MS Society Infographic

Introduction

The UK MS Register collects ‘real world’ data from people with MS and their clinical teams about various aspects of the disease. Amongst the most important of these are an effort to show what MS ‘looks like’ in the UK.

The Register does not have 100% completion in any part of the UK, however we have fairly good ‘representative sample’ of the population and we are aware we have never shared this ‘snapshot’ widely outside of publications in peer reviewed journals.

In the interests of informing anyone affected by MS in the UK we aim to produce an Annual infographic that shows useful data from our clinical and participant reported data over the years.

Recruitment in 2014 compared to 2024

Portal recruitment in 2014 and 2024. Portal users register via the UK MS Register website and self-report their data.

Clinical recruitment in 2014 and 2024. Clinical users register at their clinical sites and data is inputted from information in participant’s medical records.

Accumulative recruitment

Portal - Accumulative recruitment from 2011 to 2024 in the portal population by gender. This graph shows the continual recruitment of participants to the web portal of the UK MS Register and how this has grown over the years.

Clinical - Accumulative recruitment from 2011 to 2024 in the clinical population by gender

Core questionnaires

Number of users completing core questionnaires each window on the web portal

Ethnicity

Ethnicity in the portal and clinical populations (where ethnicity is stated)

Ethnic minorities in the portal population

Percentage of known ethnicities in the portal and clinical populations

Disability measured by expanded disability status scale (EDSS)

Portal webEDSS by age for men and women

Clinical EDSS by age for men and women

Percentage of portal users in different webEDSS bands

Percentage of clinical users in different EDSS bands

Disease modifying therapies (DMTs)

Percentage of people in portal population on treatment who are currently taking a highly active DMT, compared to a normally active DMT, by region

Percentage of people in clinical population on each type of highly active DMT and normally active DMT

Symptoms

Most common symptoms reported in the portal population

Portal and clinical populations

Portal population from 2018 - 2024

This shows numbers of participants that have signed up to the MS Register between 2018 and 2024, you can see the n (the total number of people registering per year) has fluctuated from year to year - most noticeably seeing a spike during the start of the pandemic (2020).

Average age at registration has stayed between the ages of 47-50 over these years, mean age at onset between 33-36 and age at diagnosis 37-40. Average time to diagnosis across 6 years of data remains between 3.9-4.9 years.

As would be expected, female gender remains dominant with over >70% of participants reporting this and the majority reporting that they have relapsing remitting disease.

RegYear 2019 2020 2021 2022 2023 2024
n 1526 2239 846 1831 1280 807
AgeAtReg (mean (SD)) 48.79 (12.89) 47.63 (11.94) 47.10 (12.96) 48.30 (13.09) 50.15 (12.65) 49.55 (13.09)
OnsetAge (mean (SD)) 34.60 (11.03) 34.01 (10.50) 33.43 (10.54) 34.62 (11.02) 35.19 (11.18) 35.52 (11.26)
DiagnosisAge (mean (SD)) 38.69 (11.29) 37.86 (10.62) 38.34 (11.22) 38.93 (11.10) 39.58 (11.45) 39.85 (11.47)
TimeToDiagnosis (mean (SD)) 4.12 (6.01) 3.87 (5.97) 4.93 (7.25) 4.34 (6.48) 4.44 (6.50) 4.39 (6.73)
Gender (%) Female 1137 (74.7) 1753 (78.6) 649 (77.0) 1395 (76.5) 898 (70.2) 623 (77.3)
Male 386 (25.3) 477 (21.4) 194 (23.0) 429 (23.5) 381 (29.8) 183 (22.7)
MSAtDiagnosis (%) PPMS 157 (10.3) 168 ( 7.5) 87 (10.3) 192 (10.5) 229 (17.9) 93 (11.5)
RRMS 1189 (77.9) 1900 (84.9) 684 (80.9) 1443 (78.8) 919 (71.8) 628 (77.8)
SPMS 69 ( 4.5) 61 ( 2.7) 26 ( 3.1) 77 ( 4.2) 56 ( 4.4) 31 ( 3.8)
Unknown 111 ( 7.3) 110 ( 4.9) 49 ( 5.8) 119 ( 6.5) 76 ( 5.9) 55 ( 6.8)
MSTypeNow (%) Benign 22 ( 1.4) 27 ( 1.2) 9 ( 1.1) 21 ( 1.1) 10 ( 0.8) 6 ( 0.7)
PPMS 151 ( 9.9) 156 ( 7.0) 92 (10.9) 190 (10.4) 225 (17.6) 95 (11.8)
RRMS 913 (59.8) 1597 (71.3) 568 (67.1) 1181 (64.5) 633 (49.5) 509 (63.1)
SPMS 369 (24.2) 356 (15.9) 131 (15.5) 333 (18.2) 335 (26.2) 147 (18.2)
Unknown/Not recorded 71 ( 4.7) 103 ( 4.6) 46 ( 5.4) 106 ( 5.8) 77 ( 6.0) 50 ( 6.2)
ConvertedToSPMS (%) no 1262 (82.7) 1965 (87.8) 743 (87.8) 1596 (87.2) 1019 (79.6) 702 (87.0)
yes 264 (17.3) 274 (12.2) 103 (12.2) 235 (12.8) 261 (20.4) 105 (13.0)
TimeToSP (mean (SD)) 13.01 (8.31) 14.13 (8.34) 14.14 (9.71) 13.73 (8.35) 14.53 (8.74) 16.43 (8.41)
DMT (%) Highly active 192 (38.6) 338 (36.7) 185 (46.5) 403 (50.6) 232 (51.4) 208 (59.6)
Normally active 305 (61.4) 583 (63.3) 213 (53.5) 394 (49.4) 219 (48.6) 141 (40.4)

