Evidence map›Paper›PMID 31385283›Full record

ArticleAdvances in therapy2019

Retrospective Claims Analysis Indirectly Comparing Medication Adherence and Persistence Between Intravenous Biologics and Oral Small-Molecule Therapies in Inflammatory Bowel Diseases.

Kellyn Moran, Kyle Null, Zhongwen Huang, Trevor Lissoos, Sunanda Kane

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Consistent adherence to biologic therapies is critical for improving outcomes in asthma.The journal of allergy and clinical immunology. Global · 2026
    Article
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  13. Efficacy of JAK inhibitors in Ulcerative Colitis.Journal of Crohn's & colitis · 2020
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kellyn MoranU.S. Medical Affairs, Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL, USA.
Kyle NullU.S. Medical Affairs, Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL, USA.
Zhongwen HuangU.S. Medical Affairs, Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL, USA.
Trevor LissoosU.S. Medical Affairs, Takeda Pharmaceuticals U.S.A., Inc., Deerfield, IL, USA.
Sunanda KaneDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA. kane.sunanda@mayo.edu.
Takeda (United States) · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients' adherence to and persistence on treatment for inflammatory bowel disease (IBD) can vary, depending on type and distribution of disease and treatment modality. We aim to identify differences in adherence and persistence with treatments with different administration routes (intravenous vs oral) in IBD.

methodsA retrospective cohort analysis of a claims database of adult patients diagnosed with IBD or rheumatoid arthritis (RA) who began treatment with vedolizumab, tofacitinib, or infliximab from January 2015 through December 2015. Adherence evaluated by proportion of days covered (PDC) and cumulative days with gaps at least 20% beyond expected interval (CG20) using multivariable generalized linear equation models. Persistence assessed as time to treatment discontinuation over 12 months of follow-up using Kaplan-Meier estimates and Cox proportional hazards models; proportion of persistent patients determined via multivariable logistic regression. Indirect comparisons across disease states adjusted using infliximab data.

resultsAfter indirect adjustment by disease, mean PDC difference was significantly higher (difference of 4.7%; P = 0.0376) and mean CG20 was lower (difference of 15 days; P = 0.0646) but not statistically significant in vedolizumab/IBD than tofacitinib/RA.

conclusionWe describe a novel adjustment method for interdisease treatment differences using infliximab treatment patterns to bridge differences between IBD and RA. After adjustment, adherence was higher with infusions than oral medications, which may affect outcomes. Indirect comparisons between vedolizumab and tofacitinib are not generalizable and should be confirmed in tofacitinib-treated IBD patients.

fundingTakeda Pharmaceuticals U.S.A., Inc.

Indexed as

Drug MonitoringAdministration, IntravenousAdministration, OralAdultAgedAntibodies, Monoclonal, HumanizedArthritis, RheumatoidBiological ProductsFemaleHumansInflammatory Bowel DiseasesInfliximabInsurance Claim ReviewMaleMedication Therapy ManagementMiddle AgedAntibodies, Monoclonal, HumanizedBiological ProductsInfliximabPiperidinesPyrimidinesPyrrolestofacitinibvedolizumabAdherenceDatabasesDrug administrationInflammatory bowel diseaseMonoclonal antibodiesOutcomes research/analysis

Identifiers

PMID31385283
PMCPMC6822974
OpenAlexW2964560635

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.