (NR/617)

MGFA II-IV

Generic (EQ-5D-5L)

Happe 2004 [23]

Austria

Case–control

 > 80% gMG with no subgroup data (16/17)

Osserman II

Generic (QLI)

Symptom-specific (ESS, SDS, SAS, PSQI, SSA)

Hoffmann 2016 [24]

Germany

Cross-sectional

gMG subgroup data (116/200)

MGFA II-IV

Symptom-specific (CFQ, HADS-D, HADS-A, ISI)

Jastrzebska 2019 [26]

Poland

Cross-sectional

 > 80% gMG with no subgroup data (87/101)

MGFA

Disease-specific (MG-ADL)

Jordan 2017 [29]

Germany

Case–control

All gMG (33/33)

MGFA

Generic (10-point VAS)

Symptom-specific (CES-D, PSQI, FSMC)

Disease-specific (MGFS, MG-ADL, MG-QoL 15)

Jordan 2017 [28]

Kaukiainen 1977 [30]

Finland

Cross-sectional

gMG subgroup data (169/181)

Oosterhuis

None (economic only)

Kotan 2016 [31]

Turkey

Cross-sectional

 > 80% gMG with no subgroup data (43/52)

Author reported

Generic (PAIS-SR, MSPSS, PTGI, SF-36)

Symptom-specific (HADS-D, HADS-A)

Law 2021 [32]

France, UK, USA

Retrospective cohort

All gMG (NR)

Author reported

Patient lived experience

Lehnerer 2021 [33]

Germany

Cross-sectional

gMG subgroup data (1,127/1,660)

Author reported

Generic (ESSI)

Symptom-specific (HADS-D, HADS-A, CFQ)

Disease-specific (MG-ADL, MG-QoL 15)

Ohlraun 2015 [36]

Germany

Cross-sectional

 > 80% gMG with no subgroup data (642/791)

MGFA II-V

Family planning

Onyekwulu 2010 [37]

Nigeria

Retrospective cohort

All gMG (11/11)

Osserman IV

None (economic only)

Padua 2001 [38]

Italy

Prospective cohort

 > 80% gMG with no subgroup data (44/46)

Osserman II-IV

Generic (SF-36)

Peres 2017 [40]

Portugal

Retrospective cohort

All gMG (6/6)

Author reported

Generic (EQ-5D)

Disease-specific (MG-QoL 15)

Raggi 2010 [41]

Italy

Prospective cohort

gMG subgroup data (48/102)

MGFA II-IV

Generic (SF-36)

Rodolico 2021 [43]

Italy

Retrospective cohort

All gMG (15/15)

MGFA II-III

Disease-specific (MG-ADL)

Roth 2002 [44]

Switzerland

Retrospective cohort

All gMG (23/23)

Osserman II-IV, Oosterhuis

Generic (subjective patient evaluation)

Ruckert 2003 [45]

Germany

Retrospective cohort

All gMG (182/182)

Osserman II-III

Disease-specific (MG-ADL)

Ruiter 2021 [46]

Belgium

Cross-sectional

gMG subgroup data (NR/NR)

Positive scores on MG-ADL item(s) 5 and/or 6

Symptom-specific (CIS-f)

Sabre 2017 [47]

Estonia

Cross-sectional

 > 80% gMG with no subgroup data (29/36)

Author reported

Symptom-specific (FSS)

Sitek 2009 [48]

Poland

Case–control

 > 80% gMG with no subgroup data (29/33)

MGFA II-IV

Symptom-specific (BDI)

Stankovic 2018 [49]

Serbia

Prospective cohort

 > 80% gMG with no subgroup data (70/73)

MGFA IIA-IV

Generic (MSPSS, AIS, SF-36)

Symptom-specific (HAM-A, HAM-D)

Stojanov 2019 [50]

Serbia

Prospective cohort

gMG subgroup data (NR/70)

MGFA II-IV

Generic (SF-36)

Symptom-specific (HAM-A, HAM-D)

Disease-specific (MG-QoL 15r)

Szczudlik 2020 [51]

Poland

Cross-sectional

gMG subgroup data (228/339)

MGFA IIA-IVB

Generic (SF-36)

Tascilar 2018 [52]

Turkey

Case–control

All gMG (19/19)

MGFA II-III

Symptom-specific (ESS, PSQI, FSS, HAM-A, HAM-D)

Disease-specific (MG-QoL 15)

Thomsen 2021 [54]

Denmark

Prospective cohort

 > 80% gMG with no subgroup data (95/107)

MGFA II-IV

Disease-specific (MG-ADL, MG-QoL 15)

Westerberg 2018 [55]

Sweden

Cross-sectional

gMG subgroup data (31/40)

Author reported

Disease-specific (MG-QoL 15)