THE GROWTH RATE OF SCIENTIFIC PUBLICATIONS IN NEUROMYELITIS OPTICA SPECTRUM DISORDERS Gisele O. Lima, Diogo C Carvalho, Tauana S Tironi, Izabela C A Duarte, Anderson Silva, Natália C. Talim, Lívia E. C. Talim, Mariza C. T. Talim, Jane R. Guirado, Juliana M. S. S. Amaral, Rodrigo Kleinpaul, Márcia Prates, Carolina R. Araujo, Cristiane F. Rocha, Marco A. Lana-Peixoto. CIEM MS Research Center, Federal University of Minas Gerais Medical School, Belo Horizonte, Brazil Background Results Although the characterization of neuromyelitis optica (NMO) as a nosological entity is credited to Devic’s and Gault’s works in 1894, reports on the association of optic th nerve and spinal cord abnormalities date from the early 19 century. Knowledge on NMO remained mostly dormant for about a century. The description of its immunohistopathology, the identification of NMO-IgG and aquaporin-4 as the targeted antigen in 2002, 2004 and 2005, boosted significant interest in the study of the disease. We studied the growth rates of scientific publications in NMO and correlate them with milestones in the understanding of the disease. We found a total of 2766 papers, 2744 in MEDLINE/PubMed database, and 22 in reference lists of papers published prior to 1913. There were 12 descriptions of NMO patients preceding Devic’s case report. The highest increases in growth rate of papers in NMO was found in the decades 1930s’, 1950s’, 1970s’ and 2000s’, and in the 2001, 2004, 2006, and 2007. V V Distribution of publications from 2000 to 2013 20.0% 18.7% 18.0% 17.4% 16.0% Methods 14.2% 14.0% We searched the MEDLINE/PubMed database for scientific articles up to May 31, 2014, using key MeSH terms for NMO. The following publications were considered as milestones. Milestones 12.0% 10.0% 10.0% 8.0% 7.9% 6.2% 6.0% 4.1% 4.0% 2.0% Year 10.6% 1.2% 1.8% 1.6% 1.5% 2.2% 2.5% 0.0% Devic’s and Gault’s publications 1894 Creation of the eponym “Devic’s disease” 1907 Reviews of 70, 200 and over 300 cases 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 1927, 1949, 1958 The identification of high frequency of NMO in Japan 1960 The nationwide survey of demyelinating diseases in Japan Mandler’s diagnostic criteria The review of Mayo Clinic cohort 1975 1993 1999 The description of immunohistopathology 2002 Identification of NMO-IgG and its targeted antigen Wingerchuk et al.’s revised diagnostic criteria and definition of neuromyelitis optic spectrum disorder 2004, 2005 2006, 2007 Distribution of publications in neuromyelitis optica by periods 2500 2011(72,7%) 2000 1500 1000 Distribution of publications from 1844 to 2013 740 (26,8%) 50.00% 45.00% 44.29% 500 40.00% 35.00% 0 15 (0,5%) 1844-1899 1900-1999 2000-2013 30.00% 28.42% 25.00% Conclusion 20.00% There has been a tremendous increase in the growth of 15.00% 10.92% 10.00% 5.00% 4.88% 2.86% 0.00% 0.04% 0.04% 0.04% 0.07% 0.22% 0.14% 0.22% 0.07% 0.04% 0.14% 0.29% 1.48% 5.86% scientific publications on NMOSD. Growth rates are higher following publication of the most significant advances in the understanding of the disease.