Evidence map›Paper›PMID 38244138›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2024

Transition from intravenous to subcutaneous biological therapies in inflammatory bowel disease: An online survey of patients.

Daniele Napolitano, Carlo Romano Settanni, Laura Parisio, Nicoletta Orgiana, Andrea Poscia, Elisa Schiavoni, Laura Turchini, Alessio Lo Cascio, Francesco Germini, Elena Sblendorio and 8 more

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In one paragraph

Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
7.7field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 14 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

18 authors at 7 institutions in 1 country.

Daniele NapolitanoCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy. daniele.napolitano@policlinicogemelli.it.ORCID 0000-0003-2481-5354
Carlo Romano SettanniUOSD Gastroenterologia ed Endoscopia Digestiva, IRCCS INRCA, 60127, Ancona, Italy.
Laura ParisioCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Nicoletta OrgianaFondazione Policlinico A. Gemelli IRCCS, 00168, Rome, Italy.
Andrea PosciaFondazione Policlinico A. Gemelli IRCCS, 00168, Rome, Italy.
Elisa SchiavoniCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Laura TurchiniCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Alessio Lo CascioLa Maddalena Cancer Center, Palermo, Italy.
Francesco GerminiASL Bari, Bari, Italy.
Elena SblendorioAzienda Ospedaliero-Universitaria Consorziale Policlinico di Bari, Bari, Italy.
Alessandra MilaniIstituto Europeo di Oncologia, Milan, Italy.
Christopher PatterilUniversità Cattolica del Sacro Cuore, Rome, Italy.
Lucrezia LaterzaCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Loris Riccardo LopetusoCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Daniela PuglieseCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Alfredo PapaCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Antonio GasbarriniCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Franco ScaldaferriCEMAD Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · ITAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITEuropean Institute of Oncology · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITLa Maddalena · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe transition from in-hospital intravenous administration to subcutaneous therapies to treat inflammatory bowel disease (IBD) can raise some concerns among patients due to the self-administration concerns, the management of potential side effects and the overall worries related to a change of treatment. This study aimed at evaluating patients' opinion about the switch from intravenous to subcutaneous formulations and their knowledge on new available therapeutic options.

methodsWe conducted a survey using a questionnaire prepared by a team of gastroenterologists and nurses working at the IBD unit. It consists of 31 items and has been divided into four sections: descriptive, commitment, knowledge and passage mode opinion. The questions were formulated in Italian and conceived according to daily consultations with patients in everyday practice, without any previous piloting or specific medical literature reference. The survey was administered to consecutive IBD patients in intravenous biological treatment; patients currently or previously treated with subcutaneous therapy were excluded.

resultsFour hundred questionnaires were distributed to participants. As many as 311 patients (77.7%) completed the survey, while the remaining were excluded from the analysis; 155 (49.8%) patients were favorable to switch from intravenous to subcutaneous therapy, while only 78 (25.1%) disagreed. In univariate and multi-variate analysis, the approval rate for home therapy was significantly associated with the distance from the IBD center and work/family/personal commitments. Surprisingly, only a quarter of the IBD patients knew that almost all available therapeutic agents have a subcutaneous administration route. Regarding patients' opinion on the efficacy of subcutaneous administration of biological agents compared to intravenous drugs, 194 (63%) had no definite idea, while 44 (14%) believed that the effectiveness could be reduced.

conclusionThe transition from in-hospital to subcutaneous therapeutic management of biological therapy at home was generally viewed favorably by patients, especially if they have commitments or were residents far from the IBD center.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesAdministration, IntravenousBiological TherapyHumansSurveys and QuestionnairesBiological therapiesCrohn’s diseaseInflammatory bowel diseaseInfusionsIntravenousKnowledgeMedication therapy managementSubcutaneousTelemedicineUlcerative colitis

Identifiers

PMID38244138
OpenAlexW4391053221

What OpenQuestion holds

Textmetadata
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.