Evidence map›Paper›PMID 38929695›Full record

ArticleLife (Basel, Switzerland)2024

Treatment Patterns in Polyarticular Juvenile Idiopathic Arthritis: A Retrospective Observational Health Claims Data Study.

Gerd Horneff, Julia Borchert, Joanna Diesing, Pascal Klaus, Ria Heinrich, Heike Dally, Christine Hagemann, Simon Kock, Tonio Schönfelder

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 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
–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

1 citing paper in PubMed.

  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

9 authors.

Gerd HorneffDepartment of General Paediatrics, Asklepios Clinic Sankt Augustin, 53757 Sankt Augustin, Germany.
Julia BorchertScientific Institute for Health Economics and Health System Research (WIG2 GmbH), 04109 Leipzig, Germany.
Joanna DiesingScientific Institute for Health Economics and Health System Research (WIG2 GmbH), 04109 Leipzig, Germany.ORCID 0000-0001-5809-583X
Pascal KlausPfizer Pharma GmbH, Friedrichstraße 110, 10117 Berlin, Germany.
Ria HeinrichScientific Institute for Health Economics and Health System Research (WIG2 GmbH), 04109 Leipzig, Germany.
Heike DallyPfizer Pharma GmbH, Friedrichstraße 110, 10117 Berlin, Germany.
Christine HagemannPfizer Pharma GmbH, Friedrichstraße 110, 10117 Berlin, Germany.ORCID 0000-0001-8259-7258
Simon KockInGef-Institut für Angewandte Gesundheitsforschung Berlin GmbH, Otto-Ostrowski-Straße 5, 10249 Berlin, Germany.
Tonio SchönfelderScientific Institute for Health Economics and Health System Research (WIG2 GmbH), 04109 Leipzig, Germany.

Funding

PFIZER PHARMA GmbH PFIZER PHARMA GmbH
6 · The paper itself

Abstract

(1) Background: Achieving inactive disease decreases long-term joint damage in patients with polyarticular juvenile idiopathic arthritis (polyJIA). The aim of our study was to describe average time to treatment and medication changes over time. (2) Methods: Incident polyJIA patients were retrospectively identified in the InGef and WIG2 longitudinal health claims databases. Drug escalation level changes were evaluated longitudinally and cross-sectionally across three years, as follows: no treatment, glucocorticoids (GCs) and/or non-steroidal anti-inflammatory drugs (NSAIDs), conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), and biological disease-modifying antirheumatic drugs (bDMARDs). (3) Results: On average, newly diagnosed polyJIA patients received their first csDMARD prescription after 128 days and their first bDMARD prescription after 327 days. More patients were treated with csDMARDs than with bDMARDs at diagnosis; however, 24% and 12% (InGef and WIG2 databases, respectively) had no JIA treatment. After three years, 45% and 31% were not taking any treatments, while 18% and 36% were prescribed bDMARDs. Among patients initiating bDMARDs, most continued treatment for three years, with some switching to csDMARDs or discontinuing treatment. Patients treated only with csDMARDs took them longer, compared to those additionally taking other DMARDs. Patients treated with bDMARDs took them about twice as long as the csDMARDs they took prior. (4) Conclusion: A substantial number of patients with polyJIA are not treated as intensively as guidelines recommend.

Indexed as

arthritisdisease-modifying antirheumatic drugsJIAjuvenile arthritistherapeuticstreatment patterns

Identifiers

PMID38929695
PMCPMC11205221

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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.