Evidence map›Paper›PMID 35041194›Full record

ArticleDrugs - real world outcomes2022

Treatment Patterns and Pharmacoutilization in Patients Affected by Psoriasis: An Observational Study in an Italian Real-World Setting.

Valentina Perrone, Serena Losi, Alessia Maiorino, Silvia Antonelli, Massimo Giovannitti, Elisa Giacomini, Diego Sangiorgi, Luca Degli Esposti

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

8 authors at 2 institutions in 2 countries.

Valentina PerroneCliCon S.r.l., Società Benefit Health Economics and Outcomes Research, Via Murri, 9 40137, Bologna, Italy. valentina.perrone@clicon.it.ORCID http://orcid.org/0000-0001-5018-490X
Serena LosiEli Lilly Italy S.p.A., Sesto Fiorentino, Italy.
Alessia MaiorinoEli Lilly Italy S.p.A., Sesto Fiorentino, Italy.
Silvia AntonelliEli Lilly Italy S.p.A., Sesto Fiorentino, Italy.
Massimo GiovannittiEli Lilly Italy S.p.A., Roma, Italy.
Elisa GiacominiCliCon S.r.l., Società Benefit Health Economics and Outcomes Research, Via Murri, 9 40137, Bologna, Italy.
Diego SangiorgiCliCon S.r.l., Società Benefit Health Economics and Outcomes Research, Via Murri, 9 40137, Bologna, Italy.
Luca Degli EspostiCliCon S.r.l., Società Benefit Health Economics and Outcomes Research, Via Murri, 9 40137, Bologna, Italy.
Eli Lilly (Italy) · ITHealth Economics and Outcomes Research (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-world data can inform the use of biologics for psoriasis (PSO).

objectiveThe aim was to evaluate treatment patterns and analyze pharmacoutilization in PSO patients in a real-world Italian setting, with a focus on the biologics most recently introduced.

methodsAn observational study based on administrative databases was conducted. Patients were included based on PSO diagnosis identified by either discharge diagnosis or exemption code or prescription of anti-psoriatic topical drugs (proxy of diagnosis). To describe patient characteristics and treatment patterns using the most up-to-date data, two different approaches were used: a cross-sectional study performed during 2016-2018, and a longitudinal study conducted with patients who received their first biological/targeted synthetic drugs (naïve patients) in 2014 and 2017 (the inclusion periods).

resultsDuring 2016-2018, the number of prevalent patients diagnosed with PSO was 194,054 (2016), 210,830 (2017), and 225,171 (2018). The percentage of patients receiving biologics or targeted synthetic agents ranged from 1.5 to 2.1%. Among them, naïve patients receiving interleukin (IL) inhibitors increased from 37.5% (2016) to 69.4% (2018), while those receiving anti-tumor necrosis factor (anti-TNF) decreased from 62.5% (2016) to 30.6% (2018). The longitudinal analysis included 894 and 1218 naïve patients in 2014 and 2017, respectively, of whom 7.2% (2014) and 6.9% (2017) switched therapy after a mean of 7.1 (2014) and 6.9 (2017) months. Overall, 259 patients were prescribed ixekizumab starting in 2017, of whom 73% were naïve. Ixekizumab was prescribed as monotherapy to 52.5%.

conclusionsThe proportion of patients receiving biologics appeared constant over the years, with an increasing number of naïve patients being prescribed IL-17 inhibitors. Ixekizumab patients were mostly naïve.

Identifiers

PMID35041194
PMCPMC9114260
OpenAlexW4205472945

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.