Levels of satisfaction with rheumatoid arthritis treatment and associated alignment between physicians and patients across Latin America
| Autor: | Elizabeth Holdsworth, Generoso Guerra, Steve Lobosco, José A. Maldonado Cocco, Fabio Lawson, Diana Rocío Gil, Julio César Casasola, David Vega Morales, Enrique R. Soriano, Wilson Bautista-Molano, V. F. Azevedo, Leandro Aldunate, Ivanio Alves Pereira, Federico Zazzetti, Olivia Massey |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Latin Americans Adolescent Severe disease Disease Logistic regression Arthritis Rheumatoid 03 medical and health sciences Young Adult 0302 clinical medicine Patient satisfaction Rheumatology Internal medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Janus kinase inhibitor Aged 030203 arthritis & rheumatology Physician-Patient Relations business.industry Remission Induction General Medicine Middle Aged medicine.disease body regions Cross-Sectional Studies Latin America Logistic Models Patient Satisfaction Rheumatoid arthritis Antirheumatic Agents Multivariate Analysis Quality of Life Female business |
| Zdroj: | Clinical rheumatology. 39(6) |
| ISSN: | 1434-9949 |
| Popis: | Discordance (misalignment) regarding treatment satisfaction may exist in real-life clinical practice between patients and their physicians. We aimed to assess physician and patient treatment satisfaction levels and associated degree of misalignment in rheumatoid arthritis (RA).A point-in-time, multinational survey of patients and physicians was conducted in Latin America from December 2014 to October 2015. Physician- and patient-reported satisfaction levels with current RA treatment, alignment levels in satisfaction perception, and factors associated with satisfaction misalignment were assessed through bivariate and logistic regression analyses.Participating physicians (N = 114) completed 555 patient record forms (PRFs); 372 patients completed self-complete questionnaires (PSC). A total of 346 physician-patient pairs were analyzed. Physicians reported satisfaction with current disease control in 270/346 (78.0%) PRFs; patients reported such satisfaction in 286/346 (82.7%) PSCs. Physician-patient alignment was observed in 78.6% of pairs. Compared with aligned patients, misaligned patients were younger, more likely to have moderate or severe disease (physician subjectively defined), deteriorating or unstable disease (physician subjectively defined), been exposed to a greater number of advanced therapy lines (biologic or Janus kinase inhibitor), greater current pain, a current acute episode, poorer health, and greater disability and impairment. Misaligned patients were less likely to be in remission. Logistic regression analysis revealed that misaligned patients were more likely to experience greater activity impairment.High treatment satisfaction and alignment were observed among RA patients and their physicians in Latin America. Misaligned patients were more likely to report more severe disease and were less likely to be in remission. Addressing misalignment may lead to improved RA disease control.Key Points• High treatment satisfaction was observed among RA patients and their treating physicians in Latin America.• One-fifth of physician-patient pairs were misaligned in treatment satisfaction.• Patients misaligned with their physicians reported higher disease activity, lower quality of life, and greater disability than those who were aligned with their physicians.• Understanding and addressing misalignment in treatment satisfaction may improve outcomes in this patient population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink