Evidence map›Paper›PMID 28243760›Full record

Observational studyClinical rheumatology2017

Switching profiles in a population-based cohort of rheumatoid arthritis receiving biologic therapy: results from the KOBIO registry.

Dong-Jin Park, Sung Jae Choi, Kichul Shin, Hyoun-Ah Kim, Yong-Beom Park, Seong Wook Kang, Seung-Ki Kwok, Seong-Kyu Kim, Eon Jeong Nam, Yoon-Kyoung Sung and 4 more

Open access · greenAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical rheumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 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

14 authors at 13 institutions in 1 country.

Dong-Jin ParkDepartment of Rheumatology, Chonnam National University Hospital & Medical School, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea.
Sung Jae ChoiDivision of Rheumatology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, South Korea.
Kichul ShinDepartment of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea.
Hyoun-Ah KimDepartment of Rheumatology, Ajou University Hospital, Ajou University School of Medicine, Suwon, South Korea.
Yong-Beom ParkDivision of Rheumatology, Department of Internal Medicine, Yonsei University, Seoul, South Korea.
Seong Wook KangDepartment of Internal Medicine, Chungnam National University School of Medicine, Daejeon, South Korea.
Seung-Ki KwokDivision of Rheumatology, Department of Internal Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Seong-Kyu KimDepartment of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea.
Eon Jeong NamDepartment of Internal Medicine, Kyungpook National University School of Medicine, Daegu, South Korea.
Yoon-Kyoung SungDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea.
Jaejoon LeeDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Chang Hoon LeeDivision of Rheumatology, Department of Internal Medicine, School of Medicine, Wonkwang University, Iksan, South Korea.
Chan Hong JeonDivision of Rheumatology, Department of Internal Medicine, Soonchunhyang University Hospital, Bucheon, South Korea.
Shin-Seok LeeDepartment of Rheumatology, Chonnam National University Hospital & Medical School, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea. shinseok@chonnam.ac.kr.
Chonnam National University Hospital · KRAjou University Hospital · KRAnsan University · KRCatholic University of Korea · KRChungnam National University · KRDaegu Catholic University · KRHanyang University Seoul Hospital · KRKyungpook National University · KRSamsung Medical Center · KRSNUH SMG-SNU Boramae Medical Center · KRSoonchunhyang University Hospital Seoul · KRWonkwang University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite improved quality of care for rheumatoid arthritis (RA) patients, many still experience treatment failure with a biologic agent and eventually switch to another biologic agent. We investigated patterns of biologic treatment and reasons for switching biologics in patients with RA. Patients with RA who had started on a biologic agent or had switched to another biologic agent were identified from the prospective observational Korean nationwide Biologics (KOBIO) registry. The KOBIO registry contained 1184 patients with RA at the time of initiation or switching of biologic agents. Patients were categorized according to the chronological order of the introduction of biologic agents, and reasons for switching biologics were also evaluated. Of the 1184 patients with RA, 801 started with their first biologic agent, 228 were first-time switchers, and 89 were second-time or more switchers. Second-time or more switchers had lower rheumatoid factor and anti-CCP positivity, and higher disease activity scores at the time of enrollment than the other groups. Among these patients, tocilizumab was the most commonly prescribed biologic agent, followed by adalimumab and etanercept. The most common reason for switching biologics was inefficacy, followed by adverse events, including infusion reactions, infections, and skin eruptions. Furthermore, the proportion of inefficacy, as a reason for switching, was significantly higher with respect to switching between biologics with different mechanisms of action than between biologics with similar mechanisms. In this registry, we showed diverse prescribing patterns and differing baseline profiles based on the chronological order of biologic agents.

Indexed as

RegistriesArthritis, RheumatoidBiological ProductsBiological TherapyC-Reactive ProteinDrug SubstitutionFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRepublic of KoreaTime FactorsTreatment OutcomeBiological ProductsC-Reactive ProteinBiologic agentsRegistryRheumatoid arthritisSwitching

Identifiers

PMID28243760
OpenAlexW2594517300

What OpenQuestion holds

Textmetadata
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.