Evidence map›Paper›PMID 30353386›Full record

ArticleClinical rheumatology2019

First-degree relatives of axial spondyloarthritis patients of the pre-SpA cohort would consider using medication in a preventive setting.

Janneke J de Winter, Henriëtte M de Jong, Pythia T Nieuwkerk, Irene E van der Horst-Bruinsma, Dominique L Baeten, Marleen G van de Sande

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Article
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.

Janneke J de WinterAmsterdam UMC, Department of Clinical Immunology and Rheumatology, Amsterdam Rheumatology & Immunology Center (ARC), Academic Medical Center/University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Henriëtte M de JongAmsterdam UMC, Department of Clinical Immunology and Rheumatology, Amsterdam Rheumatology & Immunology Center (ARC), Academic Medical Center/University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Pythia T NieuwkerkAmsterdam UMC, Department of Medical Psychology, University of Amsterdam, Meibergdreef 9, Amsterdam, Netherlands.
Irene E van der Horst-BruinsmaAmsterdam UMC, Department of Rheumatology, Amsterdam Rheumatology & Immunology Center (ARC), Vrije Universiteit Amsterdam, De Boelelaan, 1117, Amsterdam, Netherlands.
Dominique L BaetenAmsterdam UMC, Department of Clinical Immunology and Rheumatology, Amsterdam Rheumatology & Immunology Center (ARC), Academic Medical Center/University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Marleen G van de SandeAmsterdam UMC, Department of Clinical Immunology and Rheumatology, Amsterdam Rheumatology & Immunology Center (ARC), Academic Medical Center/University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands. m.g.vandesande@amc.uva.nl.

Funding

Reumafonds -
6 · The paper itself

Abstract

To study the willingness of first-degree relatives of axial spondyloarthritis (axSpA) patients to use preventive medication. First-degree relatives of HLA-B27-positive axSpA patients (pre-SpA cohort) (n = 106) completed a survey including scenarios varying in disease risk, side effects, and treatment effect of hypothetical preventive medication and questions about their perceived risk of developing SpA and assessment of the severity of SpA. The willingness to use preventive medication was 63.2-91.5% (with 30-70% SpA risk, respectively) and declined to 27.4-51.9% respectively, when side effects might occur. On a visual analogue scale (VAS) 0-100 mm (totally disagree-totally agree) (median;range), participants were not occupied by the thought of developing SpA (23;13-39), did not assume that they will eventually develop SpA (22;14-35), and consider SpA a severe disease (66;52-78). The willingness to use preventive medication was negatively influenced by their own risk assessment of developing SpA (OR = 1.17, p = .001) and was not primarily influenced by costs and route of administration. First-degree relatives of axSpA patients with a clearly increased disease risk (70%) would largely consider using preventive medication. Their willingness roughly halved by the possible occurrence of side effects. Participants' perceived risk to develop SpA and their assessment of the severity of SpA negatively influenced the willingness to use preventive medication.

Indexed as

Attitude to HealthChemopreventionFamilyPatient Acceptance of Health CarePrimary PreventionAdultCohort StudiesFemaleHLA-B27 AntigenHumansMaleRiskSpondylarthropathiesSpondylitis, AnkylosingVisual Analog ScaleYoung AdultHLA-B27 AntigenAxial spondyloarthritisPreventive medicationPrimary prevention

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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.