Evidence map›Paper›PMID 30455389›Full record

ArticleBMJ open2018

Healthcare professionals' perceptions and perspectives on biosimilar medicines and the barriers and facilitators to their prescribing in UK: a qualitative study.

Mohammed Ibrahim Aladul, Raymond William Fitzpatrick, Stephen Robert Chapman

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Individual Prescribing Incentives for Biosimilars in Selected European Countries and the USA: a Scoping Literature Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
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  12. Biosimilars for Australian Dermatologists.The Australasian journal of dermatology · 2025
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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

3 authors.

Mohammed Ibrahim AladulSchool of Pharmacy, Keele University, Newcastle-Under-Lyme, UK.ORCID 0000-0002-7368-3469
Raymond William FitzpatrickSchool of Pharmacy, Keele University, Newcastle-Under-Lyme, UK.
Stephen Robert ChapmanSchool of Pharmacy, Keele University, Newcastle-Under-Lyme, UK.ORCID 0000-0002-0326-7742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate UK healthcare professionals' perceptions and perspectives towards biosimilar infliximab, etanercept and insulin glargine and the potential barriers and facilitators to their prescribing.

designA cross-sectional qualitative study design was used.

settingFive hospitals within the West Midlands area in UK.

interventions30 min face-to-face, semistructured interviews of healthcare professionals.

participants22 healthcare professionals (consultants, nurses and pharmacists) participated in the semistructured interviews. OUTCOMES: Participants' opinion and attitudes about biosimilars and the barriers and facilitators to the prescribing of infliximab, etanercept and insulin glargine biosimilars in gastroenterology, rheumatology and diabetology specialties.

resultsThis study showed that UK healthcare professionals had good knowledge of biosimilars and were content to initiate them. Healthcare professionals disagreed with biosimilar auto-substitution at pharmacy level and multiple switching. Subtle differences among healthcare professionals were identified in the acceptance of switching stable patients, indication extrapolation and cost savings sharing.

conclusionSafety and efficacy concerns, patients' opinion and how cost savings were shared were the identified barriers to considering prescribing biosimilars. Real-life data and financial incentives were the suggested facilitators to increase biosimilar utilisation.

Indexed as

Attitude of Health PersonnelPractice Patterns, Physicians'AdultAgedBiosimilar PharmaceuticalsDrug SubstitutionEndocrinologyFemaleGastroenterologyHumansMaleMiddle AgedNursesPharmacistsPhysician-Patient RelationsPhysiciansBiosimilar Pharmaceuticalsgastroenterologyhealth policyqualitative researchrheumatology

Identifiers

PMID30455389
PMCPMC6252648

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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.