Evidence map›Paper›PMID 31673923›Full record

ArticleJournal of clinical immunology2019

Quality of Life Differences for Primary Immunodeficiency Patients on Home SCIG versus IVIG.

Christine Anterasian, Richard Duong, Peg Gruenemeier, Carol Ernst, Jessica Kitsen, Bob Geng

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Toward a Sociology of Plasma Products.International journal of social determinants of health and health services · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Tailored therapies for primary immunodeficiencies.Acta bio-medica : Atenei Parmensis · 2021
    Article
  10. Review
  11. 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

6 authors at 1 institution in 1 country.

Christine AnterasianDivision of Allergy/Immunology, University of California, San Diego, San Diego, CA, 92123, USA.ORCID http://orcid.org/0000-0002-9906-5554
Richard DuongDivision of Allergy/Immunology, University of California, San Diego, San Diego, CA, 92123, USA.
Peg GruenemeierDiplomat Pharmacy, Flint, MI, 48507, USA.
Carol ErnstDiplomat Pharmacy, Flint, MI, 48507, USA.
Jessica KitsenDivision of Allergy/Immunology, University of California, San Diego, San Diego, CA, 92123, USA.
Bob GengDivision of Allergy/Immunology, University of California, San Diego, San Diego, CA, 92123, USA. bgeng@ucsd.edu.
University of California San Diego · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
NCATS NIH HHS UL1 TR001442NICHD NIH HHS K12 HD000850
6 · The paper itself

Abstract

backgroundPatients with primary immunodeficiency disease (PIDD) and antibody deficiency require lifelong immunoglobulin replacement therapy. While both subcutaneous immunoglobulin (SCIG) and intravenous immunoglobulin (IVIG) replacement therapy are effective in preventing infection, patients with PIDD still experience worse health-related quality of life (hrQOL) outcomes.

objectiveAssess differences in hrQOL for PIDD patients receiving home SCIG versus IVIG.

methodsSF-36 surveys were administered by a specialty pharmacy to 630 PIDD patients receiving home SCIG and IVIG at baseline and then every 3 months between 2014 and 2016. Results were analyzed using two-sample t tests and linear mixed effects model. Analysis was repeated for different age categories and trended over time.

resultsPatients receiving SCIG reported statistically significant higher energy fatigue scores (+ 9 points, p < 0.001) but lower perceived role limitations due to physical health scores (- 14 points, p < 0.001). These differences were only observed in patients > 36 years of age. There were no differences in the composite SF-36 score for patients receiving SCIG versus IVIG (+ 1, p = 0.66). Immunoglobulin-naïve patients all improved their hrQOL, but a larger improvement was seen in those initiating SCIG versus IVIG.

conclusionPatients with PIDD on home IVIG versus SCIG have similar composite hrQOL scores as measured by the SF-36. In the adult population, initiating immunoglobulin replacement with SCIG may result in more hrQOL improvement compared with IVIG, although personal preferences should also be considered. CLINICAL IMPLICATIONS: Patients with PIDD on home IVIG versus SCIG have similar composite health-related quality of life scores as measured by the SF-36. Patients with primary immune-deficiency on home IVIG versus SCIG have similar composite health-related quality of life scores as measured by the SF-36. Personal preferences are important in deciding whether to treat with IVIG or SCIG.

Indexed as

Quality of LifeAdultFatigueFemaleHealth StatusHome Health NursingHumansImmunoglobulins, IntravenousInfusions, IntravenousInfusions, SubcutaneousMaleMiddle AgedPatient PreferencePrimary Immunodeficiency DiseasesRetrospective StudiesSurveys and QuestionnairesImmunoglobulins, Intravenousantibody deficiencyhealth-related quality of lifeintravenous immunoglobulinIVIGPrimary immunodeficiencyquality of lifeSCIGsubcutaneous immunoglobulin

Identifiers

PMID31673923
PMCPMC6863943
OpenAlexW2984634950

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.