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Table 2 Results – Epidemiology

From: Prevalence and burden of multiple sclerosis-related fatigue: a systematic literature review

Author (year)

Tool to Measure Fatigue; Cut-off Value Used

Outcome(s)

n evaluated for fatigue

Fatigue (%)

Adult

 Alvarenga-Filho (2015)

MFIS; ≥ 38

Prevalence

NR

35.0

 Anens (2014)

FSS; ≥ 4

Prevalence

285

61.7

 Battaglia (2017)

VAS (0–10); NR

Prevalence

997

96.0

 Calabrese (2017)

VAS (0–10); NR

Prevalence

703

93.0

 Fiest (2016)

D-FIS; ≥ 5.0

Prevalence, Incidence

943

78.0

 Flachenecker (2017)

VAS (0–10); NR

Prevalence

5233

96.0

 Fricska-Nagy (2016)

FIS; NR

Prevalence

402

62.4

 Hadgkiss (2013)

FSS; ≥ 4

Prevalence

2143

65.7

 Havrdova (2017)

VAS (0–10); NR

Prevalence

727

92.0

 Kratz (2016)

11-point scale; Occurrence: >  0, Severe: >  6

Prevalence

180

88.0

 Labuz-Roszak (2012)

FSS; >  36 a

Prevalence

122

61.5

 Larnaout (2018) b

FSS; > 4, MFIS; >  38 c

Prevalence

NR

60.0

 Lebrun-Frenay (2017)

VAS (0–10); NR

Prevalence

454

95.0

 Oreja-Guevara (2017)

VAS (0–10); NR

Prevalence

446

92.0

 Pentek (2017)

VAS (0–10); NR

Prevalence

508

94.0

 Pokryszko-Dragan (2016)

FSS; ≥ 4

Prevalence

44

18.2

 Reilly (2017)

FSS; ≥ 4

Prevalence

2079

65.6

 Rooney (2019)

FSS; ≥ 5

Prevalence

412

68.7

 Runia (2015)

FSS; ≥ 5

Prevalence

127

46.5

 Selmaj (2017)

VAS (0–10); NR

Prevalence

408

97.0

 Thompson (2017)

VAS (0–10); NR

Prevalence

769

96.0

 Uitdehaag (2017)

VAS (0–10); NR

Prevalence

381

96.0

 van der Vuurst de Vries (2017)

FSS; ≥ 5

Prevalence

NR

35.3

 von Bismarck (2018)

FSMC; At least mild fatigue (>  42 Pt.)

Prevalence

1069

36.5

 Weiland (2015)

FSS; ≥4

Prevalence

2138

65.6

 Weiland (2019) d

FSS; ≥ 4

Prevalence, Longitudinal

1268

1268

509

56.0

62.5

53.8

 Wood (2013)

FSS; ≥ 5

Prevalence

192

53.7

Pediatric

 Florea (2019)

FSS; Moderate ≥3

Prevalence

23

43.0

 Goretti (2010)

FSS; ≥ 4

Prevalence

56

20.0

 Parrish (2013)

PedsQL Multidimensional Fatigue Scale; Total Fatigue ≥36

Prevalence

24

29.2

 van’s Gravesande (2019) b

PedsQL Multidimensional Fatigue Scale; Mildly impaired: score 1–2 SDs below healthy controls, severely impaired: score > 2 SDs below healthy controls

Prevalence

106

40.6

Mixed or unknown age

 Garcia (2019) a, b, e

FSS; Persistent fatigue ≥28, NFI-MS/BR; persistent fatigue ≥30

Prevalence, Longitudinal; Mixed age

38

26

FSS: 74.4, 54.0

NFI-MS/BR: 64.0, 47.0

 Kaya Aygunoglu (2015)

FSS; ≥4

Prevalence

120

70.0

 Razazian (2014)

FSS; ≥ 5

Prevalence

300

62.3

 Rupprecht (2018) b

MFIS; NR

Prevalence

NR

45.0

  1. aRefers to the total FSS score, not the average as is mostly calculated
  2. bConference abstract
  3. cUnclear if FSS or MFIS was used to report fatigue percentage
  4. dBaseline data are presented in bold text and validation cohort in italics
  5. eBaseline data are presented in bold text
  6. Abbreviations: D-FIS daily FIS, FIS Fatigue Impact Scale, FSS Fatigue Severity Scale, MFIS modified FIS, FSMC Fatigue Scale for Motor and Cognitive Functions, NFIS-MS/BR Neurological Fatigue Index – multiple sclerosis, Brazilian Portuguese version, NR not reported, VAS visual analogue scale