Clinical population from 2018 - 2024

The population of ‘patients’ that are recruited through informed consent at 48 NHS clinical sites across the UK looks remarkably similar to participants who sign up to via the portal. There is an even more marked effect of the pandemic in the n (numbers consented) as the years pass - 2150 people were recruited in 2019 and this drops markedly in 2020 to 610.

This reflects both the restrictions on travelling to hospitals and the lack of NHS staff time to carry out recruitment to research such as the MS Register. Other data across the years is similar to the portal population discussed above for age at registration, onset, time to diagnosis and gender.

There is a difference in the proportion of people with relapsing disease though standing between 69-84% of the consented population between 2019-24. This probably reflects that the majority of the population consented to the Register is when they attend for Disease Modifying Treatments.

RegYear 2019 2020 2021 2022 2023 2024
n 2150 610 410 579 1012 668
AgeAtReg (mean (SD)) 48.67 (13.55) 50.41 (12.61) 47.56 (13.22) 49.74 (13.18) 50.60 (13.61) 51.14 (13.50)
OnsetAge (mean (SD)) 35.16 (11.31) 35.54 (11.02) 35.42 (11.82) 35.59 (11.05) 36.77 (11.82) 37.56 (11.61)
DiagnosisAge (mean (SD)) 38.34 (11.65) 39.59 (11.83) 38.40 (12.07) 39.09 (11.50) 39.31 (11.96) 40.72 (11.91)
TimeToDiagnosis (mean (SD)) 3.37 (5.62) 4.20 (6.89) 3.22 (5.25) 3.82 (6.16) 2.85 (5.07) 3.44 (5.97)
Gender (%) Female 1531 (71.4) 446 (73.4) 287 (70.2) 411 (71.6) 717 (70.9) 462 (69.4)
Male 612 (28.6) 162 (26.6) 122 (29.8) 163 (28.4) 294 (29.1) 204 (30.6)
MSAtDiagnosis (%) Not recorded 12 ( 0.6) 5 ( 0.8) <5 36 ( 6.2) 146 (14.4) 73 (10.9)
Other 53 ( 2.5) 20 ( 3.3) 15 ( 3.7) 19 ( 3.3) 44 ( 4.3) 17 ( 2.5)
PPMS 181 ( 8.4) 60 ( 9.8) 36 ( 8.8) 47 ( 8.1) 76 ( 7.5) 69 (10.3)
RRMS 1800 (83.7) 495 (81.1) 343 (83.7) 438 (75.6) 703 (69.5) 470 (70.4)
SPMS 104 ( 4.8) 30 ( 4.9) 15 ( 3.7) 39 ( 6.7) 43 ( 4.2) 39 ( 5.8)
MSTypeNow (%) Benign 8 ( 0.4) <5 <5 7 ( 1.2) <5 <5
Not recorded 256 (11.9) 47 ( 7.7) 9 ( 2.2) 75 (13.0) 244 (24.1) 123 (18.4)
PPMS 164 ( 7.6) 54 ( 8.9) 42 (10.2) 45 ( 7.8) 75 ( 7.4) 56 ( 8.4)
RRMS 1401 (65.2) 422 (69.2) 318 (77.6) 374 (64.6) 592 (58.5) 401 (60.0)
SPMS 321 (14.9) 85 (13.9) 39 ( 9.5) 78 (13.5) 100 ( 9.9) 86 (12.9)
ConvertedToSPMS (%) no 1857 (86.4) 535 (87.7) 380 (92.7) 508 (87.7) 915 (90.4) 583 (87.3)
yes 293 (13.6) 75 (12.3) 30 ( 7.3) 71 (12.3) 97 ( 9.6) 85 (12.7)
TimeToSP (mean (SD)) 14.55 (9.25) 17.50 (11.98) 15.68 (10.73) 16.85 (11.15) 15.85 (10.72) 16.73 (9.48)
DMT (%) Highly active 286 (33.2) 101 (37.5) 198 (71.0) 168 (56.8) 269 (62.7) 155 (57.6)
Normally active 575 (66.8) 168 (62.5) 81 (29.0) 128 (43.2) 160 (37.3) 114 (42.4)

Top sites

Most improved sites and top recruiters

Our research

Publications