Evidence map›Paper›PMID 27048254›Full record

ArticleThe Korean journal of internal medicine2018

Drug survival and the associated predictors in South Korean patients with rheumatoid arthritis receiving tacrolimus.

Eun-Young Park, Seung-Geun Lee, Eun-Kyoung Park, Dong-Wan Koo, Ji-Heh Park, Geun-Tae Kim, Hee-Sang Tag, Hyun-Ok Kim, Young-Sun Suh

Open access · goldAbstract read
In one paragraph

Article in The Korean journal of internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
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

5 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Eun-Young ParkDivision of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.
Seung-Geun LeeDivision of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.
Eun-Kyoung ParkDivision of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.
Dong-Wan KooDivision of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.
Ji-Heh ParkDivision of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.
Geun-Tae KimDivision of Rheumatology, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Hee-Sang TagDivision of Rheumatology, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Hyun-Ok KimDivision of Rheumatology, Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.
Young-Sun SuhDivision of Rheumatology, Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.
Pusan National University Hospital · KRGyeongsang National University · KRKosin University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo investigate the drug survival rate of tacrolimus (TAC) and analyze the potential predictors of this rate in patients with rheumatoid arthritis (RA) in routine care. METHODS2018-01-16: In this retrospective longitudinal study, we enrolled 102 RA patients treated with TAC from April 2009 to January 2014 at a tertiary center in South Korea. The causes of TAC discontinuation were classified as lack of efficacy (LOE), adverse events (AEs), and others. The drug survival rate was estimated using the Kaplan-Meier method and the predictors of this rate were identified by Cox-regression analyses.

resultsTAC was discontinued in 27 of 102 RA patients (26.5%). The overall 1-, 2-, 3-, and 4-year TAC continuation rates were 81.8%, 78.4%, 74.2%, and 69.1%, respectively and the median follow-up period from the start of TAC was 32.5 months. The number of TAC discontinuations due to LOE, AEs, and others were 15 (55.6%), 11 (40.7 %), and 1 (3.7%), respectively. The baseline high disease activity was a significant risk factor for TAC discontinuation after adjusting for confounding factors (hazard ratio [HR], 2.49; 95% confidence interval [CI], 1.16 to 5.35;

conclusionsIn our study, TAC showed a good overall survival rate in patients with RA in real clinical practice. This suggests that the long-term TAC therapy has a favorable efficacy and safety profile for treating RA.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidDrug Therapy, CombinationFemaleHumansImmunosuppressive AgentsKaplan-Meier EstimateRepublic of KoreaRetrospective StudiesTacrolimusTreatment OutcomeWithholding TreatmentAntirheumatic AgentsImmunosuppressive AgentsTacrolimusArthritis, rheumatoidDrug survivalSafetyTacrolimusTreatment outcome

Identifiers

PMID27048254
PMCPMC5768536
OpenAlexW2330105883

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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.