Evidence map›Paper›PMID 27825322›Full record

ArticleBMC musculoskeletal disorders2016

Rheumatoid arthritis patient perceptions on the value of predictive testing for treatments: a qualitative study.

Kanta Kumar, Sarah Peters, Anne Barton, MATURA

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Patient preferences for rheumatoid arthritis treatment.Current opinion in rheumatology · 2019
    Review
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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

4 authors at 2 institutions in 1 country.

Kanta KumarSchool of Health Sciences, University of Manchester, Manchester, M13 9PL, UK. Kanta.kumar@manchester.ac.uk.
Sarah PetersManchester Centre for Health Psychology, School of Health Sciences, Manchester, M13 9PL, UK.
Anne BartonArthritis Research UK Centre for Genetics and Genomics Centre for Musculoskeletal Research, Institution of Inflammation and Repair, University of Manchester, Manchester, M13 9PL, UK.
MATURA
Manchester Academic Health Science Centre · GBUniversity of Manchester · GB

Funding

Arthritis Research UKMedical Research Council MR-K015346
6 · The paper itself

Abstract

backgroundRheumatoid arthritis (RA) is a long term condition that requires early treatment to control symptoms and improve long-term outcomes. Lack of response to RA treatments is not only a waste of healthcare resources, but also causes disability and distress to patients. Identifying biomarkers predictive of treatment response offers an opportunity to improve clinical decisions about which treatment to recommend in patients and could ultimately lead to better patient outcomes. The aim of this study was to explore the understanding of and factors affecting Rheumatoid Arthritis (RA) patients' decisions around predictive treatment testing.

methodsA qualitative study was conducted with a purposive sample of 16 patients with RA from three major UK cities. Four focus groups explored patient perceptions of the use of biomarker tests to predict response to treatments. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis by three researchers.

resultsData were organised within three interlinking themes: [1] Perceptions of predictive tests and patient preference of tests; [2] Utility of the test to manage expectations; [3] The influence of the disease duration on take up of predictive testing. During consultations for predictive testing, patients felt they would need, first, careful explanations detailing the consequences of untreated RA and delayed treatment response and, second, support to balance the risks of tests, which might be invasive and/or only moderately accurate, with the potential benefits of better management of symptoms.

conclusionsThis study provides important insights into predictive testing. Besides supporting clinical decision making, the development of predictive testing in RA is largely supported by patients. Developing strategies which communicate risk information about predictive testing effectively while reducing the psychological burden associated with this information will be essential to maximise uptake.

Indexed as

Decision MakingPerceptionQualitative ResearchAdultAgedAged, 80 and overArthritis, RheumatoidBiomarkersClinical Decision-MakingComprehensionFemaleFocus GroupsHumansMaleMiddle AgedReferral and ConsultationBiomarkersPatient perspectivePredictive testingRheumatoid arthritis

Identifiers

PMID27825322
PMCPMC5101686
OpenAlexW2550704714

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.