Evidence map›Paper›PMID 30078176›Full record

SynthesisAdvances in therapy2018

A Targeted Literature Review Examining Biologic Therapy Compliance and Persistence in Chronic Inflammatory Diseases to Identify the Associated Unmet Needs, Driving Factors, and Consequences.

Nikos Maniadakis, Emese Toth, Michael Schiff, Xuan Wang, Maria Nassim, Boglarka Szegvari, Irina Mountian, Jeffrey R Curtis

Abstract readSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Patient Experience with the SensoReadyPatient preference and adherence · 2024
    Article
  17. Article
  18. Review
  19. Design Development of the SMARTCLICAdvances in therapy · 2023
    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.

Nikos ManiadakisDepartment of Health Services Organization and Management, National School of Public Health, Athens, Greece. nmaniadakis@esdy.edu.gr.
Emese TothUCB Pharma, Brussels, Belgium. Emese.Toth@ucb.com.
Michael SchiffUniversity of Colorado School of Medicine, Denver, CO, USA.
Xuan WangICON plc, Stockholm, Sweden.
Maria NassimICON plc, Stockholm, Sweden.
Boglarka SzegvariUCB Pharma, Brussels, Belgium.
Irina MountianUCB Pharma, Brussels, Belgium.
Jeffrey R CurtisUniversity of Alabama at Birmingham, Birmingham, AL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic inflammatory diseases (CIDs) represent a substantial clinical and economic burden to patients, providers, payers and society overall. Biologics, such as tumor necrosis factor inhibitors (TNFi), have emerged as effective treatment options for patients with CIDs. However, the therapeutic potential of biologics is not always achieved in clinical practice, with results from studies examining the use of biologics in real-world settings suggesting lower levels of treatment effectiveness compared with clinical trial results. Using a targeted approach, this literature review demonstrates that compliance and persistence with biologic therapy is suboptimal and that this has implications for both clinical outcomes and treatment costs. The review identified a variety of predictors of treatment compliance and persistence, including increased age, female gender, presence of comorbidities, increased disease activity, longer disease duration, smoking, increased body mass index, higher biologic treatment dose, higher treatment cost and lower health-related quality-of-life scores. Patients often cited factors associated with medication delivery as a reason for non-compliance and non-persistence, and device-related improvements to treatment delivery were associated with higher rates of compliance and persistence. The articles identified in this review provide insights that have the potential to help guide the development of new solutions to improve disease management and optimize treatment regimens. This has the potential to benefit patients' health by improving clinical outcomes and to reduce the burden to society by limiting the economic impact of patients' disease.

fundingUCB Pharma.

Indexed as

Drug MonitoringAge FactorsAutoimmune DiseasesBiological ProductsBiological TherapyBody Mass IndexComorbidityHealth ExpendituresHumansQuality of LifeRetrospective StudiesRisk FactorsSex FactorsSmokingTime FactorsTreatment OutcomeBiological ProductsTumor Necrosis Factor-alphaBiologic DMARDClinical outcomesMedication adherenceMedication persistencePatient complianceTumor necrosis factor inhibitors

Identifiers

PMID30078176
PMCPMC6133150

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.