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dc.creatorEnrique Roberto Soriano
dc.creatorFederico Zazzetti
dc.creatorIvanio Alves Pereira
dc.creatorJosé Maldonado Cocco
dc.creatorValderilio Feijó Azevedo
dc.creatorGeneroso Guerran
dc.creatorWilson Bautista-Molano
dc.creatorJulio César Casasola
dc.creatorDavid Vega Morales
dc.creatorDiana Rocío Gil
dc.creatorSteve Lobosco
dc.creatorFabio Lawson
dc.date.accessioned2020-12-11T13:48:10Z
dc.date.available2020-12-11T13:48:10Z
dc.date.created2020-01
dc.identifier.urihttp://repositorio.mederi.com.co/handle/123456789/530
dc.description-spa
dc.description.abstractIntroduction Physician-patient misalignment may exist in real-life clinical practice. We aimed to assess physician and patient treatment satisfaction levels and associated degree of misalignment in psoriatic arthritis (PsA). Method Data from a cross-sectional survey of patients and their physicians conducted in Latin America were analyzed. Physician-reported and patient-reported satisfaction levels with current PsA treatment, alignment in satisfaction levels, and factors associated with satisfaction misalignment were assessed through bivariable and multivariable regression analyses. Results A total of 179 physician-patient pairs were analyzed. Physicians reported satisfaction with current disease control in 87.7% (n = 157) of cases; patients reported satisfaction in 91.1% (n = 163 of cases). A total of 82.1% of physician-patient pairs were aligned. Compared with aligned patients, misaligned patients were older and more likely to have moderate or severe disease, deteriorating or unstable disease, a past hospital procedure, current or past psoriasis symptoms, greater current pain, a current acute episode, poorer health and quality of life, greater impairment, poorer medication compliance, to consider PsA a major daily burden, and to believe that PsA treatments were ineffective. Misaligned patients were less likely to be in remission. Logistic regression analysis revealed that misaligned patients were older, and more likely to consider PsA a major daily burden and PsA treatments as ineffective. Conclusions High levels of treatment satisfaction and alignment were observed among PsA patients and their physicians in Latin America. Patients in this study nevertheless experienced a considerable clinical and quality-of-life burden, especially the misaligned patients. Addressing misalignment may lead to improved PsA disease control.spa
dc.format.mimetypeapplication/pdfspa
dc.relation.urihttps://link.springer.com/article/10.1007/s10067-019-04870-1spa
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titlePhysician-patient alignment in satisfaction with psoriatic arthritis treatment in Latin Americaspa
dc.subject.keywordPhysician-patient alignmentspa
dc.subject.keywordLatin Americaspa
dc.subject.keywordpsoriatic arthritisspa
dc.rights.accessRightsopenAccessspa
dc.type.hasVersionacceptedVersionspa


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Atribución-NoComercial-SinDerivadas 2.5 ColombiaExcept where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 2.5 Colombia