Outcomes of Care Among Patients With Gout in Europe: A Cross-sectional Survey
| Autor: | Annelies Boonen, Gudula Petersen, T.L.Th.A. Jansen, Matthijs Janssen, Caroline van Durme, Ritch te Kampe |
|---|---|
| Přispěvatelé: | Interne Geneeskunde, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, MUMC+: MA Reumatologie (9) |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
SATISFACTION Cross-sectional study Immunology MEDLINE Health outcomes THERAPY VALIDATION DISEASE Gout Suppressants Physician visit gout Patient satisfaction Rheumatology QUALITY-OF-LIFE Internal medicine MANAGEMENT Humans Immunology and Allergy Medicine KNOWLEDGE Quality of care patient-reported outcome measures business.industry Symptom Flare Up medicine.disease BASE-LINE FINDINGS PREVALENCE Gout Europe Cross-Sectional Studies quality of healthcare Current medication healthcare surveys multilevel analysis COUNTRY business |
| Zdroj: | Journal of Rheumatology, 49(3), 312-319. Journal of Rheumatology Publishing Co. Ltd. |
| ISSN: | 1499-2752 0315-162X |
| DOI: | 10.3899/jrheum.210009 |
| Popis: | ObjectiveTo assess health- and patient-centered outcomes in gout across Europe, and explore patient-, care-, and country-level characteristics associated with these outcomes.MethodsPatients with self-reported physician-diagnosed gout from 14 European countries completed an online survey. Multivariable mixed-effect logistic and linear regressions were computed for health outcomes (gout flare recurrence) and patient-centered outcomes (patient satisfaction with current medication, and unaddressed goals), accounting for clustering within countries. The role of patient-, care-, and country-level factors was explored.ResultsParticipants included 1029 patients, predominantly diagnosed by a general practitioner (GP). One or more gout flares were reported by 70% of patients and ≥ 3 flares by 32%. Gout patients reported 1.1 ± 1.2 unaddressed goals, and 80% were satisfied with current medication. Patients with ≥ 3 and ≥ 1 flares were less likely to be treated with urate-lowering therapy (ULT) (OR 0.52, 95% CI 0.39–0.70 and OR 0.38, 95% CI 0.28–0.53, respectively), but more likely to have regular physician visits (OR 2.40, 95% CI 1.79–3.22 and OR 1.77, 95% CI 1.30–2.41). Three or more gout flares were also associated with lower satisfaction (OR 0.39, 95% CI 0.28–0.56) and more unaddressed goals (β 0.36, 95% CI 0.19–0.53). Notwithstanding, the predicted probability of being satisfied was still between 57% and 75% among patients with ≥ 3 flares but who were not receiving ULT. Finally, patients from wealthier and Northern European countries more frequently had ≥ 3 gout flares.ConclusionAcross Europe, many patients with gout remain untreated despite frequent reported flares. Remarkably, a substantial proportion of them were still satisfied with gout management. A better understanding of patients’ satisfaction and its role in physicians’ gout management decisions is warranted to improve quality of care and gout outcomes across Europe. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|