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Gibofsky A, Galloway J, Kekow J, Zerbini C, de la Vega M, Lee G, Lee EY, Codreanu C, Koehn C, Steinberg K, Bananis E, de Leon DP, Maniccia A, Dikranian A. Comparison of patient and physician perspectives in the management of rheumatoid arthritis: results from global physician- and patient-based surveys. Health Qual Life Outcomes 2018; 16:211. [PMID: 30413162 PMCID: PMC6230272 DOI: 10.1186/s12955-018-1035-3] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Accepted: 10/17/2018] [Indexed: 12/31/2022] Open
Abstract
Background In order to better understand the perspectives of patients and physicians regarding the treatment and management of rheumatoid arthritis (RA), we present and compare results from a patient-based and a physician-based survey developed by the RA NarRAtive advisory panel. Methods The RA NarRAtive initiative is directed by a global advisory panel of 39 healthcare providers and patient organization leaders from 17 countries. A survey of patients self-reporting a diagnosis of RA and a physician-based survey, designed by the advisory panel, were fielded online by Harris Poll from September 2014 to April 2016, and from August 2015 to October 2015, respectively. Results We present findings from 1805 patients whose RA was primarily managed by a rheumatologist, and 1736 physicians managing patients with RA. Results confirmed that RA carries a substantial disease burden; half of the patients surveyed reported stopping participation in certain activities as a result of their disease. While 90% of physicians were satisfied with their communications with their patients regarding RA treatment, 61% of patients felt uncomfortable raising concerns or fears with their physician. Of the patients providing responses, 52% felt that improved dialogue/discussion would optimize their RA management, and 68% of physicians wished that they and their patients talked more about their RA goals and treatment. Overall, 88% of physicians agreed that patients involved in making treatment decisions tend to be more satisfied with their treatment experience. Conclusion The results of these surveys highlight the impact of RA on patients, and a discrepancy between patient and physician views on communication. Further research, focused on improving patient–physician dialogue, shared goal-setting, and treatment planning, is needed. Electronic supplementary material The online version of this article (10.1186/s12955-018-1035-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Allan Gibofsky
- Weill Cornell Medical College, 1300 York Avenue, New York, NY, 10021, USA.,Hospital for Special Surgery, 535 East 70th Steet, New York, NY, 10021, USA
| | - James Galloway
- King's College London and King's College Hospital, Denmark Hill, London, SE5 9RS, UK
| | - Joern Kekow
- University of Magdeburg, Universitätspl. 2, 39106, Magdeburg, Germany
| | - Cristiano Zerbini
- Centro Paulista de Investigação Clinica, R. Moreira e Costa, 342 - Ipiranga, São Paulo, SP, 04265-000, Brazil
| | - Maria de la Vega
- CEIM Investigaciones Médicas, Laprida 1307, Ciudad De Buenos Aires, 1425, Buenos Aires, Argentina
| | - Gavin Lee
- Hong Kong Sanatorium & Hospital, 2 Village Road, Happy Valley, Hong Kong, SAR, China
| | - Eun Young Lee
- Seoul National University College of Medicine, 103 Daehak-ro (Yeongeon-dong), Jongno-gu, Seoul, 03080, Korea
| | - Catalin Codreanu
- Center for Rheumatic Diseases, University of Medicine and Pharmacy, 37 Dionise Lupu Street, 020021, Bucharest, Romania
| | - Cheryl Koehn
- Arthritis Consumer Experts, 210-1529 West 6th Avenue, Vancouver, BC, V6J 1R1, Canada
| | | | | | | | - Anna Maniccia
- Pfizer Inc, 235 East 42nd Street, New York, NY, 10017, USA.
| | - Ara Dikranian
- Cabrillo Center for Rheumatic Disease, Suite 203, 300 S Pierce St, El Cajon, San Diego, CA, 92020, USA
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