Evidence map›Paper›PMID 34142326›Full record

ArticleThe patient2022

Towards Personalising the Use of Biologics in Rheumatoid Arthritis: A Discrete Choice Experiment.

Caroline M Vass, Anne Barton, Katherine Payne

Abstract read
In one paragraph

Article in The patient, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Economics and Precision Medicine.Handbook of experimental pharmacology · 2023
    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

3 authors.

Caroline M VassManchester Centre for Health Economics, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Anne BartonCentre for Musculoskeletal Research, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Katherine PayneManchester Centre for Health Economics, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK. Katherine.payne@manchester.ac.uk.ORCID 0000-0002-3938-4350

Funding

Department of HealthMedical Research Council MR/K015346/1Versus Arthritis 21754
6 · The paper itself

Abstract

introductionThere have been promising developments in technologies and associated algorithm-based prescribing ('stratified approach') to target biologics to sub-groups of people with rheumatoid arthritis (RA). The acceptability of using an algorithm-guided approach in practice is likely to depend on various factors.

objectiveThis study quantified preferences for an algorithm-guided approach to prescribing biologics (termed 'biologic calculator').

methodsAn online discrete choice experiment (DCE) was designed to elicit preferences from patients and the public for using a 'biologic calculator' compared with conventional prescribing. Treatment approaches were described by five attributes: delay to starting treatment; positive and negative predictive value (PPV/NPV); risk of infection; and cost saving to the UK national health service. Each survey contained six choice sets asking respondents to select their preferred option from two hypothetical biologic calculators or conventional prescribing. Background questions included sociodemographics, health status and healthcare experiences. DCE data were analysed using mixed logit models.

resultsCompleted choice data were collected from 292 respondents (151 patients with RA and 142 members of the public). PPV, NPV and risk of infection were the most highly valued attributes to respondents deciding between prescribing strategies.

conclusionRespondents were generally receptive to personalised medicine in RA, but researchers developing personalised approaches should pay close attention to generating evidence on both the PPV and the NPV of their technologies.

Indexed as

Arthritis, RheumatoidBiological ProductsHumansPatient PreferenceState MedicineSurveys and QuestionnairesBiological Products

Identifiers

PMID34142326
PMCPMC8739310

What OpenQuestion holds

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LicenceCC BY-NC
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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.