Evidence map›Paper›PMID 36875929›Full record

ArticleHealth science reports2023

Impact of access to treatment on patient-reported outcomes among rheumatoid arthritis patients with tDMARDs and bDMARDS in two Latin-American countries: A prospective observational study.

Juan M Reyes, Magda V Gutierrez-Ardila, Hugo Madariaga, William Otero, Renato Guzman, Jorge Izquierdo, David J Del Castillo, Mauricio Abello, Patricia Velez, Dario Ponce de Leon and 3 more

Abstract read
In one paragraph

Article in Health science reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Juan M ReyesPfizer Bogota Colombia.ORCID 0000-0003-0806-7173
Magda V Gutierrez-ArdilaPfizer Santiago Chile.ORCID 0000-0001-6455-8685
Hugo MadariagaCentro Médico CEEN Arequipa Peru.
William OteroCentro Servimed Bucaramanga Colombia.
Renato GuzmanCentro IDEARG Bogotá Colombia.
Jorge IzquierdoClínica del Occidente Cali Colombia.
David J Del CastilloClínica del Occidente Cali Colombia.
Mauricio AbelloCentro Integral de Reumatología Circaribe Barranquilla Colombia.
Patricia VelezCentro Médico CIREEM Bogota Colombia.
Dario Ponce de LeonPfizer Lima Peru.ORCID 0000-0003-2250-6849
Tatjana LukicPfizer Inc New York USA.
Luisa F AmadorPfizer Bogota Colombia.
Natalia CastañoPfizer Bogota Colombia.ORCID 0000-0001-7383-6800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: A noninterventional prospective study was performed in Colombia and Peru. The aim was to describe the impact of access to treatment on Patient-reported outcomes (PRO) in patients with Rheumatoid arthritis (RA) after failure to conventional disease-modifying antirheumatic drugs (DMARDs) in real-life conditions. Methods: The impact of access to treatment was measured by access barriers, time to supply (TtS) and interruption evaluating their effect in changes of PROs between baseline and 6-month follow-up between February 2017 and November 2019. The association of access to care with disease activity, functional status, health-related quality of life was assessed using bivariate and multivariable analysis. Results are expressed in least mean difference; TtS in mean number of days for delivery of treatment at baseline. Variability measures were standard deviation and standard error. Results: One hundred seventy patients were recruited, 70 treated with tofacitinib and 100 with biological DMARDs. Thirty-nine patients reported access barriers. The mean of TtS was 23 ± 38.83 days. The difference from baseline to 6-month visit in PROs were affected by access barriers and interruptions. There was not statistically significant difference in the of PRO's score among visits in patients that reported delay of supply of more than 23 days compared to patients with less days of delay. Conclusion: This study suggested the access to treatment can affect the response to the treatment at 6 months of follow-up. There seems to be no effect in the PROs for delay of TtS during the studied period.

Indexed as

bDMARDs (biologic)disease activityhealthcare accessLatin Americanrheumatoid arthritistofacitinib

Identifiers

PMID36875929
PMCPMC9983550

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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.