Levels of satisfaction with psoriatic arthritis (PSA) treatment and associated alignment between rheumatologists and their patients across latin america
Fecha
2018Resumen
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Abstract
Objectives: To assess levels of rheumatologist and patient satisfaction with PsA
treatment across Latin America and any disconnects that may exist between the
two in real world clinical practice.
Methods: Data from the 2015 PsA Disease Specific Programme (DSP), a crosssectional, multi-national survey of patients and rheumatologists conducted in
Argentina, Mexico, Colombia and Venezuela were analyzed. Rheumatologists
(n=141) completed forms containing patient demographics, patient disease
severity and treatment satisfaction. Patients self-reported their level of treatment
satisfaction and disease severity.
Results: A total of 293 PsA patients from across Latin America were included in
this analysis. Current mean age was 49.9 years and 48.1% were female. Proportions of rheumatologists and patients reporting satisfaction with treatment were
both similarly high (84% and 92% respectively), however current disease severity
reporting differed more markedly between rheumatologists and patients (mild
78%/moderate-severe 22% rheumatologists vs. 63% mild/37% moderate-severe
patients; p=0.002). When assessed for alignment, 19% of all rheumatologists and
patients disagreed on the level of treatment satisfaction; 13% of this was due to
rheumatologists stating greater dissatisfaction than their patients, with the remaining 6% due to patients stating greater dissatisfaction than their rheumatologists
(p=0.0543). For current disease severity, 32% of all rheumatologists and patients
disagreed; 25% due to patients stating greater severity than their rheumatologists,
with 7% due to rheumatologists stating greater severity than their patients
(p<0.001). Of those patients for whom their rheumatologist was satisfied with
treatment, 14% were classified as having moderate to severe PsA by that same
physician.
Conclusions: Despite many rheumatologists and their patients in Latin America
reporting high levels of satisfaction with treatment, PsA patients can remain moderate to severe and disconnected from their physician. There is a need to improve
physician/patient engagement as a means to improving clinical control.
URI
http://repositorio.mederi.com.co/handle/123456789/450https://ard.bmj.com/content/77/Suppl_2/1803.2
Colecciones
- Investigación clínica [389]