Evidence map›Paper›PMID 33660162›Full record

ArticleThe patient2021

Patient Preferences in Rare Diseases: A Qualitative Study in Neuromuscular Disorders to Inform a Quantitative Preference Study.

A Cecilia Jimenez-Moreno, Eline van Overbeeke, Cathy Anne Pinto, Ian Smith, Jenny Sharpe, James Ormrod, Chiara Whichello, Esther W de Bekker-Grob, Kristin Bullok, Bennett Levitan and 3 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The patient, 2021. 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 29% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 4 countries.

A Cecilia Jimenez-Moreno *Translational and Clinical Research Institute, Newcastle University, Newcastle-Upon-Tyne, UK. jimenez.moreno.aura.cecilia@gmail.com.
Eline van Overbeeke *Clinical Pharmacology and Pharmacotherapy, University of Leuven, Leuven, Belgium.
Cathy Anne PintoPharmacoepidemiology Department, Center for Observational and Real-world Evidence, Merck & Co, Inc., Rahway, NJ, USA.
Ian SmithJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Jenny SharpeMuscular Dystrophy UK, London, UK.
James OrmrodSchool of Applied Social Science, University of Brighton, East Sussex, UK.
Chiara WhichelloErasmus School of Health Policy and Management, and Erasmus Choice Modelling Centre, Erasmus University, Rotterdam, The Netherlands.
Esther W de Bekker-GrobErasmus School of Health Policy and Management, and Erasmus Choice Modelling Centre, Erasmus University, Rotterdam, The Netherlands.
Kristin BullokGlobal Patient Safety Department, Eli Lilly & Co., Indianapolis, IN, USA.
Bennett LevitanJanssen Research and Development, Titusville, NJ, USA.
Isabelle HuysClinical Pharmacology and Pharmacotherapy, University of Leuven, Leuven, Belgium.
G Ardine de WitJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Grainne GormanTranslational and Clinical Research Institute, Newcastle University, Newcastle-Upon-Tyne, UK.
Erasmus University Rotterdam · NLKU Leuven · BENewcastle University · GBEli Lilly (United States) · USJanssen (United States) · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USMuscular Dystrophy UK · GBUniversity Medical Center Utrecht · NLUniversity of Brighton · GBUtrecht University · NL

Funding

Wellcome TrustWellcome Trust 203105/Z/16/Z
6 · The paper itself

Abstract

introductionIt has become increasingly important to include patient preference information in decision-making processes for drug development. As neuromuscular disorders represent multisystem, debilitating, and progressive rare diseases with few treatment options, this study aimed to explore unmet health care needs and patient treatment preferences for two neuromuscular disorders, myotonic dystrophy type 1 (DM1) and mitochondrial myopathies (MM) to inform early stages of drug development.

methodsFifteen semi-structured interviews and five focus group discussions (FGDs) were held with DM1 and MM adult patients and caregivers. Topics discussed included (1) reasons for study participation; (2) disease signs/symptoms and their impact on daily lives; (3) top desired benefits; and (4) acceptability of risks and tolerance levels for a hypothetical new treatment. Data were analyzed following a thematic 'code' approach.

resultsA total of 52 participants representing a wide range of disease severities participated. 'Muscle strength' and 'energy and endurance' were the disease-related unmet needs most often mentioned. Additionally, improved 'balance', 'cognition' and 'gut function' were the top desired treatment benefits, while 'damage to the liver, kidneys or eyes' was the most concerning risk. Factors influencing their tolerance to risks related to previously having experienced the risk and differentiation between permanent and temporary risks. A few differences were elicited between patients and caregivers.

conclusionsThis qualitative study provided an open forum to elicit treatment-desired benefits and acceptable risks to be established by patients themselves. These findings can inform decisions for developing new treatments and the design of clinical trials for DM1 and MM.

Indexed as

Myotonic DystrophyPatient PreferenceCaregiversHumansQualitative ResearchRare Diseases

Identifiers

PMID33660162
PMCPMC8357717
OpenAlexW3135898178

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.