Evidence map›Paper›PMID 30127649›Full record

ArticleOpen access rheumatology : research and reviews2018

Treatment patterns, health care resource utilization and costs of rheumatoid arthritis patients in Italy: findings from a retrospective administrative database analysis.

Walid Fakhouri, Pedro Lopez-Romero, Silvia Antonelli, Serena Losi, Veronica Rogai, Stefano Buda, Diego Sangiorgi, Valentina Perrone, Luca Degli Esposti

Open access · goldAbstract read
In one paragraph

Article in Open access rheumatology : research and reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 15 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

9 authors at 4 institutions in 3 countries.

Walid FakhouriEli Lilly & Company, Erl Wood, UK.
Pedro Lopez-RomeroEli Lilly & Company, Madrid, Spain.
Silvia AntonelliEli Lilly Italy S.p.A., Roma, Italy.
Serena LosiEli Lilly Italy S.p.A., Sesto Fiorentino, Italy.
Veronica RogaiEli Lilly Italy S.p.A., Sesto Fiorentino, Italy.
Stefano BudaCliCon S.r.l. Health, Economics & Outcomes Research, Ravenna, Italy, luca.degliesposti@clicon.it.
Diego SangiorgiCliCon S.r.l. Health, Economics & Outcomes Research, Ravenna, Italy, luca.degliesposti@clicon.it.
Valentina PerroneCliCon S.r.l. Health, Economics & Outcomes Research, Ravenna, Italy, luca.degliesposti@clicon.it.
Luca Degli EspostiCliCon S.r.l. Health, Economics & Outcomes Research, Ravenna, Italy, luca.degliesposti@clicon.it.
Health Economics and Outcomes Research (United Kingdom) · GBEli Lilly (Italy) · ITEli Lilly (Spain) · ESEli Lilly (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to: 1) describe treatment patterns and drug utilization profile (in terms of therapeutic strategy used, switch, persistence and drug consumption variation) among adult patients affected by rheumatoid arthritis (RA), and 2) estimate the health care resource utilization and its associated direct cost for the management of RA patients.

methodsA retrospective cohort analysis, using administrative databases of six Local Health Units in Italy, was performed. All adult patients with a confirmed diagnosis of RA between January 1, 2010 and December 31, 2014 were enrolled. The date of the first RA diagnosis according to the study criteria during the study period represented the index date (ID) for each patient. Patients enrolled were observed from the ID for at least 12 months (follow-up period), and their clinical characteristics were investigated for 12 months prior to the ID.

resultsA total of 10,401 patients with a confirmed RA diagnosis were included. Mean age was 63.0 years and 25% were male; 67% of patients were untreated at ID. During the followup period, 67.8% of patients treated with biologic agents were persistent with initial therapy, compared to 45.7% for patients on conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), while 11% of patients treated with biologic agents switched during the follow-up period, compared to 17.6% of csDMARDs-treated ones. At the end of the follow-up period, 14.7% of all patients in the analysis had an increase and 12.6% of them had a decrease in their initial drug consumption. The mean cost per RA patient was €3,743.

conclusionOur study showed that there is still much that needs to be learned about the prescription of csDMARDs and biologics to RA patients in Italy and to identify areas for future research. The knowledge of RA management in a real-life clinical setting could offer an opportunity to improve the management of RA in Italy.

Indexed as

drug utilizationreal-world datarheumatoid arthritistreatment patterns

Identifiers

PMID30127649
PMCPMC6091254
OpenAlexW2887425038

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.