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Table 4 Order of relative importance

From: Systematic review of quantitative preference studies of treatments for rheumatoid arthritis among patients and at-risk populations

Source

Order of relative importance attributes (type of attribute)

1 [21]

(1) Route of administration (TA); (2) combination therapy (O); (3) frequency of administration (TA); (4) possible side effects (R); and (5) time till onset drug effect (B)

2 [22]

(1) Cost per month (C); (2) general adverse events (R); (3) frequency of administration (TA); (4) efficacy patient global assessment (B); (5) route of administration (TA); (6) local adverse events (R); and (7) serious infection (R)

3 [23, 24]

(1) Treatment effectiveness (B); (2) severe side effects (R); (3) psychological side effects (R); (4) route of administration (TA); (5) frequency of administration (TA); (6) side effects changing appearance (R); and (7) mild side effects (R)

4 [25, 26]

African-American participants:

(1) Risk of cancer (R); (2) likelihood of remission (B); (3) risk of lung injury (R); (4) route of administration (TA); (5) likelihood of symptoms improving (B); (6) likelihood of arresting radiographic progression (B); (7) risk of injection reaction (R); (8) risk of tuberculosis (R); (9) risk of neurologic disease or heart failure (R); and (10) reversible adverse events (R)

White participants:

(1) Likelihood of remission (B); (2) likelihood of arresting radiographic progression (B); (3) likelihood of symptoms improving (B); (4) risk of cancer (R); (5) risk of lung injury (R); (6) route of administration (TA); (7) risk of injection reaction (R); (8) risk of neurologic disease or heart failure (R); (9) reversible adverse events (R.); and (10) risk of tuberculosis (R)

5 [27]

(1) Time with optimal quality of life (B); (2) mode of administration (TA); (3) onset of treatment action (B); (4) probability of severe adverse events (R); (5) monthly co-pay (C); (6) substantial Improvement in symptoms (B); and (7) Probability of mild adverse events (R)

6 [28]

(1) Less common, but serious AE (R; separate attributes: kidney damage/liver damage/cancer/lung damage); (2) common, but reversible AE (R; separate attributes: alopecia/oral ulcers/nausea/injection reaction/rash/diarrhoea); (3) route and frequency of administration (TA); (4) drug onset (B); (5) monthly co-pay (C); (6) physician experience (O); (7) chance of benefit (B) and (8) no new bone damage at year1 (B)

7 [29]a

No order of relative importance available: Decreased joint pain and swelling (B); ability to get around and participate in social or leisure activities outside of the house (B); slowing or stopping joint damage seen on x-rays (B); ability to work (B); risk of injection/infusion reaction (R); risk of infection (R); risk of TB (R) and risk of neurological disease (R)

8 [30]

(1) Cost (C); (2) bothersome side effects (R); (3) very rare side effects (R); (4) onset of action (B); (5) serious infection (R); (6) route of administration (TA); and (7) amount of information available (O)

9 [31, 32]

(1) Major symptom improvement by 6 month (B); (2) reduction in chance of serious joint damage (B); (4) route and frequency of administration (TA); (5) small risk of serious infection/possible increased risk of cancer (R); (6) stopping due to side effect by 6 months (R); (7) lung/liver reaction (O); (8) alcohol restriction (O); and (9) eye screening (O)

10 [33]

Reported for RA patients, AS patients and PsA patients combinedb:

Oral

(1) Efficacy (B); (2) slowing of disease progression (B); (3) mild-moderate side effects (R); and (4) nurse support (O)

Injection

(1) Efficacy (B); (2) slowing of disease progression (B); (3) mild-moderate side effects (R); (4) nurse support (O); and (5) serious side effects (R)

IV

(1) Efficacy (B); (2) slowing of disease progression (B); (3) mild-moderate side effects (R); (4) frequency of administration (TA); (5) serious side effects (R); and (6) nurse support (O)

11 [34]

(1) Improvement in physical function (B); (2) reduction in pain (B); (3) reduction in number of swollen joints (B); (4) route of administration (TA); (5) risk of cancer (R); (6) monthly co-pay (C); (7) frequency of administration (TA); (8) abnormal lab results (R); and (9) risk of serious infection (R)

12 [35]

(1) Route of administration (TA); (2) frequency of administration (TA); (3) serious adverse events (R); (4) monthly co-pay (C); (5) medication burden (O); (6) joint pain reduction (B); and (7) daily task improvement (B)

13 [36]

(1) Pain relief and improvement in functional capacity (B); (2) risk of adverse events (R); (3) route of administration (TA); and (4) duration of effect (B)

14 [37]

Cheap talk sample only: (1) Monthly co-pay (C); (2) chance the medication works well (B); (3) route of administration and frequency (TA); (4) serious infection (R); (5) onset of effect (B); and (6) duration of injection site irritation (R)

15 [38]

(1) Immediate serious reaction (R); (2) medication working well (B); (3) frequency of administration (TA); (4) time for infusion (TA); (5) immediate mild reaction (R); and (6) route of administration (TA)

16 [39]

(1) Frequency of reactions at the site of drug administration (R); (2) additional costs through taxes (C); (3) manner, helpfulness, efficiency and courtesy of health personnel (O); (4) generalised undesired reactions or allergic reactions (R); (5) Route and place of administration (T); and (6) frequency of administration (TA)

17 [40]

WTP (1000 DKK), survey 1 only: (1) tiredness (B); (2) slightly higher risk of a minor infection (R); (3) pain level (B); (4) swollen joints (B); (5) morning stiffness (B); and (6) co-pay (C)

18 [41]a

No order of relative importance available: Route of administration (A); frequency of administration (A); onset of action (B); risk of cancer (R); risk of liver injury (R); risk of serious infections (R); and chance of efficacy (B)

19 [42]

(1) How many people receiving the drug are likely to feel better within 6 months (B); (2) route and duration of administration (TA); (3) life-expectancy (B)c; (4) minor side effects (R); (5) frequency of administration (TA); and (6) serious side effect: number of people have to stop medication (R)

20 [43]

(1) How many people receiving the drug are likely to feel better within 6 months (B); (2) confidence in risk/benefit estimates (O); (3) serious side effect: number of people have to stop medication (R); (4) route of administration (TA); and (6) frequency of administration (TA)

21 [44]

(1) Reduction in RA risk (B); (2) risk of SAE (R); (3) mild AE (R); and (4) mode of administration (TA)

22 [45]

(1) Route of administration (TA); (2) reduction in RA risk (B); (3) health care professional preference (O); (4) chance of side effects (R); and (5) certainty in evidence (O)

23 [46]

Patients and FDR sample combined: (1) Health care professional preference (O); (2) chance of side effects (R); (3) reduction in RA risk (B); (4) route of administration (TA); and (5) certainty in evidence (O)

  1. Type of attribute: risk (R), benefit (B), treatment administration (TA), cost (C), or other (O); IV intravenous infusion
  2. a Attribute order of importance not available
  3. b It was not possible to establish the order of importance for the RA patients alone, so results presented are for the whole sample (RA, AS and PsA). Further as the model used was a restricted latent class model with parameters that were non-significant in the preliminary models restricted to zero, they are not reported here as they were deemed not to impact on preferences
  4. c Life expectancy was assumed to be linear over the 4-year range in the study