PMID- 26347512 OWN - NLM STAT- MEDLINE DCOM- 20170623 LR - 20220409 IS - 2005-1212 (Electronic) IS - 1976-2283 (Print) IS - 1976-2283 (Linking) VI - 10 IP - 3 DP - 2016 May 23 TI - Factors Contributing to the Preference of Korean Patients with Crohn's Disease When Selecting an Anti-Tumor Necrosis Factor Agent (CHOICE Study). PG - 391-8 LID - 10.5009/gnl15126 [doi] AB - BACKGROUND/AIMS: Two comparable anti-tumor necrosis factor (TNF) agents with different routes of administration (intravenous [iv] infliximab [IFX] vs subcutaneous [sc] adalimumab [ADA]) are available for patients with Crohn's disease (CD) in Korea. This study aimed to identify the preferences of Korean CD patients for a specific anti-TNF agent and the factors contributing to the decision. METHODS: A prospective survey was performed among anti-TNF-naive CD patients in 10 tertiary referral hospitals. A 16-item questionnaire addressed patient preferences and the factors contributing to the decision in favor of a particular anti-TNF agent. A logistic regression was conducted to assess predictive factors for ADA preference. RESULTS: Overall, 189 patients (139 males; mean age, 32.47+/-11.71 years) completed the questionnaire. IFX and ADA were preferred by 63.5% (120/189) and 36.5% (69/189) of patients, respectively. The most influential reason for choosing IFX was 'doctor's presence' (68.3%, 82/120), and ADA was "easy to use" (34.8%, 24/69). Amid various clinicodemographic data, having a >60-minute travel time to the hospital was a significant independent predictive factor for ADA preference. CONCLUSIONS: A large number of anti-TNF-naive Korean patients with CD preferred anti-TNFs with an iv route of administration. The reassuring effect of a doctor's presence might be the main contributing factor for this decision. FAU - Kim, Eun Soo AU - Kim ES AD - Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. FAU - Kim, Kyeong Ok AU - Kim KO AD - Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. FAU - Jang, Byung Ik AU - Jang BI AD - Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. FAU - Lee, Chang Kyun AU - Lee CK AD - Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. FAU - Kim, Hyo Jong AU - Kim HJ AD - Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. FAU - Lee, Kang-Moon AU - Lee KM AD - Department of Internal Medicine, The Catholic University of Korea College of Medicine, Suwon, Korea. FAU - Kim, You Sun AU - Kim YS AD - Department of Internal Medicine, Inje University College of Medicine, Seoul, Korea. FAU - Eun, Chang Soo AU - Eun CS AD - Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea. FAU - Jung, Sung-Ae AU - Jung SA AD - Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. FAU - Yang, Suk-Kyun AU - Yang SK AD - Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea. FAU - Lee, Jun AU - Lee J AD - Department of Internal Medicine, Chosun University School of Medicine, Gwangju, Korea. FAU - Kim, Tae-Oh AU - Kim TO AD - Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. FAU - Jung, Yunho AU - Jung Y AD - Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea. FAU - Seo, Geom Seog AU - Seo GS AD - Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. FAU - Yoon, Soon Man AU - Yoon SM AD - Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea. CN - IBD Study Group of the Korean Association for the Study of the Intestinal Diseases (KASID) LA - eng PT - Journal Article PT - Multicenter Study PL - Korea (South) TA - Gut Liver JT - Gut and liver JID - 101316452 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Biological Products) RN - 0 (Gastrointestinal Agents) RN - 0 (TNF protein, human) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) RN - FYS6T7F842 (Adalimumab) SB - IM CIN - Gut Liver. 2016 May 23;10 (3):327-9. PMID: 27114431 MH - Adalimumab/therapeutic use MH - Adult MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - Biological Products/*therapeutic use MH - Crohn Disease/*drug therapy/psychology MH - Cross-Sectional Studies MH - Female MH - Gastrointestinal Agents/*therapeutic use MH - Humans MH - Infliximab/therapeutic use MH - Infusions, Intravenous MH - Injections, Subcutaneous MH - Male MH - Patient Preference/*psychology MH - Prospective Studies MH - Republic of Korea MH - Surveys and Questionnaires MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors PMC - PMC4849692 OTO - NOTNLM OT - Adalimumab OT - Crohn disease OT - Infliximab OT - Preference EDAT- 2015/09/09 06:00 MHDA- 2017/06/24 06:00 PMCR- 2016/05/01 CRDT- 2015/09/09 06:00 PHST- 2015/09/09 06:00 [entrez] PHST- 2015/09/09 06:00 [pubmed] PHST- 2017/06/24 06:00 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - gnl15126 [pii] AID - gnl-10-391 [pii] AID - 10.5009/gnl15126 [doi] PST - ppublish SO - Gut Liver. 2016 May 23;10(3):391-8. doi: 10.5009/gnl15126.