TY - JOUR
T1 - Assessment of discordance of treatment satisfaction between patients with rheumatoid arthritis in low disease activity or in remission and their treating physicians
T2 - A cross-sectional survey
AU - Kaneko, Yuko
AU - Sato, Masayo
AU - Cai, Zhihong
AU - Sato, Minako
N1 - Publisher Copyright:
© 2020 Japan College of Rheumatology. Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - Objectives: To assess discordance in overall treatment satisfaction between patients with rheumatoid arthritis (RA) and their physicians. Methods: This was a multicenter, cross-sectional, observational study of patients with RA (in low disease activity or remission) and their board-certified treating physicians in Japan; 202 patient–physician pairs were analyzed. Treatment satisfaction and perceptions were assessed using a structured questionnaire. Results: Using a two-level (‘satisfied’ or ‘unsatisfied’) assessment of satisfaction, 195 patients (96.5%) and 190 physicians (94.1%) answered ‘satisfied’ with a high level of concordance (184 pairs, 91.1%). Using a four-level assessment, the ratio of ‘satisfied’ to ‘somewhat satisfied’ was higher in patients (66.3%/30.2%) than physicians (43.6%/50.5%). Satisfaction with treatment outcomes (e.g. joint conditions, subjective symptoms) was generally high in patients and physicians; relatively less satisfaction was reported for medication cost, especially among patients. Shared treatment decision-making was reported in ≥96% of patient–physician pairs. The most common ‘most important’ treatment target differed between patients (‘Have a social life without worrying about RA’) and physicians (‘Prevent joint damage, deformity, and joint swelling’). Conclusions: Treatment satisfaction and concordance were high between patients in low activity/remission and physicians. Some differences between patients and physicians were reported in satisfaction for specific treatment outcomes and important treatment targets.
AB - Objectives: To assess discordance in overall treatment satisfaction between patients with rheumatoid arthritis (RA) and their physicians. Methods: This was a multicenter, cross-sectional, observational study of patients with RA (in low disease activity or remission) and their board-certified treating physicians in Japan; 202 patient–physician pairs were analyzed. Treatment satisfaction and perceptions were assessed using a structured questionnaire. Results: Using a two-level (‘satisfied’ or ‘unsatisfied’) assessment of satisfaction, 195 patients (96.5%) and 190 physicians (94.1%) answered ‘satisfied’ with a high level of concordance (184 pairs, 91.1%). Using a four-level assessment, the ratio of ‘satisfied’ to ‘somewhat satisfied’ was higher in patients (66.3%/30.2%) than physicians (43.6%/50.5%). Satisfaction with treatment outcomes (e.g. joint conditions, subjective symptoms) was generally high in patients and physicians; relatively less satisfaction was reported for medication cost, especially among patients. Shared treatment decision-making was reported in ≥96% of patient–physician pairs. The most common ‘most important’ treatment target differed between patients (‘Have a social life without worrying about RA’) and physicians (‘Prevent joint damage, deformity, and joint swelling’). Conclusions: Treatment satisfaction and concordance were high between patients in low activity/remission and physicians. Some differences between patients and physicians were reported in satisfaction for specific treatment outcomes and important treatment targets.
KW - Cross-sectional studies
KW - Japan
KW - health care surveys
KW - rheumatoid arthritis
KW - treatment satisfaction
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U2 - 10.1080/14397595.2020.1775945
DO - 10.1080/14397595.2020.1775945
M3 - Article
C2 - 32475196
AN - SCOPUS:85087113079
VL - 31
SP - 326
EP - 333
JO - Japanese Journal of Rheumatology
JF - Japanese Journal of Rheumatology
SN - 1439-7595
IS - 2
ER -