Evidence map›Paper›PMID 36598004›Full record

ArticleRMD open2022

Acceptable risks of treatments to prevent rheumatoid arthritis among first-degree relatives: demographic and psychological predictors of risk tolerance.

Gwenda Simons, Ellen M Janssen, Jorien Veldwijk, Rachael L DiSantostefano, Matthias Englbrecht, Christine Radawski, Larissa Valor-Méndez, Jennifer H Humphreys, Ian N Bruce, Brett Hauber and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in RMD open, 2022. 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 4 countries.

Gwenda SimonsRheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.ORCID 0000-0003-2596-9101
Ellen M JanssenJanssen Research and Development, Titusville, New Jersey, USA.ORCID 0000-0003-0405-4252
Jorien VeldwijkErasmus School of Health Policy and Management and Erasmus Choice Modelling Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-4822-5068
Rachael L DiSantostefanoJanssen Research and Development, Titusville, New Jersey, USA.ORCID 0000-0002-5324-6835
Matthias EnglbrechtFreelance Data Scientist, Eckental, Germany.
Christine RadawskiEli Lilly and Company, Indianapolis, Indiana, USA.ORCID 0000-0001-8487-6680
Larissa Valor-MéndezDepartment of Internal Medicine and Institute for Clinical Immunology, Friedrich-Alexander-University Erlangen-Nürnberg and Universitätsklinikum, Erlangen, Germany.ORCID 0000-0002-4872-3502
Jennifer H HumphreysCentre for Epidemiology Versus Arthritis, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0003-2497-4080
Ian N BruceCentre for Epidemiology Versus Arthritis, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0003-3047-500X
Brett HauberPfizer, New York, New York, USA.ORCID 0000-0003-3129-7268
Karim RazaRheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.ORCID 0000-0003-1570-1232
Marie FalaheeRheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK m.falahee@bham.ac.uk.ORCID 0000-0001-5928-486X
Janssen (United States) · USUniversity of Birmingham · GBEli Lilly (United States) · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEManchester Academic Health Science Centre · GBPfizer (United States) · USSandwell & West Birmingham Hospitals NHS Trust · GBUniversity of Manchester · GBUtrecht University · NL

Funding

Department of HealthMedical Research Council G1001516Medical Research Council MR/P021220/1
6 · The paper itself

Abstract

objectivesTo quantify tolerance to risks of preventive treatments among first-degree relatives (FDRs) of patients with rheumatoid arthritis (RA).

methodsPreventive treatments for RA are under investigation. In a preference survey, adult FDRs assumed a 60% chance of developing RA within 2 years and made choices between no treatment and hypothetical preventive treatment options with a fixed level of benefit (reduction in chance of developing RA from 60% to 20%) and varying levels of risks. Using a probabilistic threshold technique, each risk was increased or decreased until participants switched their choice. Perceived risk of RA, health literacy, numeracy, Brief Illness Perception Questionnaire and Beliefs about Medicines Questionnaire-General were also assessed. Maximum acceptable risk (MAR) was summarised using descriptive statistics. Associations between MARs and participants' characteristics were assessed using interval regression with effects coding.

results289 FDRs (80 male) responded. The mean MAR for a 40% reduction in chance of developing RA was 29.08% risk of mild side effects, 9.09% risk of serious infection and 0.85% risk of a serious side effect. Participants aged over 60 years were less tolerant of serious infection risk (mean MAR ±2.06%) than younger participants. Risk of mild side effects was less acceptable to participants who perceived higher likelihood of developing RA (mean MAR ±3.34%) and more acceptable to those believing that if they developed RA it would last for a long time (mean MAR ±4.44%).

conclusionsAge, perceived chance of developing RA and perceived duration of RA were associated with tolerance to some risks of preventive RA therapy.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAdultAgedDemographyHumansMaleMiddle AgedAntirheumatic AgentsAntirheumatic AgentsPsychologyRheumatoid Arthritis

Identifiers

PMID36598004
PMCPMC9748990
OpenAlexW4311310086

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.