Evidence map›Paper›PMID 30271124›Full record

ArticlePatient preference and adherence2018

Patterns and predictors of long-term retention of inflammatory bowel or rheumatoid disease patients on innovator infliximab: an analysis of a Canadian prescriptions claims database.

Philip A Baer, Guy Aumais, Emmanuel M Ewara, Majed Khraishi, A Marilise Marrache, Remo Panaccione, John P Wade, John K Marshall

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 4 countries.

Philip A BaerBaer Weinberg MPC, Scarborough, ON.
Guy AumaisDepartment of Medicine, Université de Montréal, Gastro-enterology Unit, Hôpital Maisonneuve-Rosemont, Montréal, QC.
Emmanuel M EwaraGovernment Affairs and Market Access, Janssen Inc., Toronto, ON.
Majed KhraishiMedical Affairs, Janssen Inc., Toronto, ON.
A Marilise MarracheFaculty of Medicine, Division of Rheumatology, Memorial University of Newfoundland and Nexus Clinical Research, St John's, NL.
Remo PanaccioneInflammatory Bowel Disease Unit, Department of Medicine, University of Calgary, Calgary, AB.
John P WadeDepartment of Medicine, Division of Rheumatology, University of British Columbia, Vancouver, BC.
John K MarshallDepartment of Medicine, Division of Gastroenterology, McMaster University and Farncombe Family Digestive Health Research Institute, Hamilton, ON, Canada, marshllj@mcmaster.ca.
Digestive Health Research Institute · FRGovernment of Ontario · CAHôpital Maisonneuve-Rosemont · CAJanssen (Belgium) · BEMemorial University of Newfoundland · CAUniversity of British Columbia · CAUniversity of Calgary · CAWeinberg Medical Physics (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term effectiveness is an important factor when considering treatment decisions.

objectiveTo determine the long-term retention patterns of Canadian inflammatory bowel disease (IBD) and rheumatologic disease (RD) patients, including rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis, treated with innovator infliximab (IFX) and to assess the impact of year-over-year cumulative IFX exposure on retention in both patient populations. PATIENTS AND

methodsThis analysis used a Canadian longitudinal prescription claims database to measure retention on IFX over a period of 5 years. Twelve-month unadjusted odds ratios of retention by time on IFX were calculated for the overall cohort, and within-group comparisons evaluated differences according to age, sex, region, insurance coverage, use of concomitant immunosuppressant therapy, indication (RD cohort only), and previous biologic experience. Between-group analyses compared unadjusted 5-year retention among the same variables. Variables that were independently associated with longer retention on IFX were identified using multivariable regression.

resultsSeven thousand eight hundred and six IBD patients and 2,935 RD patients on stable treatment with IFX were included in the analysis. Sixty-nine percent of IBD patients and 66% of RD patients were retained on IFX after 1 year and 33% and 29%, respectively, were retained after 5 years. Moreover, the probability of being retained on IFX significantly increased with cumulative time on IFX. Independent predictors of 5-year retention included sex, region, and type of insurance coverage among IBD patients and region, type of insurance, prior biologic therapy, and specific indication among RD patients. Patients with IBD were 17% more likely to be retained on IFX over 5 years compared to patients with RD.

conclusionReal-world Canadian IBD and RD patients on IFX have good overall long-term treatment retention. Previous duration of IFX treatment predicts better future retention, and this knowledge could help inform treatment decisions when patients have been stable on IFX treatment for varying periods of time.

Indexed as

administrative databaseanti-TNF drugsbiologicalsinflammationretention

Identifiers

PMID30271124
PMCPMC6154729
OpenAlexW2892133419

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.