Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects

Early diagnosis and treatment of rheumatoid arthritis (RA) are of critical importance to halt the progression of the disease. Optimal use of advanced imaging techniques or biomarkers may facilitate early diagnosis of RA. Even though many disease-modifying anti-rheumatic drugs (DMARDs) are available...

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Main Authors: Bruno Fautrel, Josef S Smolen, Fabrizio Benedetti, Roberto Caporali, Thomas Doerner, Burkhard Pieper, Minjun Jang
Format: Article
Language:English
Published: BMJ Publishing Group 2021-06-01
Series:RMD Open
Online Access:https://rmdopen.bmj.com/content/7/2/e001637.full
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author Bruno Fautrel
Josef S Smolen
Fabrizio Benedetti
Roberto Caporali
Thomas Doerner
Burkhard Pieper
Minjun Jang
author_facet Bruno Fautrel
Josef S Smolen
Fabrizio Benedetti
Roberto Caporali
Thomas Doerner
Burkhard Pieper
Minjun Jang
author_sort Bruno Fautrel
collection DOAJ
description Early diagnosis and treatment of rheumatoid arthritis (RA) are of critical importance to halt the progression of the disease. Optimal use of advanced imaging techniques or biomarkers may facilitate early diagnosis of RA. Even though many disease-modifying anti-rheumatic drugs (DMARDs) are available for RA treatment, biological DMARDs (bDMARDs) offer expanding therapeutic options and good outcomes in patients with RA who do not have a sufficient response to conventional synthetic DMARDs. However, high costs of bDMARDs have limited patient access to optimised disease management and increased the cost burden for healthcare systems. The advent of biosimilars led to significant cost savings driven by price competition among the reference products, which could be beneficial for healthcare systems. Healthcare provider (HCP)–patient communication and informed shared decision-making are crucial to prevent the occurrence of a nocebo effect, which results from negative perceptions that patients may have and could lead to less effective outcomes. Research has demonstrated that effective communication between HCPs and patients utilising positive framing can improve acceptance by patients to be initiated on or switched to a biosimilar and can help to integrate biosimilars into routine clinical practice to maximise benefits for patients with RA.
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institution Kabale University
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spelling doaj-art-c49d81e96edb458797aefbd2641189a32025-02-06T20:55:09ZengBMJ Publishing GroupRMD Open2056-59332021-06-017210.1136/rmdopen-2021-001637Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effectsBruno Fautrel0Josef S Smolen1Fabrizio Benedetti2Roberto Caporali3Thomas Doerner4Burkhard Pieper5Minjun Jang62 INSERM UMR-S 1136, Team 5, Pierre Louis Institute of Epidemiology and Public Health, Paris, FranceDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, AustriaDepartment of Neuroscience, University of Turin Medical School, Turin, ItalyMilan & Department of Rheumatology, ASST PINI-CTO, University of Milan, Milan, ItalyDepartment of Medicine and Department of Rheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, GermanyBiogen International GmbH, Baar, SwitzerlandSamsung Bioepis, Incheon, Republic of KoreaEarly diagnosis and treatment of rheumatoid arthritis (RA) are of critical importance to halt the progression of the disease. Optimal use of advanced imaging techniques or biomarkers may facilitate early diagnosis of RA. Even though many disease-modifying anti-rheumatic drugs (DMARDs) are available for RA treatment, biological DMARDs (bDMARDs) offer expanding therapeutic options and good outcomes in patients with RA who do not have a sufficient response to conventional synthetic DMARDs. However, high costs of bDMARDs have limited patient access to optimised disease management and increased the cost burden for healthcare systems. The advent of biosimilars led to significant cost savings driven by price competition among the reference products, which could be beneficial for healthcare systems. Healthcare provider (HCP)–patient communication and informed shared decision-making are crucial to prevent the occurrence of a nocebo effect, which results from negative perceptions that patients may have and could lead to less effective outcomes. Research has demonstrated that effective communication between HCPs and patients utilising positive framing can improve acceptance by patients to be initiated on or switched to a biosimilar and can help to integrate biosimilars into routine clinical practice to maximise benefits for patients with RA.https://rmdopen.bmj.com/content/7/2/e001637.full
spellingShingle Bruno Fautrel
Josef S Smolen
Fabrizio Benedetti
Roberto Caporali
Thomas Doerner
Burkhard Pieper
Minjun Jang
Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects
RMD Open
title Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects
title_full Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects
title_fullStr Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects
title_full_unstemmed Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects
title_short Treatment journey in rheumatoid arthritis with biosimilars: from better access to good disease control through cost savings and prevention of nocebo effects
title_sort treatment journey in rheumatoid arthritis with biosimilars from better access to good disease control through cost savings and prevention of nocebo effects
url https://rmdopen.bmj.com/content/7/2/e001637.full
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