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Table 1 Claims-based algorithm for accessing effectiveness after one year of follow-up in patients with rheumatoid arthritis

From: Effectiveness and safety of tofacitinib in rheumatoid arthritis: a cohort study

Criteria

Description of criteria

Criterion 1

High adherence

Adherence to therapy was defined as follows:

• For medications with pharmacy claims only: MPR ≥ 80%a

• For medications with procedure claims only:

 Etanercept: ≥ 48 procedures

 Adalimumab: ≥ 22 procedures

 Certolizumab: ≥ 22 procedures

 Golimumab: ≥ 11 procedures

 Infliximab: ≥ 8 procedures

 Rituximab: ≥ 4 procedures

 Abatacept: ≥ 11 procedures

 Tocilizumab: ≥ 11 procedures

Criterion 2

No prescription or procedure of a new biologic or tofacitinib during follow-up

No prescription or procedure of a new biologic or tofacitinib during follow-up

Criterion 3

No DMARD switch or addition

No prescription of a new DMARD between months 4 and 12 of follow-up

Criterion 4

No increase in dose or frequency of index drug

No increase in dose or frequency of index drug

• For medications with pharmacy claims only: ≥ 10% of the daily dose at any time during follow-up compared with the daily dose at cohort entry

• For medications with procedure claims only:

 Adalimumab: > 25 procedures

 Certolizumab: > 25 procedures

 Golimumab: > 12 procedures

 Infliximab: > 9 procedures

 Rituximab: > 5 procedures

 Abatacept: > 13 procedures

 Tocilizumab: > 12 procedures

 Etanercept: > 55 procedures

Criterion 5

No more than one procedure for glucocorticoid joint injection between months 4 and 12 of follow-up

No more than one procedure for glucocorticoid joint injection between months 4 and 12 of follow-up

Criterion 6

No new/increased oral glucocorticoid dose

No increase in dose of oral glucocorticoid

• For patients who received no prescriptions for oral glucocorticoids 6 months prior to cohort entry: > 30 days of cumulative oral glucocorticoid between months 4 and 12 of follow-up

• For patients who received prescriptions for oral glucocorticoids 6 months prior to cohort entry: cumulative dose between months 7 and 12 of follow-up ≥ 120% cumulative dose 6 months prior to cohort entry

  1. MPR Medication possession ratio, DMARD Disease-modifying antirheumatic drug
  2. Adapted from Curtis et al., 2011 [15]
  3. aA patient was considered highly adherent if the total days’ supply of drug divided by the total days of follow-up was ≥ 80%