Evidence map›Paper›PMID 31428325›Full record

SynthesisEuropean journal of hospital pharmacy : science and practice2019

A systematic review of the factors associated with the initiation of biologicals in patients with rheumatological conditions.

Wan Yu Png, Yu Heng Kwan, Ka Keat Lim, Eng Hui Chew, Nai Lee Lui, Chuen Seng Tan, Truls Østbye, Julian Thumboo, Warren Fong

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in European journal of hospital pharmacy : science and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 44% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 3 institutions in 1 country.

Wan Yu Png *Department of Pharmacy, National University of Singapore, Singapore.
Yu Heng Kwan *Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore.ORCID 0000-0001-7802-9696
Ka Keat LimProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore.
Eng Hui ChewDepartment of Pharmacy, National University of Singapore, Singapore.
Nai Lee LuiDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Chuen Seng TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Truls ØstbyeProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore.
Julian ThumbooProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore.
Warren FongDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore.
National University of Singapore · SGDuke-NUS Medical School · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBiologicals play a crucial role in managing some of the rheumatological diseases, thus it is important for clinicians, healthcare institutions and policy-makers to understand why biologicals are initiated or refused so as to make better decisions to improve patients' disease outcomes. Although there have been many studies investigating factors associated with the initiation of biologicals for patients with rheumatological conditions, there have been no systematic reviews that provide a comprehensive summary. We aim to provide a summary of factors associated with biologicals' initiation for patients with rheumatological conditions.

methodsWe performed a literature search in PubMed, Embase and PsycINFO. We identified and screened studies according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Factors were presented according to patient, disease-related, therapy-related, healthcare team-related and system in-place factors.

resultsA total 1755 articles were reviewed and 24 articles were found to be relevant to our objective. Forty four factors reviewed were placed into five main categories: patient factors (n=13); disease-related factors (n=11); therapy-related factors (n=7); healthcare team-related factors (n=4) and system in-place-related factors (n=9). The factors studied by the published papers found to be associated with decisions to initiate biologicals varied widely.

conclusionForty two factors of five different categories were found to be associated with biologicals' initiation for patients with rheumatological conditions. Clinicians need to be mindful of the complex nature of these factors to optimise therapy of patients with rheumatological conditions. Healthcare institutions and policy- makers ought to be aware of any potential barriers to successful biologicals' treatment and address them accordingly.

Indexed as

clinical pharmacyrheumatologysocial medicine

Identifiers

PMID31428325
PMCPMC6684017
OpenAlexW2800619246

What OpenQuestion holds

Textmetadata
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.