Evidence map›Paper›PMID 28255739›Full record

Observational studyClinical rheumatology2017

Are abatacept and tocilizumab intravenous users willing to switch for the subcutaneous route of administration? A questionnaire-based study.

Marie Desplats, Tristan Pascart, Germain Jelin, Laurène Norberciak, Peggy Philippe, Eric Houvenagel, Vincent Goeb, René-Marc Flipo

Abstract 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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
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  8. Observational
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  10. Review
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  15. Observational
  16. Review
  17. Patient preferences for rheumatoid arthritis treatment.Current opinion in rheumatology · 2019
    Review
  18. Article
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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

8 authors.

Marie DesplatsDepartment of Rheumatology, Lille University, CHRU Lille, 2 avenue Oscar Lambret, 59000, Lille, France.
Tristan PascartDepartment of Rheumatology, Lille University, Saint Philibert Hospital, Rue du Grand But, 59462, Lomme Cedex, France. pascart.tristan@ghicl.net.
Germain JelinDepartment of Rheumatology, Amiens University, University Hospital of Amiens-Picardie, Hôpital Nord Place Victor Pauchet, 80054, Amiens Cedex 1, France.
Laurène NorberciakDepartment of biomedical research, Lille University, Saint Philibert Hospital, Rue du Grand But, 59462, Lomme Cedex, France.
Peggy PhilippeDepartment of Rheumatology, Lille University, CHRU Lille, 2 avenue Oscar Lambret, 59000, Lille, France.
Eric HouvenagelDepartment of Rheumatology, Lille University, Saint Philibert Hospital, Rue du Grand But, 59462, Lomme Cedex, France.
Vincent GoebDepartment of Rheumatology, Amiens University, University Hospital of Amiens-Picardie, Hôpital Nord Place Victor Pauchet, 80054, Amiens Cedex 1, France.
René-Marc FlipoDepartment of Rheumatology, Lille University, CHRU Lille, 2 avenue Oscar Lambret, 59000, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Choosing the subcutaneous (SC) route of administration of abatacept and tocilizumab is more cost-effective than the intravenous (IV) route. The objective of this study was to examine patients' reasons for choosing to keep with their IV infusions or to switch to subcutaneous SC injections. This study was based upon a self-administered questionnaire given to consecutive rheumatoid arthritis patients treated with abatacept or tocilizumab. Patients were asked to express their opinions concerning reasons explaining why they chose to keep the IV route or switch to the SC route. A total of 201 questionnaires completed by 127 patients treated by tocilizumab and 74 by abatacept were analysed. Overall, 45.8% of the patients chose to keep the IV route of administration. Another ongoing SC treatment was noted more often in patients choosing the SC route (15.9 versus 4.3%, p < 0.05). Reasons guiding the choice of the SC route were concerns about repeated hospital day-care (72%), greater autonomy with SC injections (38.7%) and economic considerations (21.5%). Reasons associated with choosing to maintain the IV route were worries about a lack of follow-up (72.1%), the absence of medical assistance during the SC injection (61.2%), maintaining social relationships with other patients developed at the hospital (40.5%), lower frequency of injection (32.9%), fear of adverse events (27.7%) and fear of SC injections (17.9%). Patients reject the SC switch from the IV route of tocilizumab and abatacept mainly because of fears about the unknown SC route, while those who accept it find it more convenient.

Indexed as

AbataceptAgedAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidCross-Sectional StudiesFemaleHumansInfusions, IntravenousInjections, SubcutaneousMaleMiddle AgedPatient PreferenceSurveys and QuestionnairesAbataceptAntibodies, Monoclonal, HumanizedAntirheumatic AgentstocilizumabBiologicsPatients’ preferencesRheumatoid arthritisRoute of administration

Identifiers

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.