About the Authors

Fernando Gracia

Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Writing – original draft, Writing – review & editing

fegra@medicospaitilla.com (FG); blas_armien@uip.edu.pa (BA)

Affiliations Universidad Interamericana de Panamá, Panamá City, Panamá, Hospital Santo Tomás, Panamá City, Panamá, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Panamá

Mario Larreategui

Roles Formal analysis, Investigation

Affiliation Hospital Anita Moreno-Ministerio de Salud, Los Santos, Panamá

Gaudencio Rodríguez

Roles Data curation, Formal analysis, Investigation

Affiliation Dirección Nacional de Finanzas-Ministerio de Salud, Panamá City, Panamá

Aaron Benzadón

Roles Formal analysis, Investigation

Affiliation Complejo Hospitalario Metropolitano Arnulfo Arias Madrid-Caja de Seguro Social, Panamá City, Panamá

Michelle Ortiz

Roles Data curation, Investigation

Affiliation Hospital Santo Tomás, Panamá City, Panamá

Divian Morales

Roles Data curation, Investigation

Affiliation Hospital Santo Tomás, Panamá City, Panamá

Claudia Domínguez

Roles Data curation, Formal analysis, Investigation, Methodology

Affiliation Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Panamá

Rosa Enith Carrillo

Roles Data curation, Formal analysis, Investigation, Methodology, Project administration

Affiliation Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Panamá

Carlos Valderrama

Roles Formal analysis, Investigation

Affiliation Hospital Regional Rafael Hernández-Caja de Seguro Social, Chiriquí, Panamá

Luís Lizán

Roles Formal analysis, Writing – original draft, Writing – review & editing

Affiliation Outcomes’10, Universitat Jaume I, Castellón, Spain

Blas Armién

Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Writing – original draft, Writing – review & editing

fegra@medicospaitilla.com (FG); blas_armien@uip.edu.pa (BA)

Affiliations Hospital Santo Tomás, Panamá City, Panamá, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá City, Panamá

Competing Interests

This study was partially supported by Dirección de Investigación, Universidad Interamericana de Panama (DI-UIP633800) and Novartis Pharmaceutical, S.A (AC) under unrestricted research grants, in collaboration with patients with MS. Blas Armién is a member of the SNI (Sistema Nacional de Investigación from SENACYT of Panamá). Participant Neurologist did not receive an honorarium or any other form of financial support related to the development of this manuscript. These competing interests do not alter our adherence to PLOS ONE policies on sharing data and materials.