Evidence map›Paper›PMID 30766912›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2019

Persistence and adherence to rivastigmine in patients with dementia: Results from a noninterventional, retrospective study using the National Health Insurance research database of Taiwan.

Chee-Jen Chang, Tse-Chih Chou, Chiung-Chih Chang, Ta-Fu Chen, Chaur-Jong Hu, Jong-Ling Fuh, Wenfu Wang, Chiung-Mei Chen, Winco Hsu, Chin-Chang Huang

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

10 authors at 8 institutions in 1 country.

Chee-Jen ChangGraduate Institute of Clinical Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Tse-Chih ChouClinical Informatics & Medical Statistics Research Center, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chiung-Chih ChangCognition and Aging Center, Department of Neurology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Ta-Fu ChenDepartment of Neurology, National Taiwan University Hospital, College of Medicine, Taipei, Taiwan.
Chaur-Jong HuDepartment of Neurology, Shuang Ho Hospital, College of Medicine, Taipei Medical University, New Taipei, Taiwan.
Jong-Ling FuhDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Wenfu WangDepartment of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
Chiung-Mei ChenDepartment of Neurology, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Winco HsuNovartis (Taiwan) Co. Ltd., Taipei, Taiwan.
Chin-Chang HuangDepartment of Neurology, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chang Gung University · TWChang Gung Memorial Hospital · TWChanghua Christian Hospital · TWNational Taipei University · TWNational Taiwan University Hospital · TWNovatek Microelectronics (Taiwan) · TWTaipei Medical University-Shuang Ho Hospital · TWTaoyuan Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of the study was to assess adherence and persistence of patients treated with rivastigmine versus donepezil.

methodsPersistence was calculated as the time from the first prescription date of rivastigmine/donepezil until discontinuation/medication switch/end of available data, whichever occurred first. Adherence was calculated as proportion of days covered and medication possession ratio.

resultsA majority of patients persisted on 4.5 and 6 mg of rivastigmine for 429 and 468 days, respectively, versus 443 and 441 days for patients receiving 5 and 10 mg of donepezil daily, respectively. Patients who initially received 1.5 mg of oral rivastigmine required a shorter time to reach a stable dose compared with those who initiated treatment at a higher dose of rivastigmine. Patients at a stable dose of 4.5 or 6 mg of rivastigmine were observed to persist longer than those at a lower dose of rivastigmine and donepezil. DISCUSSION: Although results indicate significant difference in persistence between rivastigmine and donepezil groups, clinical significance remains undetermined.

Indexed as

AdherenceDonepezilNational Health Insurance Research DatabasePersistenceRivastigmine

Identifiers

PMID30766912
PMCPMC6360604
OpenAlexW2884567560

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.