Evidence map›Paper›PMID 29272556›Full record

ArticleBritish journal of clinical pharmacology2018

Characterization of adherence and persistence profile in a real-life population of patients treated with adalimumab.

Omer Gendelman, Dahlia Weitzman, Vered Rosenberg, Varda Shalev, Gabriel Chodick, Howard Amital

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
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  16. A Six Sigma framework to successfully manage medication adherence.British journal of clinical pharmacology · 2019
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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

6 authors.

Omer GendelmanDepartment of Medicine B, Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Israel.
Dahlia WeitzmanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Vered RosenbergSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Varda ShalevSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Gabriel ChodickSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Howard AmitalDepartment of Medicine B, Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0002-5406-7716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPublished data on long-term adherence and persistence with adalimumab (Humira

methodsWe analysed data originating from the electronic database of Maccabi Healthcare Services (MHS) that includes 2.1 million enrolees. We randomly selected patients with at least one dispense of adalimumab since it was included in the local health basket in Israel in 2008 until the end of 2013. Patients with the following indications (n = 1339) were included: Crohn's disease (CD), ulcerative colitis (UC), rheumatoid arthritis (RA), psoriatic arthritis (PSA), ankylosing spondylitis (AS) and psoriasis. Adherence with therapy was assessed by the medication possession ratio (MPR) during the follow-up period.

resultsGood adherence (MPR ≥ 80%) was observed among 80% of study patients and was associated with lower risk for ≥1 hospitalization per year of follow-up (adjusted-OR = 1.94, 95% CI:1.15-3.28). Patients with AS and CD persisted on adalimumab therapy the most, reaching median use of 27.0 and 26.7 months, respectively. Half (52.4%) of the patients discontinued treatment during a mean (SD) follow-up of 3.07 (1.71) years. High socioeconomic status was associated with lower risk for discontinuation (adjusted-HR = 0.74; 0.60-0.91). UC and concomitant prednisolone use were associated with increased risk for treatment discontinuation (HR = 1.31; 1.00-1.72, and HR = 1.40; 1.17-1.68, respectively).

conclusionOur results indicate encouraging persistence and adherence with adalimumab of patients with inflammatory conditions.

Indexed as

Drug MonitoringAdalimumabAdolescentAdultAgedAged, 80 and overAnti-Inflammatory AgentsChildChild, PreschoolCohort StudiesFemaleFollow-Up StudiesHospitalizationHumansInflammationIsraelAdalimumabAnti-Inflammatory AgentsAdalimumabadherencecompliancepersistencerheumatoid arthritis

Identifiers

PMID29272556
PMCPMC5867139

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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.