Evidence map›Paper›PMID 30822348›Full record

ArticlePloS one2019

Causes of synthetic disease-modifying drug discontinuation in rheumatoid arthritis: Data from a large real-life cohort.

Ana Paula Monteiro Gomides, Cleandro Pires de Albuquerque, Ana Beatriz Vargas Santos, Rodrigo Balbino Chaves Amorim, Manoel Barros Bértolo, Paulo Louzada Júnior, Isabela Araújo Santos, Rina Dalva Neubarth Giorgi, Nathalia de Carvalho Sacilotto, Sebastião Cezar Radominski and 15 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 12 institutions in 1 country.

Ana Paula Monteiro GomidesDepartamento de Reumatologia, Universidade de Brasília, Brasília, Distrito Federal, Brazil.ORCID 0000-0003-2884-2210
Cleandro Pires de AlbuquerqueDepartamento de Reumatologia, Universidade de Brasília, Brasília, Distrito Federal, Brazil.
Ana Beatriz Vargas SantosDepartamento de Reumatologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Rodrigo Balbino Chaves AmorimDepartamento de Reumatologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Manoel Barros BértoloDepartamento de Reumatologia, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
Paulo Louzada JúniorDepartamento de Reumatologia, Faculdade de Medicina da Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Isabela Araújo SantosDepartamento de Reumatologia, Faculdade de Medicina da Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Rina Dalva Neubarth GiorgiDepartamento de Reumatologia, Instituto de Assistência Médica ao Servidor Público Estadual, Hospital do Servidor Público Estadual de São Paulo, São Paulo, São Paulo, Brazil.
Nathalia de Carvalho SacilottoDepartamento de Reumatologia, Instituto de Assistência Médica ao Servidor Público Estadual, Hospital do Servidor Público Estadual de São Paulo, São Paulo, São Paulo, Brazil.
Sebastião Cezar RadominskiDepartamento de Reumatologia, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Fernanda Maria BorghiDepartamento de Reumatologia, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.
Maria Fernanda B Resende GuimarãesDepartamento de Reumatologia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Maria Raquel da Costa PintoDepartamento de Reumatologia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0001-7093-830X
Gustavo Gomes ResendeDepartamento de Reumatologia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Karina Rossi BonfiglioliDepartamento de Reumatologia, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Henrique Carriço da SilvaDepartamento de Reumatologia, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Maria de Fátima Lobato da Cunha SaumaDepartamento de Reumatologia, Universidade Federal do Pará, Belém, Pará, Brazil.
Marcel Lobato SaumaDepartamento de Reumatologia, Universidade Federal do Pará, Belém, Pará, Brazil.
Júlia Brito de MedeirosDepartamento de Reumatologia, Universidade Federal do Pará, Belém, Pará, Brazil.
Ivânio Alves PereiraDepartamento de Reumatologia, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Gláucio Ricardo Wernwer de CastroDepartamento de Reumatologia, Universidade do Sul de Santa Catarina- Unisul, Florianópolis, Santa Catarina,Brazil.
Claiton Viegas BrenolDepartamento de Reumatologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Ricardo Machado XavierDepartamento de Reumatologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Licia Maria Henrique da MotaDepartamento de Reumatologia, Universidade de Brasília, Brasília, Distrito Federal, Brazil.
Geraldo da Rocha Castelar PinheiroDepartamento de Reumatologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Universidade de São Paulo · BRUniversidade de Brasília · BRUniversidade do Estado do Rio de Janeiro · BRUniversidade Federal de Minas Gerais · BRUniversidade Federal do Pará · BRHospital do Servidor Público Estadual · BRUniversidade Federal do Rio Grande do Sul · BRUniversidade do Sul de Santa Catarina · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Estadual de Maringá · BRUniversidade Federal de Santa Catarina · BRUniversidade Federal do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of rheumatoid arthritis (RA) has evolved rapidly in recent years. Nonetheless, conventional synthetic disease-modifying drugs (csDMARDs) remain the gold standard for RA treatment. The treatment for RA is expensive and this has a negative impact on public health. Given the low cost of csDMARDs compared to those of other treatment strategies, it is important to manage this type of treatment properly. Information on the duration of use of each drug and the reasons for their discontinuation is relevant to medical practitioners as it could improve the information available regarding side effects and their proper management. Moreover, data from clinical practice in the population can provide health care managers with information for resource allocation and optimization of csDMARD use with a consequent cost reduction in the treatment of RA. In this cross-sectional study, we aimed to describe the use of csDMARDs in public health services in Brazil, emphasizing on the duration of use and reasons for discontinuation of each drug. This study is a part of the REAL, a multicenter project that evaluated Brazilian patients with RA from eleven rheumatology services from August to October 2015. Patients were examined clinically, and an analysis of complementary exams and medical records was performed. A total of 1125 patients were included. 98.5% were women with a median age of 55.6 years. 36% and 90.84% patients were using biological disease-modifying drugs (bDMARDs) and csDMARDs, respectively. The duration of use and doses of each medication and the causes of suspension were analyzed. Most of the patients analyzed in this study were using csDMARDs for prolonged periods and methotrexate showed the longest duration of use. Interruption indexes due to ineffectiveness and side effects were analyzed. The knowledge of common adverse effects may alert attending physicians to the proper management of effective and low-cost therapeutic groups.

Indexed as

AdultAntirheumatic AgentsArthritis, RheumatoidBrazilCross-Sectional StudiesFemaleHumansLeflunomideMaleMedication AdherenceMethotrexateMiddle AgedSynthetic DrugsTreatment FailureAntirheumatic AgentsLeflunomideMethotrexateSynthetic Drugs

Identifiers

PMID30822348
PMCPMC6396919
OpenAlexW2920667164

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.