Evidence map›Paper›PMID 26978569›Full record

ArticleMedical care2016

Disparities in Discontinuing Rosiglitazone Following the 2007 FDA Safety Alert.

Danya M Qato, Amal N Trivedi, Vincent Mor, David D Dore

Abstract read
In one paragraph

Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Repurposing rosiglitazone, a PPAR-γ agonist and oral antidiabetic, as an inhaled formulation, for the treatment of PAH.Journal of controlled release : official journal of the Controlled Release Society · 2018
    Article
  8. 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.

Danya M Qato*Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI †Optum Epidemiology, Waltham, MA.
Amal N Trivedi
Vincent Mor
David D Dore

Funding

NRSA Postdoctoral Comparative Effectiveness Development Training AwardT32HS019657 · AHRQ · BROWN UNIVERSITY · PI MOR, VINCENT · 2010 to 2010
$860k
AHRQ HHS T32 HS019657AHRQ HHS T32HS019657-01
6 · The paper itself

Abstract

backgroundResponsiveness to the Food and Drug Administration (FDA) rosiglitazone safety alert, issued on May 21, 2007, has not been examined among vulnerable subpopulations of the elderly.

objectiveTo compare time to discontinuation of rosiglitazone after the safety alert between black and white elderly persons, and across sociodemographic and economic subgroups. RESEARCH

designA cohort study. SUBJECTS: Medicare fee-for-service enrollees in 2007 who were established users of rosiglitazone identified from a 20% national sample of pharmacy claims. MEASURES: Outcome of interest was time to discontinuation of rosiglitazone after the May alert. We modeled the number of days following the warning to the end of the days' supply for the last rosiglitazone claim during the study period (May 21, 2007-December 31, 2007) using multivariable proportional hazards models.

resultsMore than 67% of enrollees discontinued rosiglitazone within six months of the advisory. In adjusted analysis, white enrollees (hazard ratio=0.90; 95% confidence interval, 0.86-0.94) discontinued rosiglitazone later than the comparison group of black enrollees. Enrollees with a history of low personal income also discontinued later than their comparison group (hazard ratio=0.84; 95% confidence interval, 0.81-0.87). There were no observed differences across quintiles of area-level socioeconomic status.

conclusionsWhite race and a history of low personal income modestly predicted later discontinuation of rosiglitazone after the FDA's safety advisory in 2007. The impact of FDA advisories can vary among sociodemographic groups. Policymakers should continue to monitor whether risk management policies reach their intended populations.

Indexed as

Drug MonitoringAgedAged, 80 and overBlack or African AmericanCohort StudiesFemaleHealthcare DisparitiesHumansHypoglycemic AgentsMaleMedicare Part DProportional Hazards ModelsRosiglitazoneSafety-Based Drug WithdrawalsThiazolidinedionesUnited StatesHypoglycemic AgentsRosiglitazoneThiazolidinediones

Identifiers

PMID26978569
PMCPMC4807625

What OpenQuestion holds

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Registered trials

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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.