Evidence map›Paper›PMID 24470354›Full record

ArticleArthritis care & research2014

Understanding preferences for disease-modifying drugs in osteoarthritis.

Liana Fraenkel, Lisa Suter, Charles E Cunningham, Gillian Hawker

Abstract read
In one paragraph

Article in Arthritis care & research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Concern about addiction is associated with lower quality of life in patients with osteoarthritis: an exploratory, real-world data analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  12. Engaging patients and caregivers in prioritizing symptoms impacting quality of life for Duchenne and Becker muscular dystrophy.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  13. Article
  14. Patient Preferences Regarding Surgical Interventions for Knee Osteoarthritis.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Osteoarthritis year in review 2015: clinical.Osteoarthritis and cartilage · 2016
    Review
  20. Evolution of Pediatric Chronic Disease Treatment Decisions: A Qualitative, Longitudinal View of Parents' Decision-Making Process.Medical decision making : an international journal of the Society for Medical Decision Making · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Liana FraenkelYale University School of Medicine, New Haven, and VA Connecticut Healthcare System, West Haven.
Lisa Suter
Charles E Cunningham
Gillian Hawker

Funding

Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
NIAMS NIH HHS AR060231-01NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

objectiveNumerous disease-modifying drugs for osteoarthritis (DMOADs) are under investigation. However, patients' preferences for drugs to prevent progression of OA are not known. The objective of this study was to quantify patient preferences for potential DMOADs.

methodsWe administered a conjoint analysis survey to 304 patients attending outpatient general medicine and specialty clinics. All patients seated in the waiting rooms were asked if they would participate in a survey to elicit opinions about arthritis treatments. We performed simulations to estimate preferences for 4 options to prevent worsening of knee OA: best case (pill, highest benefit, lowest risk, lowest cost), worst case (infusion, lowest benefit, highest risk, highest cost), moderate subcutaneous injection (injection, mid-level benefit, mid-level risk, mid-level cost), and moderate infusion (same as subcutaneous injection except administered by infusion).

resultsSubjects' median age was 57 years; 55% were women and 76% were white. Segmentation analyses revealed 4 patterns of preferences. A minority (5%) did not want to perform subcutaneous injections and would only consider DMOADs under the best-case scenario. Approximately 20% were risk sensitive and were willing to take DMOADs under the best-case scenario, but would start rejecting these medications as risk increased. A significant number rejected DMOADs under all conditions (16.4%); however, the largest segment (59.2%) had a strong preference for DMOADs across all scenarios.

conclusionOur results suggest that a significant percentage of a nonselected outpatient population might be willing to accept at least a moderate degree of risk in order to prevent worsening knee OA.

Indexed as

Patient PreferenceAdultAgedAged, 80 and overAntirheumatic AgentsDrug Administration ScheduleFemaleHumansMaleMiddle AgedOsteoarthritis, KneeSurveys and QuestionnairesAntirheumatic Agents

Identifiers

PMID24470354
PMCPMC4112164

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.