Search: (L773:1352 4585 OR L773:1477 0970) srt2:(2020-2024) > Comparative effecti...
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000 | 06583naa a2200841 4500 | |
001 | oai:DiVA.org:oru-75814 | |
003 | SwePub | |
008 | 190823s2020 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:umu-162860 | |
009 | oai:DiVA.org:uu-438352 | |
009 | oai:DiVA.org:liu-160049 | |
009 | oai:prod.swepub.kib.ki.se:141632488 | |
009 | oai:gup.ub.gu.se/292126 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-758142 URI |
024 | 7 | a https://doi.org/10.1177/13524585198666002 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1628602 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4383522 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1600492 URI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1416324882 URI |
024 | 7 | a https://gup.ub.gu.se/publication/2921262 URI |
040 | a (SwePub)orud (SwePub)umud (SwePub)uud (SwePub)liud (SwePub)kid (SwePub)gu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Granqvist, Mathiasu Karolinska Institutet4 aut |
245 | 1 0 | a Comparative effectiveness of dimethyl fumarate as the initial and secondary treatment for MS |
264 | c 2019-08-08 | |
264 | 1 | b Sage Publications,c 2020 |
338 | a print2 rdacarrier | |
500 | a Funding Agency:Neuroförbundet, Stockholms Läns Landsting and Vetenskapsrådet | |
500 | a Funding Agencies|Neuroforbundet, Stockholms Lans Landsting and Vetenskapsradet | |
520 | a BACKGROUND: Population-based real-world evidence studies of the effectiveness and tolerability of dimethyl fumarate in relation to common treatment alternatives are still limited.OBJECTIVE: To evaluate the clinical effectiveness and tolerability of dimethyl fumarate (DMF) as the initial and secondary treatment for relapsing-remitting multiple sclerosis (RRMS) patients compared with common treatment alternatives in Sweden.METHODS: We conducted a nationwide retrospective observational cohort study of all RRMS patients identified through the Swedish MS registry initiating DMF (n = 641) or interferons/glatiramer acetate (IFN/GA; n = 555) as the initial therapy, or DMF (n = 703) or fingolimod (FGL; n = 194) after switch from IFN/GA between 1 January 2014 and 31 December 2016.RESULTS: The discontinuation rate was lower with DMF as the initial treatment than IFN/GA (adjusted hazard rate (HR): 0.46, 95% confidence interval (CI): 0.37-0.58, p < 0.001), but higher than FGL as the secondary treatment (HR: 1.51, CI: 1.08-2.09, p < 0.05). Annualized relapse rate (ARR) was lower with DMF compared to IFN/GA (0.04, CI: 0.03-0.06 vs 0.10, CI: 0.07-0.13; p < 0.05), but not FGL (0.03, CI: 0.02-0.05 vs 0.02, CI: 0.01-0.04; p = 0.41). Finally, time to first relapse (TTFR) was longer with DMF as the initial, but not secondary, therapy (p < 0.05 and p = 0.20, respectively).CONCLUSION: Our findings indicate that DMF performs better than IFN/GA as the initial treatment for RRMS. Compared to FGL, DMF displayed a lower tolerability, but largely similar effectiveness outcomes. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reumatologi och inflammation0 (SwePub)302102 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Rheumatology and Autoimmunity0 (SwePub)302102 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Neurovetenskaper0 (SwePub)301052 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Neurosciences0 (SwePub)301052 hsv//eng |
653 | a Multiple sclerosis | |
653 | a dimethyl fumarate | |
653 | a fingolimod | |
653 | a glatiramer acetate | |
653 | a interferon-beta | |
653 | a relapsing-remitting | |
653 | a dimethyl fumarate | |
653 | a fingolimod | |
653 | a glatiramer acetate | |
653 | a interferon-beta | |
653 | a Multiple sclerosis | |
653 | a relapsing-remitting | |
700 | 1 | a Burman, Joachim,d 1974-u Uppsala universitet,Landtblom: Neurovetenskap,Uppsala Univ, Sweden4 aut0 (Swepub:uu)joabu293 |
700 | 1 | a Gunnarsson, Martin,d 1973-u Örebro universitet,Institutionen för medicinska vetenskaper,Örebro Univ, Sch Med Sci, Örebro, Sweden.4 aut0 (Swepub:oru)mign |
700 | 1 | a Lycke, Jan,d 1956u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience4 aut0 (Swepub:gu)xlycja |
700 | 1 | a Nilsson, Petrau Neurology Clinic, Skåne University Hospital, Lund, Sweden4 aut |
700 | 1 | a Olsson, Tomasu Karolinska Institutet4 aut |
700 | 1 | a Sundström, Peteru Umeå universitet,Klinisk neurovetenskap,Skane Univ Hosp, Neurol Clin, Lund, Sweden.;Umeå Univ, Dept Pharmacol & Clin Neurosci, Umeå, Sweden.4 aut0 (Swepub:umu)pesu0002 |
700 | 1 | a Svenningsson, Andersu Karolinska Institutet4 aut |
700 | 1 | a Vrethem, Magnus,d 1955-u Linköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Neurologiska kliniken i Linköping4 aut0 (Swepub:liu)magvr07 |
700 | 1 | a Frisell, Thomasu Karolinska Institutet4 aut |
700 | 1 | a Piehl, Fredriku Karolinska Institutet4 aut |
710 | 2 | a Karolinska Institutetb Landtblom: Neurovetenskap4 org |
773 | 0 | t Multiple Sclerosis Journald : Sage Publicationsg 26:12, s. 1532-1539q 26:12<1532-1539x 1352-4585x 1477-0970 |
856 | 4 | u https://doi.org/10.1177/1352458519866600y Fulltext |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-75814 |
856 | 4 8 | u https://doi.org/10.1177/1352458519866600 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162860 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-438352 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-160049 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:141632488 |
856 | 4 8 | u https://gup.ub.gu.se/publication/292126 |
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