Evidence map›Paper›PMID 37171778›Full record

ArticleNeurology and therapy2023

Intravenous Immunoglobulin Treatment Patterns and Outcomes in Patients with Chronic Inflammatory Demyelinating Polyradiculoneuropathy: A US Claims Database Analysis.

Colin Anderson-Smits, Mary E Ritchey, Zhongwen Huang, Shailesh Chavan, Nizar Souayah, Hakan Ay, J Bradley Layton

Abstract read
In one paragraph

Article in Neurology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Review
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

7 authors.

Colin Anderson-SmitsTakeda Development Center Americas, Inc, 650 E. Kendall St, Cambridge, MA, 02142, USA. Colin.andersonsmits@takeda.com.ORCID http://orcid.org/0000-0002-2734-6154
Mary E RitcheyRTI Health Solutions, Research Triangle Park, NC, USA.ORCID http://orcid.org/0000-0003-0304-9304
Zhongwen HuangTakeda Development Center Americas, Inc, 650 E. Kendall St, Cambridge, MA, 02142, USA.
Shailesh ChavanTakeda Development Center Americas, Inc, 650 E. Kendall St, Cambridge, MA, 02142, USA.
Nizar SouayahDepartment of Neurology, Rutgers University, Newark, NJ, USA.ORCID http://orcid.org/0000-0003-3873-3448
Hakan AyTakeda Development Center Americas, Inc, 650 E. Kendall St, Cambridge, MA, 02142, USA.
J Bradley LaytonRTI Health Solutions, Research Triangle Park, NC, USA.ORCID http://orcid.org/0000-0003-0994-5820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a rare progressive or relapsing inflammatory disease. Intravenous immunoglobulin (IVIG) is recommended as a first-line therapy. The aim of this study was to describe real-world treatment patterns and outcomes of patients with CIDP in the Define initiating IVIG treatment.

methodsThis cohort study used health insurance claims data from the Merative MarketScan Research Databases (2008-2018). Adult patients (≥ 18 years old) with CIDP without prior immunoglobulin treatment were identified using International Statistical Classification of Diseases and Related Health Problems (ICD) codes, and patients subsequently initiating IVIG were included in the analysis. Real-world IVIG treatment patterns and treatment and safety outcomes (assessed via ICD codes) were described.

resultsIn total, 3975 patients (median age 58 years) with CIDP who initiated IVIG were identified. After the initial IVIG loading period, patients received IVIG at a median dosing interval of 21 days (quartile [Q]1, Q3: 7, 28), and continued treatment for a median of 129 days (Q1, Q3: 85, 271). After the 2-year follow-up period, 55% of patients had discontinued all IVIG treatment; more than one-half of these discontinuations occurred within 4 months. Diagnoses of impaired functional status were evident in more than 30% of patients at baseline, but at lower rates during follow-up. Rates of new-onset safety outcomes after IVIG treatment were low.

conclusionThis real-world analysis of IVIG treatment patterns and treatment and safety outcomes of patients with CIDP who initiated IVIG highlights the unmet need for improved long-term management. Further research is needed to evaluate the use of functional status measures as endpoints for immunoglobulin treatment effectiveness.

Indexed as

Chronic inflammatory demyelinating polyradiculoneuropathyCIDPClaims databaseIntravenous immunoglobulinIVIGSafetyTreatment

Identifiers

PMID37171778
PMCPMC10310601

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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.