Evidence map›Paper›PMID 33051270›Full record

ArticleRMD open2020

Factors associated with treatment satisfaction in patients with rheumatoid arthritis: data from the biological register RABBIT.

Martin Schäfer, Katinka Albrecht, Jörn Kekow, Karin Rockwitz, Anke Liebhaber, Angela Zink, Anja Strangfeld

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. [Latest findings from the RABBIT register].Zeitschrift fur Rheumatologie · 2022
    Review
  15. Observational
  16. 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

7 authors at 2 institutions in 1 country.

Martin SchäferEpidemiology and Health Care Research, German Rheumatism Research Center (DRFZ Berlin), Berlin, Germany martin.schaefer@drfz.de.ORCID 0000-0001-6487-3634
Katinka AlbrechtEpidemiology and Health Care Research, German Rheumatism Research Center (DRFZ Berlin), Berlin, Germany.ORCID 0000-0003-0886-0294
Jörn KekowOtto-von-Guericke University Magdeburg, Clinic of Rheumatology and Orthopaedics, Vogelsang-Gommern, Germany.
Karin RockwitzRheumatologic Practice, Goslar, Germany.
Anke LiebhaberRheumatologic Practice, Halle, Germany.
Angela ZinkEpidemiology and Health Care Research, German Rheumatism Research Center (DRFZ Berlin), Berlin, Germany.ORCID 0000-0001-7072-9022
Anja StrangfeldEpidemiology and Health Care Research, German Rheumatism Research Center (DRFZ Berlin), Berlin, Germany.ORCID 0000-0002-6233-022X
German Rheumatism Research Centre · DEOtto-von-Guericke-Universität Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess satisfaction with the effectiveness and tolerability of treatments in patients with rheumatoid arthritis (RA).

methodsPatients from the RABBIT register, starting a biological (b) or targeted synthetic (ts) disease-modifying antirheumatic drug (DMARD), or a conventional synthetic (cs)DMARD treatment after ≥1 csDMARD failure, were included. Treatment satisfaction was measured after 1 year of treatment in four categories and binarised for analysis. Logistic regression models were performed to calculate ORs for factors associated with treatment satisfaction.

resultsData of 10 646 patients (74% women, mean 58 years) were analysed. At baseline, 55% of the patients were satisfied with the efficacy and 68% with the tolerability of their previously given treatments. After 1 year, 85% of the patients were satisfied with treatment effectiveness and 90% with tolerability. Baseline satisfaction (OR 2.98, 95% CI 2.58 to 3.44), seropositivity (OR 1.36, 95% CI 1.17 to 1.57), reduction of DAS28 (OR 1.38, 95% CI 1.31 to 1.46) and pain (OR 1.26, 95% CI 1.22 to 1.31), and the improvement of physical capacity (OR 1.22, 95% CI 1.17 to 1.29) were positively associated with treatment satisfaction at follow-up while glucocorticoids (GCs) >5 mg/day, depression, fibromyalgia, obesity, prior bDMARDs and therapy changes were negatively associated. The impact of GC on satisfaction was dose-dependent, becoming strongest for GC >15 mg (OR 0.24, 95% CI 0.16 to 0.34). A 5 mg/day reduction within 12 months was positively associated with satisfaction regarding efficacy (OR 1.19, 95% CI 1.11 to 1.27) and tolerability (OR 1.11, 95% CI 1.03 to 1.21).

conclusionMost patients were satisfied with their treatment's effectiveness and tolerability after 1 year of treatment. Tapering GCs was positively associated with the improvement of patients' satisfaction.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidGlucocorticoidsHumansPatient SatisfactionPersonal SatisfactionAntirheumatic AgentsGlucocorticoidsArthritisBiological TherapyPatient Reported Outcome MeasuresRheumatoid

Identifiers

PMID33051270
PMCPMC7722277
OpenAlexW3091892868

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.