Evidence map›Paper›PMID 38199605›Full record

ArticleRMD open2024

What benefit-risk trade-offs are acceptable to rheumatoid arthritis patients during treatment selection? Evidence from a multicountry choice experiment.

Rieke Alten, Juan Carlos Nieto-Gonzalez, Peggy Jacques, Carlomaurizio Montecucco, Robert Moots, Helga Radner, Harald E Vonkeman, Sebastian Heidenreich, Chiara Whichello, Nicolas Krucien and 1 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

11 authors at 9 institutions in 8 countries.

Rieke AltenSchlosspark Klinik, University Medicine Berlin, Berlin, Germany rieke.alten@schlosspark-klinik.de.ORCID 0000-0002-3395-4412
Juan Carlos Nieto-GonzalezServicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0002-5971-4185
Peggy JacquesDepartment of Rheumatology and VIB Inflammation Research Center, University Hospital Ghent, Ghent, Belgium.ORCID 0000-0001-9227-257X
Carlomaurizio MontecuccoDivision of Rheumatology, University of Pavia and Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Robert MootsDepartment of Rheumatology, Aintree University Hospital, Liverpool, UK.
Helga RadnerDepartment of Internal Medicine III, Division of Rheumatology, Medical University Vienna, Vienna, Austria.
Harald E VonkemanDepartment of Rheumatology and Clinical Immunology, Medisch Spectrum Twente, Enschede, The Netherlands.
Sebastian HeidenreichEvidera Inc, London, UK.
Chiara WhichelloEvidera Inc, London, UK.
Nicolas KrucienEvidera Inc, London, UK.
Katrien Van BenedenGalapagos NV, Mechelen, Belgium.
Ithaka Harbors · USCenter for Rheumatology · USGalapagos (Belgium) · BEGhent University Hospital · BEHospital General Universitario Gregorio Marañón · ESMedisch Spectrum Twente · NLMSB Medical School Berlin · DEUniversity of Liverpool · GBUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUnderstanding preferences of patients with rheumatoid arthritis (RA) can facilitate tailored patient-centric care. This study elicited trade-offs that patients with RA were willing to make during treatment selection.

methodsPatients with RA completed an online discrete choice experiment, consisting of a series of choices between hypothetical treatments. Treatment attributes were selected based on literature review and qualitative patient interviews. Eligible patients were ≥18 years old, diagnosed with RA, receiving systemic disease-modifying antirheumatic drug therapy, and residents of Europe or USA. Male patients were oversampled for subgroup analyses. Data were analysed using a correlated mixed logit model.

resultsOf 2090 participants, 42% were female; mean age was 45.2 years (range 18-83). Estimated effects were significant for all attributes (p<0.001) but varied between patients. Average relative attribute importance scores revealed different priorities (p<0.001) between males and females. While reducing pain and negative effect on semen parameters was most important to males, females were most concerned by risk of blood clots and serious infections. No single attribute explained treatment preferences by more than 30%. Preferences were also affected by patients' age: patients aged 18-44 years placed less importance on frequency and mode of treatment administration (p<0.05) than older age groups. Patients were willing to accept higher risk of serious infections and blood clots in exchange for improvements in pain, daily activities or administration convenience. However, acceptable trade-offs varied between patients (p<0.05).

conclusionTreatment preferences of patients with RA were individual-specific, but driven by benefits and risks, with no single attribute dominating the decision-making.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidThrombosisAdolescentAdultAgedAged, 80 and overEuropeFemaleHumansMaleMiddle AgedPainYoung AdultAntirheumatic Agentsantirheumatic agentsarthritis, rheumatoidtherapeutics

Identifiers

PMID38199605
PMCPMC10806488
OpenAlexW4390698014

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.