Evidence map›Paper›PMID 40261907›Full record

ArticlePloS one2025

Assessing therapeutic decisions in generalized myasthenia gravis: Study protocol.

Gerardo Gutiérrez-Gutiérrez, Rocío Gómez-Ballesteros, Javier Sotoca, Adrián Ares, Ramón Villaverde, Virginia Reyes, Thaís Armangué, Elisa Salas, Paola Díaz-Abós, Pablo Rebollo and 4 more

Abstract read
In one paragraph

Article in PloS one, 2025. 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

14 authors.

Gerardo Gutiérrez-GutiérrezDepartment of Neurology, Hospital Universitario Infanta Sofía, Madrid, Spain.
Rocío Gómez-BallesterosMedical Department, Roche Farma, Madrid, Spain.ORCID 0000-0001-9582-9230
Javier SotocaDepartment of Neurology, Hospital Universitario Vall d'Hebron, Barcelona, Spain.ORCID 0000-0003-3400-1434
Adrián AresDepartment of Neurology, Complejo Asistencial Universitario León, León, Spain.
Ramón VillaverdeDepartment of Neurology, Hospital Universitario Morales Meseguer, Murcia, Spain.
Virginia ReyesDepartment of Neurology, Hospital Regional Universitario de Málaga, Málaga, Spain.ORCID 0000-0003-1058-3169
Thaís ArmanguéDepartment of Pediatric Neuroimmunology, Hospital Sant Joan de Déu, Barcelona, Spain.
Elisa SalasMedical Department, Roche Farma, Madrid, Spain.
Paola Díaz-AbósMedical Department, Roche Farma, Madrid, Spain.
Pablo RebolloDepartment of Real World Evidence Studies, IQVIA, Madrid, Spain.
Mónica SarmientoDepartment of Real World Evidence Studies, IQVIA, Madrid, Spain.
Iratxe EscobarMedical Department, Roche Farma, Madrid, Spain.
Jorge MaurinoMedical Department, Roche Farma, Madrid, Spain.
Luis QuerolDepartment of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe therapeutic landscape in generalized myasthenia gravis (gMG) has been continuously evolving in recent years, with over five products approved, each with different efficacy, safety, and administration profiles. With the availability of new targeted treatments, physicians are faced with the challenge of therapeutic decision-making tailored to traditional therapeutic goals, individual preferences, and personal experience, seeking optimal disease control with a positive safety profile. In this context of uncertainty and multiple novel choices, this study aims to provide insights into the preferred treatment choices of neurologists managing gMG and to identify demographic, professional or behavioral factors influencing the decision-making process.

methodsThis is a non-interventional, cross-sectional, web-based study involving 150 neurologists treating gMG patients in collaboration with the Spanish Society of Neurology. The primary endpoint will be to assess preferences for different gMG treatment attributes using a conjoint analysis to create hypothetical treatment scenarios. Therapeutic inertia, described as the lack of treatment initiation or intensification when therapeutic goals are not met, will be evaluated as a secondary endpoint through 7 case scenarios simulating real gMG clinical practice situations. Neurologists will also answer a survey composed of demographic, professional, and behavioral characteristics (user resistance behavior, care-related regret, burnout, risk attitude, empathy, work fulfilment, and personality traits) to recognize possible factors influencing decisions.

conclusionsThe study findings will contribute to better understanding of decision-making in gMG under a changing therapeutic landscape with multiple new targeted options, and will identify which factors have a role in affecting those decisions.

Indexed as

Clinical Decision-MakingMyasthenia GravisAdultCross-Sectional StudiesDecision MakingFemaleHumansMaleNeurologistsSurveys and Questionnaires

Identifiers

PMID40261907
PMCPMC12013924

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.