Evidence map›Paper›PMID 28398547›Full record

ArticleRheumatology (Oxford, England)2017

Patients' preferences for anti-osteoporosis drug treatment: a cross-European discrete choice experiment.

Mickaël Hiligsmann, Benedict G Dellaert, Carmen D Dirksen, Verity Watson, Sandrine Bours, Stefan Goemaere, Jean-Yves Reginster, Christian Roux, Bernie McGowan, Carmel Silke and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Review
  6. Determining patient preferences for the medical management of osteoporosis using conjoint analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
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  15. Understanding patients' preferences for osteoporosis treatment: the impact of patients' characteristics on subgroups and latent classes.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Mickaël HiligsmannDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht.
Benedict G DellaertDepartment of Business Economics, Erasmus School of Economics, Erasmus Rotterdam University, Rotterdam.
Carmen D DirksenDepartment of Clinical Epidemiology and Medical Technology Assessment, CAPHRI, Maastricht University, Maastricht, The Netherlands.
Verity WatsonHealth Economics Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Sandrine BoursDepartment of Internal Medicine, Maastricht University Medical Centre, CAPHRI, Maastricht, The Netherlands.
Stefan GoemaereDepartment of Rheumatology and Endocrinology, Ghent University Hospital, Gent.
Jean-Yves ReginsterDepartment of Public Health, Epidemiology and Health Economics, University of Liege, Liege, Belgium.
Christian RouxDepartment of Rheumatology, Paris Descartes University, Paris, France.
Bernie McGowanThe North Western Rheumatology Unit, Our Lady's Hospital, Manorhamilton, Co Leitrim, Ireland.
Carmel SilkeThe North Western Rheumatology Unit, Our Lady's Hospital, Manorhamilton, Co Leitrim, Ireland.
Bryan WhelanThe North Western Rheumatology Unit, Our Lady's Hospital, Manorhamilton, Co Leitrim, Ireland.
Adolfo Diez-PerezMusculoskeletal Research Unit and RETICEF, Universitat Autònoma de Barcelona, Barcelona, Spain.
Elisa TorresMusculoskeletal Research Unit and RETICEF, Universitat Autònoma de Barcelona, Barcelona, Spain.
Georgios PapadakisService of Endocrinology, Diabetology and Metabolism, CHUV, Lausanne University Hospital, Lausanne.
Rene RizzoliDivision of Bone Diseases, Geneva University Hospitals, Geneva, Switzerland.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
Gill PearsonMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
Annelies BoonenDepartment of Internal Medicine, Maastricht University Medical Centre, CAPHRI, Maastricht, The Netherlands.

Funding

Chief Scientist Office HERU1Medical Research Council G0400491Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

Objectives: To estimate the preferences of osteoporotic patients for medication attributes, and analyse data from seven European countries. Methods: A discrete choice experiment was conducted in Belgium, France, Ireland, the Netherlands, Spain, Switzerland and the UK. Patients were asked to choose repeatedly between two hypothetical unlabelled drug treatments (and an opt-out option) that varied with respect to four attributes: efficacy in reducing the risk of fracture, type of potential common side effects, and mode and frequency of administration. In those countries in which patients contribute to the cost of their treatment directly, a fifth attribute was added: out-of-pocket cost. A mixed logit panel model was used to estimate patients' preferences. Results: In total, 1124 patients completed the experiment, with a sample of between 98 and 257 patients per country. In all countries, patients preferred treatment with higher effectiveness, and 6-monthly subcutaneous injection was always preferred over weekly oral tablets. In five countries, patients also preferred a monthly oral tablet and yearly i.v. injections over weekly oral tablets. In the three countries where the out-of-pocket cost was included as an attribute, lower costs significantly contributed to the treatment preference. Between countries, there were statistically significant differences for 13 out of 42 attribute/level interactions. Conclusion: We found statistically significant differences in patients' preferences for anti-osteoporosis medications between countries, especially for the mode of administration. Our findings emphasized that international treatment recommendations should allow for local adaptation, and that understanding individual preferences is important if we want to improve the quality of clinical care for patients with osteoporosis.

Indexed as

Patient PreferenceSurveys and QuestionnairesAbsorptiometry, PhotonAdministration, OralAgedAttitude to HealthBelgiumBone Density Conservation AgentsCross-Sectional StudiesEuropeFemaleFranceHumansInjections, IntravenousInternationalityIrelandBone Density Conservation Agentscross-country comparisondiscrete choice experimentdrug treatmentosteoporosispatientspreferences

Identifiers

PMID28398547
PMCPMC5563450

What OpenQuestion holds

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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.