Evidence map›Paper›PMID 33763828›Full record

ArticleAdvances in therapy2021

Real-World Trends in Characteristics of Patients with Migraine Newly Initiated on Erenumab in the USA: A Retrospective Analysis.

Juanzhi Fang, Stephanie Korrer, Jonathan C Johnson, Mark A Cheadle, Roshani Shah, Matias L Ferraris, Cristina Lopez-Lopez

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In one paragraph

Article in Advances in therapy, 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Juanzhi FangNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA. jenny.fang@novartis.com.ORCID http://orcid.org/0000-0002-1448-6190
Stephanie KorrerOptum, Eden Prairie, MN, USA.
Jonathan C JohnsonOptum, Eden Prairie, MN, USA.
Mark A CheadleNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Roshani ShahNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Matias L FerrarisNovartis Pharma AG, Basel, Switzerland.
Cristina Lopez-LopezNovartis Pharma AG, Basel, Switzerland.
Novartis (Switzerland) · CHNovartis (United States) · USOptum (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis retrospective analysis aimed to characterize patients with migraine initiating erenumab and the shifting or trend of patient characteristics over time in a real-world setting.

methodsAdult patients with at least one erenumab written prescription/administration between May 1, 2018 and September 30, 2019 were identified from the Optum De-identified Electronic Health Record (EHR) database (index date = date of the first erenumab prescription/administration). Patient demographics and characteristics, acute and preventive medications used prior to initiation of erenumab, and the initial prescriber specialty were examined. In addition, the shifting or trends of patient characteristics over time were analyzed among subgroups of patients based on when they initiated erenumab.

resultsA total of 14,774 eligible patients who met inclusion and exclusion criteria were included in the analysis. Most patients were female (86.4%), average age 46.3 (standard deviation [SD] = 13.1) years, Caucasian (88.7%), non-Hispanic (91.8%), and commercially insured (59.8%) at the index date. During the 12-month pre-index period, commonly observed selected comorbid conditions included anxiety (30.6%), depression (28.2%), and cardiovascular diseases (26.4%), and the mean (SD) Elixhauser comorbidity score was 1.7 (5.5). The most common provider specialty at erenumab initiation was neurologist/headache specialist (46.5%). Over time, there was a decrease in mean baseline Elixhauser comorbidity score at erenumab initiation, an increase in general practitioners prescribing initial erenumab, and increased utilization in patients with less severe migraine overall (a proxy of the declining trend in chronic migraine and triptan use).

conclusionEarly use of erenumab post approval focused on patients with more severe disease and a high comorbidity index rating. Over time, utilization of this preventive medication occurred in a broader population of patients with migraine, with increased use by general practitioners and those outside of headache centers.

Indexed as

Antibodies, Monoclonal, HumanizedMigraine DisordersAdultDatabases, FactualFemaleHumansMaleMiddle AgedRetrospective StudiesUnited StatesAntibodies, Monoclonal, HumanizederenumabAcuteComorbidityErenumabMigraineObservationalPreventiveReal worldRetrospective

Identifiers

PMID33763828
OpenAlexW3136154754

What OpenQuestion holds

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Registered trials

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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.